Abstract：
BACKGROUND:The therapeutic efficacy of non-surgical treatment strategies in Achilles tendinopathy (AT) has not been well clarified. Time-consuming and costly combinations of treatment for pain, physiotherapy and biomechanical procedures are often applied. OBJECTIVE:To analyse the efficacy of single therapeutic regimens commonly used over a short period of 4 weeks. METHODS:31 male runners (mileage >32 km/week) with unilateral, untreated AT completed 4 weeks of either physiotherapy (10 treatments: deep-friction, pulsed ultrasound, ice, sensory motor training; (P)), wearing custom fit semirigid insoles (I) or remained without treatment (control group C). Before and after treatment, all patients underwent a treadmill test and a plantar flexion strength exercise. Subjective pain (Pain Disability Index, Pain Experience Scale), as well as strength performance capacity (peak torque), was analysed (mean, 95% CI, repeated measures analysis of variance, alpha = 0.05). RESULTS:Pain was reduced to <50% of the baseline value after physiotherapy or after wearing insoles (p<0.05). Individual pain reduction was >50% (25%) in 89% (100%) of subjects in I and 55% (73%) in P. Higher eccentric plantar flexion peak torques after treatment were observed in I and P. CONCLUSIONS:Most patients with AT experience a reduction in pain after only 4 weeks of differentiated, non-surgical treatment consisting of physiotherapy or semirigid insoles.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Mayer F,Hirschmüller A,Müller S,Schuberth M,Baur Hdoi
10.1136/bjsm.2006.031732subject
Has Abstractpub_date
2007-07-01 00:00:00pages
e6issue
7eissn
0306-3674issn
1473-0480pii
bjsm.2006.031732journal_volume
41pub_type
杂志文章,随机对照试验abstract：OBJECTIVE:Certain exercise prescriptions for patients with cancer may improve self-reported quality of life (QoL) and self-reported physical function (PF). We investigated the effects of exercise on QoL and PF in patients with cancer and studied differences in effects between different intervention-related and exercise...
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pub_type： 杂志文章,meta分析,评审
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pub_type： 杂志文章,多中心研究
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