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A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy

Published on: August 2, 2024

Chronic tendinopathy: effectiveness of eccentric exercise.

Brett L Woodley¹, Richard J Newsham-West, G David Baxter

¹Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand. brettandsteph@xtra.co.nz

British Journal of Sports Medicine

|October 26, 2006

Summary

Eccentric exercise (EE) shows limited evidence for treating common tendinopathies like Achilles and patellar. More high-quality research is needed to confirm EE

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Area of Science:

Sports Medicine
Rehabilitation Science
Orthopedics

Background:

Tendinopathies are common musculoskeletal conditions.
Eccentric exercise (EE) is a proposed treatment modality.
Evidence for EE effectiveness requires systematic review.

Purpose of the Study:

To evaluate the effectiveness of eccentric exercise (EE) programs for common tendinopathies.
To synthesize evidence from randomized controlled trials (RCTs).

Main Methods:

Searched multiple databases (MEDLINE, CINAHL, AMED, EMBASE, Cochrane, PEDro) for RCTs.
Assessed methodological quality using PEDro and van Tulder scales.
Classified evidence levels: Strong, Moderate, Limited, Conflicting, No evidence.

Main Results:

Eleven RCTs met inclusion criteria for Achilles, patellar, and lateral elbow tendinopathies.
Limited evidence suggests EE may improve pain, function, and patient satisfaction compared to controls.
Evidence levels varied across different tendinopathies.

Conclusions:

A lack of high-quality research currently supports EE's clinical effectiveness over other treatments.
Further adequately powered studies with robust methodology are necessary.
Standardized outcome measures and long-term follow-up are recommended for future research.