Electromagnetic Transduction Therapy for Achilles Tendinopathy: A Preliminary Report on a New Technology

Gerdesmeyer, Ludger; Saxena, Amol; Klueter, Tim; Harrasser, Norbert; Fullem, Brian; Krath, André

doi:10.1053/j.jfas.2017.06.014

Cited by 9 publications

(9 citation statements)

References 17 publications

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“…The effect of non-surgical treatments in reducing pain appeared to be more prominent among participants with MAT. One parallel prospective study performed on 53 participants with MAT reported that PEMF effectively reduced pain [ 42 ]. At the 12-week assessment point, the VAS in both groups had significantly decreased, although the active group had improved considerably in VAS ( p < 0.00001) compared with the controls ( p = 0.0002).…”

Section: Discussionmentioning

confidence: 99%

Comparative short-term effectiveness of non-surgical treatments for insertional Achilles tendinopathy: a systematic review and network meta-analysis

Cao

Qiu

et al. 2023

BMC Musculoskelet Disord

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Background The incidence of Achilles tendinopathy has risen over the past decades. Insertional Achilles tendinopathy is characterised by tissue degeneration of the Achilles tendon from its insertion in the calcaneus to up to 2 cm proximally. This clinical condition is accompanied by pain, loss of function and diminished exercise tolerance. Numerous conservative treatment modalities are available to participants with insertional Achilles tendinopathy, including eccentric exercises, extracorporeal shockwave therapy, laser therapy, cryotherapy, therapeutic ultrasound, and orthotics. Eccentric exercise and extracorporeal shockwave therapy may reduce pain in participants with non-calcified insertional Achilles tendinopathy. However, no specific treatment is recommended over another due to the low methodological quality of trials. Given the lack of standard or preferred non-surgical treatment and the potential risks of surgical treatment, there is an imminent need to reassess different non-surgical treatments based on the newest evidence. Thus, this systematic review aims to evaluate the clinical effectiveness of the various non-surgical treatments for insertional Achilles tendinopathy. Methods AMED EBSCOhost, CINAHL, EBSCOhost, EMBASE, PEDro, PubMed, Web of Science, and Clinicaltrials.gov were searched from 1992 to 14th October 2022, randomised controlled trials of adults with insertional Achilles tendinopathy investigating non-surgical treatments compared with each other or no treatment, placebo/sham control. Two reviewers independently screened and extracted the data. Random effects of network meta-analysis immediately after treatments were used to report comparative treatment effects. The surface under the cumulative ranking probabilities was calculated to assess the relative ranking of treatments. Results Nine trials (total n = 464 participants) were included. This review recommended the combination of eccentric exercise and soft tissue therapy to manage insertional Achilles tendinopathy. With the highest SUCRA values of 84.8, and the best mean rank of 1.9, Eccentric exercise plus soft tissue treatment ranked as the most effective treatment for short-term pain. Conclusions This is the first NMA of non-surgical treatment focusing on short-term pain control for IAT which eccentric exercise plus soft-tissue therapy was found to be the most effective treatment combination. However, the overall confidence in non-surgical treatments from all included trials was very low. No recommendation of the best treatment option can be made from this review.

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Section: Discussionmentioning

confidence: 99%

Comparative short-term effectiveness of non-surgical treatments for insertional Achilles tendinopathy: a systematic review and network meta-analysis

Cao

Qiu

et al. 2023

BMC Musculoskelet Disord

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“…For plantar fasciitis, ESWT has shown to be more effective than RSW (12). We reviewed several studies on SW for Achilles tendinopathy (table I A-D); seven previous studies (13,14,15,16,17,18,19) showed significant improvement in patients with Achilles tendinopathy treated with RSW. Five of those seven studies (13,14,15,16,19) had control groups that did not receive shockwave treatment.…”

Section: Discussionmentioning

confidence: 99%

“…We reviewed several studies on SW for Achilles tendinopathy (table I A-D); seven previous studies (13,14,15,16,17,18,19) showed significant improvement in patients with Achilles tendinopathy treated with RSW. Five of those seven studies (13,14,15,16,19) had control groups that did not receive shockwave treatment. The shockwave intervention group had significant improvement compared to the control group in all five of these studies, three of which had a level of clinical evidence of "1" (14,15,16).…”

Section: Discussionmentioning

confidence: 99%

“…A disadvantage of this study was that adjuvant treatment such as eccentric exercise, NSAIDs, and avoidance of painful activity were not stated. Gerdesmeyer et al 2017 (19) conducted a study using Electromagnetic Transduction Therapy (EMTT, Cellactor1 ® , Storz Medical AG, Tägerwilen, CH), which has a very similar mechanistic theory to that of ESWT (8). This study compared improvement in VAS and RM scores from baseline in two groups of patients with Achilles tendinopathy; the control group received 1-cm heel-cushions as their only treatment while the intervention group received EMTT plus 1-cm heel-cushion.…”

Section: Gerdesmeyer 2017mentioning

confidence: 99%

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Combined ESWT and RSW Therapy for Achilles Tendinopathy: A Prospective Study

Saxena¹,

Shou²

2019

Muscle Ligaments and Tendons J

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Introduction. Achilles tendinopathy is one of the most common overuse injuries of the foot and ankle in the active population. Many studies have shown radial sound wave therapy (RSW) or extra-corporeal shockwave therapy (ESWT) to be a safe and effective conservative treatment options when used independently. Methods. In this prospective study, we examined the outcomes of treatment on Achilles tendinopathy combining these two modalities. We hypothesize improved results with the combination therapy and compare this with previous studies. The current study observes a cohort of 24 patients, who received the both treatments with mean age of 47.2±12.8 years at the time of study. Each patient received three treatments initially and then subsequent treatments at 6 and/or 12 week follow up. Results. Pre-treatment VAS score was 6.3±1.3 and RM score was 3.5±0.5. Ultimately, these were reduced to 1.2±1.6 (P=0.00001) and 1.6±0.9 (P=0.00001) respectively at 17±4.5 month follow-up. Patients with paratendinosis had better outcomes than insertional Achilles pathology. Conclusions. Our results show a significant improvement in outcome measures in patients treated with ESWT and RSW, as compared to other studies. We conclude that the dual treatment method is a safe and improved method of treatment for Achilles tendinopathy compared to isolated use of ESWT or RSW.

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“…Included studies were published between 1984 and 2020 (median [interquartile range (IQR)], 2014 [2008][2009][2010][2011][2012][2013][2014][2015][2016][2017][2018]), consisting of 29% (89/307) randomized trials [5,, 6% (17/307) non-randomized trials [99][100][101][102][103][104][105][106][107][108][109][110][111][112][113][114][115][116], 26% (81/307) single cohort [3,4,6,, 33% (101/307) case series , 3% (8/307) case-control studies [128,[288][289][290][291][292][293][294], and 4% (11/307) pilot or feasibility trials [295][296][297][298][299][300][301][302]…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

ICON 2020—International Scientific Tendinopathy Symposium Consensus: A Systematic Review of Outcome Measures Reported in Clinical Trials of Achilles Tendinopathy

et al. 2021

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Background Nine core domains for tendinopathy have been identified. For Achilles tendinopathy there is large variation in outcome measures used, and how these fit into the core domains has not been investigated. Objective To identify all available outcome measures outcome measures used to assess the clinical phenotype of Achilles tendinopathy in prospective studies and to map the outcomes measures into predefined health-related core domains. Design Systematic review. Data Sources Embase, MEDLINE (Ovid), Web of Science, CINAHL, The Cochrane Library, SPORTDiscus and Google Scholar. Eligibility Criteria for Selecting Studies Clinical diagnosis of Achilles tendinopathy, sample size ≥ ten participants, age ≥ 16 years, and the study design was a randomized or non-randomized clinical trial, observational cohort, single-arm intervention, or case series. Results 9376 studies were initially screened and 307 studies were finally included, totaling 13,248 participants. There were 233 (177 core domain) different outcome measures identified across all domains. For each core domain outcome measures were identified, with a range between 8 and 35 unique outcome measures utilized for each domain. The proportion of studies that included outcomes for predefined core domains ranged from 4% for the psychological factors domain to 72% for the disability domain. Conclusion 233 unique outcome measures for Achilles tendinopathy were identified. Most frequently, outcome measures were used within the disability domain. Outcome measures assessing psychological factors were scarcely used. The next step in developing a core outcome set for Achilles tendinopathy is to engage patients, clinicians and researchers to reach consensus on key outcomes measures. Prospero Registration CRD42020156763.

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Electromagnetic Transduction Therapy for Achilles Tendinopathy: A Preliminary Report on a New Technology

Cited by 9 publications

References 17 publications

Comparative short-term effectiveness of non-surgical treatments for insertional Achilles tendinopathy: a systematic review and network meta-analysis

Comparative short-term effectiveness of non-surgical treatments for insertional Achilles tendinopathy: a systematic review and network meta-analysis

Combined ESWT and RSW Therapy for Achilles Tendinopathy: A Prospective Study

ICON 2020—International Scientific Tendinopathy Symposium Consensus: A Systematic Review of Outcome Measures Reported in Clinical Trials of Achilles Tendinopathy

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