Shock wave therapy for Achilles tendinopathy

Wilson, Michelle; Stacy, Jason J.

doi:10.1007/s12178-010-9067-2

Cited by 28 publications

(14 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This cross-sectional study quantified tendon structure of competitivedistance runners at a single time point just prior to the start of a competitive season. Although distance runners are at a 10-fold risk of developing tendinopathy [16], the majority of runners never report symptoms or pain [21]. Therefore, we propose two divergent structural responses to the biomechanical rigors of distance running: habituated tendon and symptomatic tendon.…”

Section: Discussionmentioning

confidence: 86%

Achilles Tendon Structure Differs Between Runners And Non-Runners Despite No Clinical Signs Or Symptoms Of Mid-Substance Tendinopathy

Hullfish

Hagan

Casey

et al. 2018

Preprint

View full text Add to dashboard Cite

Achilles tendinopathy affects many running athletes and often leads to chronic pain and functional deficits. While changes in tendon structure have been linked with tendinopathy, the effects of distance running on tendon structure is not well understood. Therefore, the purpose of this study was to characterize structural differences in the Achilles tendons in healthy young adults and competitive distance runners using quantitative ultrasound analyses. We hypothesized that competitive distance runners with no clinical signs or symptoms of tendinopathy would have quantitative signs of tendon damage, characterized by decreased collagen alignment and echogenicity, in addition to previous reports of thicker tendons. Longitudinal ultrasound images of the right Achilles tendon mid-substance were acquired in competitive distance runners and recreationally-active adults. Collagen organization, mean echogenicity, and tendon thickness were quantified using image processing techniques. Clinical assessments confirmed that runners had no signs or symptoms of tendinopathy and controls were only included if they had no history of Achilles tendon pain or injuries. Runner tendons were 40% less organized, 48% thicker, and 41% less echogenic compared to the control tendons (p < 0.001). Young adults engaged in competitive distance-running have structurally different tendons than recreationally-active young adults. While these structural differences have been associated with tendon damage, the lack of clinical symptoms of tendinopathy may suggest that these detected differences may either be precursors of tendinopathy development or protective adaptations to cyclic tendon loading experienced during running.

show abstract

Section: Discussionmentioning

confidence: 86%

Achilles Tendon Structure Differs Between Runners And Non-Runners Despite No Clinical Signs Or Symptoms Of Mid-Substance Tendinopathy

Hullfish

Hagan

Casey

et al. 2018

Preprint

View full text Add to dashboard Cite

show abstract

“…There are several types and different protocols. Its use has been approved by the Food and Drug Administration for some related indications 26. Exercise-based therapies, including eccentric training protocols, have also been proposed and remain subject of development 27.…”

Section: Current State Of the Artmentioning

confidence: 99%

Ankle tendoscopy: state of the art

Pereira¹,

Vuurberg

Stone

et al. 2017

Journal of ISAKOS

View full text Add to dashboard Cite

“…Brazilská studie ukončená v roce 2006 popsala výsledky ESWT jako vynikající u 26 % pacientů, dobré u 45 % pacientů, přijatelné u 17 % a slabé v 12 % případů. Po shrnutí výsledků autoři doporučují ESWT jako rozumný doplněk léčby chronické entezopatie Achillovy šlachy [10].…”

Section: Tendinopatie Achillovy šLachyunclassified

Possibilities of shock wave usage in physiotherapy

Novák¹,

Zeman²

2013

Kontakt

View full text Add to dashboard Cite

Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, katedra klinických a preklinických oborů summary Apart from a few expert works there is still lack of literature in the Czech language summarizing theoretical information on the effect of the shock wave treatment. The contribution presents an explanation of the basic physical principles of the origin and diffusion of shock waves, and it also presents a complex summary of the most common possibilities of the shock wave usage in the scope of physiotherapy. Specifically it regards the following diagnosis: epicondylitis radialis humeri (tennis elbow), epicondylitis ulnaris humeri (javelin throwers elbow), calcar calcanei (heel spur), and plantar fasciitis, shoulder tendinopathy with possible calcification, Achilles tendinopathy, patellar tendinopathy and trigger points. The research part assesses case based impact and course of shock wave therapy at three probands with the diagnosis of epicondylitis radialis humeri (tennis elbow), and it makes part of the contribution mainly for didactic reason. Such small and non-homogeneous samples of probands don't allow to draw any generally valid conclusions in this field and it is only an illustrative example for the therapy. Data for the research part of the contribution were collected on the basis of a qualitative research, the method of case study, the technique of personal case study (case interpretation) at probands with diagnosed radial epicondylitis in chronic stage of the disease and after undergoing conventional treatment, which didn't bring any satisfactory effect. The case interpretations contain examinations of aspections, palpations, measurement of upper limb joint scopes, their length and perimeter, examination according to muscle test. The data were collected by means of preliminary and final examination. For pain assessment, the following specific tests were carried out: the test of painful squeeze of hand, Thomson's test, the stress test of the third finger, the chair test, and the resistance test on m. supinator. In the selected investigative sample there were detected quite heterogeneous results-the first proband showed considerable improvement, the second one got worse and the third one slightly improved. This only proves the opinion diversity of the professional public on the meaningfulness of the shock wave usage at orthopaedic diagnosis, which is later developed in the capture of discussion. Key words: shock wave-enthesopathy-epicondylitis radialis humeri-tennis elbow-shock wave therapy-energy flux density biomedicína souhrn Kromě několika odborných prací zatím neexistuje dostatek dostupné česky psané literatury shrnující teoretické informace o účincích léčby rázovými vlnami. Příspěvek předkládá vysvětlení základních fyzikálních principů vzniku a šíření rázových vln a dále nabízí ucele

show abstract

Shock wave therapy for Achilles tendinopathy

Cited by 28 publications

References 37 publications

Achilles Tendon Structure Differs Between Runners And Non-Runners Despite No Clinical Signs Or Symptoms Of Mid-Substance Tendinopathy

Achilles Tendon Structure Differs Between Runners And Non-Runners Despite No Clinical Signs Or Symptoms Of Mid-Substance Tendinopathy

Ankle tendoscopy: state of the art

Possibilities of shock wave usage in physiotherapy

Contact Info

Product

Resources

About