UNASSIGNED: The aim of this pilot study is to evaluate the efficacy of adding USGET to conventional eccentric exercise treatment in patients with chronic AT.
UNASSIGNED: Inclusion criteria were patients with unilateral non-insertional AT, pain lasting > 3 months, aged 25-60 years. Patients were randomised in two groups receiving the same physiotherapy treatment (2 sessions per week for 8 weeks). In addition, the experimental group received three USGET stimulations, one every 15 days. Outcome measures were assessment of Achilles tendinopathy severity using the Victorian Institute of Sport Assessment-Achilles (VISA-A) and pain intensity using the Visual Analogue Scale (VAS). Assessment points occurred at the onset of treatment (T0), its conclusion (T1), and subsequent follow-ups at one (T2) and two months (T3).
UNASSIGNED: Out of the 52 patients who met the study inclusion criteria, two participants withdrew from the study, resulting in a total of 50 subjects who completed the research. None of the parameters showed a different distribution at T1 (p> 0.337). At T2, there was a statistical difference in VISA-A (p= 0.010) and its subscales and VAS (p= 0.002) in the USGET group. At T3, both groups improved with a statistical difference observed in VISA-A (p< 0.001) and its subscales Pain (p= 0.004), Function (p= 0.003) and Sport (p= 0.002), but the EG patients showed a greater improvement. No adverse events were reported.
UNASSIGNED: The effect of USGET combined with eccentric exercise appears to be a safe and effective technique for achieving pain relief and functional recovery in the medium term, supporting the integrated use of USGET as a rehabilitative treatment option for patients with chronic AT.
■这项初步研究的目的是评估在慢性AT患者的常规偏心运动治疗中添加USGET的疗效。
■纳入标准为单侧非插入性AT患者,疼痛持续>3个月,年龄25-60岁。患者随机分为两组,接受相同的物理治疗(每周2次,共8周)。此外,实验组接受了三次USGET刺激,每15天一次。结果指标是使用维多利亚州运动评估学院(VISA-A)评估跟腱病变的严重程度,并使用视觉模拟量表(VAS)评估疼痛强度。评估点发生在治疗开始时(T0),其结论(T1),随后随访1个月(T2)和2个月(T3)。
■在符合研究纳入标准的52名患者中,两名参与者退出了研究,共有50名受试者完成了这项研究。没有一个参数在T1显示不同的分布(p>0.337)。在T2时,USGET组的VISA-A(p=0.010)及其分量表和VAS(p=0.002)存在统计学差异。在T3时,两组在VISA-A(p<0.001)及其疼痛分量表(p=0.004)中观察到统计学差异,函数(p=0.003)和运动(p=0.002),但EG患者表现出更大的改善。未报告不良事件。
■USGET结合偏心运动的效果似乎是一种安全有效的技术,可在中期内实现疼痛缓解和功能恢复,支持综合使用USGET作为慢性AT患者的康复治疗选择。