Rate of Improvement of Pain and Function in Mid-Portion Achilles Tendinopathy with Loading Protocols: A Systematic Revie
- PDF / 657,606 Bytes
- 17 Pages / 595.276 x 790.866 pts Page_size
- 40 Downloads / 181 Views
SYSTEMATIC REVIEW
Rate of Improvement of Pain and Function in Mid-Portion Achilles Tendinopathy with Loading Protocols: A Systematic Review and Longitudinal Meta-Analysis 1,4 • • Mervyn Travers Myles Murphy1,2,3 William Gibson1 • Paola Chivers5,6 James Debenham1 • Sean Docking7 • Ebonie Rio7,8
•
Ó Springer International Publishing AG, part of Springer Nature 2018
Abstract Background Mid-portion Achilles tendinopathy is prevalent within both the athletic and non-athletic populations and loading protocols for Achilles tendinopathy are effective over time, though the rate of symptom change throughout rehabilitation is unknown.
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40279-018-0932-2) contains supplementary material, which is available to authorized users. & Myles Murphy [email protected] 1
School of Physiotherapy, University of Notre Dame Australia, 19 Mouat Street, PO Box 1225, Fremantle, WA 6959, Australia
2
SportsMed Subiaco, St John of God Health Care, Subiaco, WA, Australia
3
Sports Science Sports Medicine Department, Western Australian Cricket Association, East Perth, WA, Australia
4
School of Physiotherapy and Exercise Science, Curtin University, Bentley, WA, Australia
5
Institute for Health Research, University of Notre Dame Australia, Fremantle, WA, Australia
6
Exercise Medicine Research Institute and School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia
7
La Trobe Sports and Exercise Medicine Research Centre, La Trobe University, Bundoora, VIC, Australia
8
Australian Collaboration for Research into Injury in Sport and its Prevention (ACRISP), Bundoora, Australia
Objective The objective of this study was to determine the rate of change in pain and function over time in patients while completing a loading protocol for mid-portion Achilles tendinopathy. Methods A systematic review and longitudinal metaanalysis was conducted as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The databases PubMed, CINAHL (Ovid) and CINAHL (EBSCO) were searched for articles published from inception until 31 July, 2017. Our search focused on clinical trials and cohort studies examining changes in pain and function when completing a loading protocol for midportion Achilles tendinopathy. The primary outcome measure assessing pain and function was the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. Results A total of 31 separate cohorts (24 studies) were eligible, with follow-up ranging from 2 weeks to 6 months. The data were pooled to create the mean (standard deviation) of change from baseline at each time point. The data demonstrated an improvement in pain and function as early as 2 weeks that appeared to peak at 12 weeks with a mean (standard deviation) of 21.11 (6.61) points of change on the VISA-A. Conclusion The improvement in pain and function during rehabilitation suggests future research should be directed toward investigating contributing mech
Data Loading...
