Academic Journal
Does radial shockwave therapy lead to immediate improvements in pain in people with insertional Achilles tendinopathy? A randomised controlled trial.
| Τίτλος: | Does radial shockwave therapy lead to immediate improvements in pain in people with insertional Achilles tendinopathy? A randomised controlled trial. |
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| Συγγραφείς: | Alsulaimani B; Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Clayton, VIC, Australia.; Department of Physical Therapy, King Abdulaziz University, Jeddah, Saudi Arabia., Perraton L; Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Clayton, VIC, Australia., Bourke J; Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Clayton, VIC, Australia., Powers T; Monash eResearch Centre, Monash University, Clayton, VIC, Australia., Malliaras P; Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Clayton, VIC, Australia. |
| Πηγή: | Clinical rehabilitation [Clin Rehabil] 2026 Feb; Vol. 40 (2), pp. 171-181. Date of Electronic Publication: 2025 Nov 27. |
| Τύπος έκδοσης: | Journal Article; Randomized Controlled Trial |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: SAGE Publications Country of Publication: England NLM ID: 8802181 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1477-0873 (Electronic) Linking ISSN: 02692155 NLM ISO Abbreviation: Clin Rehabil Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : SAGE Publications Original Publication: London : Edward Arnold ; New York : Cambridge University Press [distributor in North America], c1987- |
| Ιατρικοί όροι (MeSH): | Tendinopathy*/therapy , Tendinopathy*/diagnosis , Achilles Tendon*/physiopathology , Extracorporeal Shockwave Therapy*/methods , Pain Management*/methods , High-Energy Shock Waves*/therapeutic use, Humans ; Female ; Middle Aged ; Male ; Pain Measurement ; Adult ; Treatment Outcome |
| Περίληψη: | ObjectivesTo investigate the immediate effects of radial shockwave therapy versus sham on movement evoked pain in people with insertional Achilles tendinopathy.DesignRandomised controlled trial.SettingPrivate clinic.ParticipantsPeople diagnosed with insertional Achilles tendinopathy who were over 18 years old with a symptom duration of greater than 3 months.InterventionSeventy-six participants (53% female, mean age 51 years) were randomly allocated to a radial shockwave (n = 38) or sham (n = 38) group. Three sessions of radial shockwave or sham (no pressure) to the most affected side in 5-to-10-day intervals. All participants received identical education and exercises.Main measuresThe primary outcome measure was movement evoked pain (measured on a 100 mm visual analogue scale) at the first, second and third session immediately after each application.ResultsThere was 96% follow up of participants at the third session. Over half of the participants believed they were receiving the 'real' treatment (average 58%). The mean movement evoked pain scores improved each session by 0.6 points for the radial shockwave therapy and 0.7 points for the sham group. There was no difference between the groups after the first (-0.4, 95% confidence interval (CI) -1.6 to 0.8), second (0.4, 95% CI -0.8 to 1.6) or third session (-0.4, 95% CI -1.6 to 0.8).ConclusionsIn adults with insertional Achilles tendinopathy, radial shockwave therapy demonstrated no more efficacy than a sham in reducing immediate movement evoked pain. These results do not support the use of radial shockwave therapy for immediate pain relief among people with this condition.Clinical trial registrationACTRN12620000035921. |
| Competing Interests: | Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| References: | Annu Rev Pharmacol Toxicol. 2019 Jan 6;59:191-211. (PMID: 30216744) Foot Ankle Int. 2017 Oct;38(10):1160-1169. (PMID: 28789557) Clin Rehabil. 2025 Feb;39(2):174-186. (PMID: 39704142) BMJ. 2014 Mar 07;348:g1687. (PMID: 24609605) Foot Ankle Int. 2020 Apr;41(4):403-410. (PMID: 31924120) Burns. 2019 Aug;45(5):1094-1101. (PMID: 30827852) J Sci Med Sport. 2007 Feb;10(1):52-8. (PMID: 16828343) Ann Rehabil Med. 2011 Jun;35(3):412-7. (PMID: 22506152) Front Psychol. 2023 Jul 03;14:1178560. (PMID: 37465492) Arch Bone Jt Surg. 2021 Jan;9(1):5-8. (PMID: 33778110) Pain. 2023 Jan 1;164(1):e47-e65. (PMID: 36095045) J Shoulder Elbow Surg. 2009 Nov-Dec;18(6):927-32. (PMID: 19535272) J Pain. 2009 Jun;10(6):556-72. (PMID: 19380256) Curr Sports Med Rep. 2021 Jun 1;20(6):298-305. (PMID: 34099607) JBJS Rev. 2021 Jun 14;9(6):. (PMID: 34125735) Int J Surg. 2011;9(8):672-7. (PMID: 22019563) Neuroscience. 2008 Jul 31;155(1):138-44. (PMID: 18579315) Musculoskelet Sci Pract. 2021 Apr;52:102353. (PMID: 33636582) Sports Med. 2019 Oct;49(10):1585-1607. (PMID: 31267483) Br J Sports Med. 2021 Oct;55(20):1125-1134. (PMID: 34187784) Br J Sports Med. 2009 Jun;43(6):409-16. (PMID: 18812414) J Bone Joint Surg Am. 2021 Jul 21;103(14):1295-1302. (PMID: 34029235) J Clin Orthop Trauma. 2020 May;11(Suppl 3):S309-S318. (PMID: 32523286) J Am Acad Orthop Surg. 2022 May 15;30(10):e751-e759. (PMID: 35286285) J Pain. 2018 Aug;19(8):942.e1-942.e18. (PMID: 29597080) J Physiother. 2022 Oct;68(4):221-237. (PMID: 36274038) J Clin Med. 2020 Feb 19;9(2):. (PMID: 32092987) Sports Med. 2013 Apr;43(4):267-86. (PMID: 23494258) Br J Sports Med. 2020 Jun;54(11):627-630. (PMID: 31519545) Clin Rheumatol. 2010 Aug;29(8):927-31. (PMID: 20473540) |
| Contributed Indexing: | Keywords: Insertional Achilles tendinopathy; placebo; shockwave |
| Entry Date(s): | Date Created: 20251127 Date Completed: 20260120 Latest Revision: 20260122 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC12816402 |
| DOI: | 10.1177/02692155251394951 |
| PMID: | 41308020 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1477-0873 |
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| DOI: | 10.1177/02692155251394951 |