Effects of eccentric exercise in pressure pain threshold in subjects with functional ankle equinus condition

Rodríguez‐Sanz, David; López‐López, Daniel; García, Daniel Essig; Medrano, Alfredo Soriano; Ponce, Angel Morales; Calvo‐Lobo, César; Corbalán, Irene Sanz

doi:10.1590/1806-9282.65.3.384

Cited by 5 publications

(5 citation statements)

References 20 publications

(11 reference statements)

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“…Nonetheless, the VISA-A scores observed in our 2 treatment groups did not exceed those reported in other studies, such as those from Rompe et al and McCormack et al 18,42 . Improvement in secondary outcomes was also consistent with previous studies, including VAS, AOFAS, and FAOS 17,43,44 . Some of these variables (SF-12 and algometry assessment) were novel to the present study and could not be placed in a comparative situation with preceding data.…”

Section: Discussionsupporting

confidence: 90%

Shockwave Therapy Plus Eccentric Exercises Versus Isolated Eccentric Exercises for Achilles Insertional Tendinopathy

Mansur

Matsunaga

Carrazzone

et al. 2021

Journal of Bone and Joint Surgery

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Background:There remains a lack of consensus regarding the treatment of Achilles insertional tendinopathy. The condition is typically treated with eccentric exercises despite the absence of satisfactory and sustained results. Shockwave therapy was presented as an alternative, but there is a paucity of literature, with good outcomes, supporting its use. The purpose of the present single-center, double-blinded, placebo-controlled, randomized trial was to determine if the use of shockwave therapy in combination with eccentric exercises improves pain and function in patients with Achilles insertional tendinopathy.Methods:A total of 119 patients with Achilles insertional tendinopathy were evaluated and enrolled in the study from February 2017 to February 2019. Patients were allocated to 1 of 2 treatment groups, eccentric exercises with extracorporeal shockwave therapy (SWT group) and eccentric exercises with sham shockwave therapy (control group). Three sessions of radial shockwaves (or sham treatment) were performed every 2 weeks and eccentric exercises were undertaken for 3 months. The primary outcome was the Victorian Institute of Sport Assessment-Achilles questionnaire (VISA-A) at 24 weeks. Secondary outcomes included the visual analogue scale, algometry, the Foot and Ankle Outcome Score, and the 12-Item Short Form Health Survey.Results:Both groups showed significant improvement during the study period; however, there were no between-group differences in any of the outcomes (all p >0.05). At the 24-week evaluation, the SWT group exhibited a mean VISA-A of 63.2 (95% confidence interval, 8.0) compared with 62.3 (95% confidence interval, 6.9) in the control group (p = 0.876). There was a higher rate of failure (38.3%) but a lower rate of recurrence (17.0%) in the SWT group compared with the control group (11.5% and 34.6%, respectively; p = 0.002 and p = 0.047). There were no complications reported for either group.Conclusions:Extracorporeal shockwave therapy does not potentiate the effects of eccentric strengthening in the management of Achilles insertional tendinopathy.Level of Evidence:Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

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Section: Discussionsupporting

confidence: 90%

Shockwave Therapy Plus Eccentric Exercises Versus Isolated Eccentric Exercises for Achilles Insertional Tendinopathy

Mansur

Matsunaga

Carrazzone

et al. 2021

Journal of Bone and Joint Surgery

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“…The second most studied populations were individuals with chronic health conditions (20.9%). Example diagnoses included type 2 diabetes, Parkinson disease, and chronic fatigue syndrome 22–26 . Third common were studies involving individuals with nonspecific chronic pain conditions (16.3%).…”

Section: Resultsmentioning

confidence: 99%

“…Example diagnoses included type 2 diabetes, Parkinson disease, and chronic fatigue syndrome. [22][23][24][25][26] Third common were studies involving individuals with nonspecific chronic pain conditions (16.3%). Fibromyalgia, chronic low back pain, chronic neck pain, and myalgias were included in this group.…”

Section: Populations Studiedmentioning

confidence: 99%

Quantitative Sensory Changes Related to Physical Activity in Adult Populations

Baehr

Law

Finley

2021

Am J Phys Med Rehabil

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Exercise-induced hypoalgesia related to physical activity produces sensory adaptations, but its mechanism remains unclear. Quantitative sensory testing is an effective measurement tool to identify sensory changes, but the extent of evidence linking quantitative sensory testing and physical activity has not been explored. The purpose of this scoping review is to synthesize the evidence on using quantitative sensory testing to evaluate psychophysical changes related to physical activity in adult populations. The researchers developed a comprehensive search strategy with a Health Sciences Librarian using the Arksey and O'Malley Methodological framework. Four databases (Medline [PubMed], CINAHL, Web of Science, and Embase) were searched for peer-reviewed primary research. After 2790 articles were evaluated, 196 studies were included for final review. More than half of studies used randomized controlled trial design (50.5%), followed by quasi-experimental (24.0%) and observational (25.5%) strategies. Healthy adults (42.9%) and individuals with chronic health conditions (20.9%) were examined most frequently. Aerobic (27.6%) and strength (21.4%) physical activity types were most commonly studied. Static quantitative sensory testing measures of pressure pain threshold (84%) were used most frequently. The findings of this scoping review demonstrate available evidence for quantitative sensory testing as a measurement tool of neuromodulation related to physical activity in adult populations. A systematic review is warranted to examine outcomes and recommendations.

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“…The studies provided the intensity of exercise, demonstrating improvement in pain threshold at 75% HR max, 75% VO 2 max and other kind of intensity measurements (watts, km/h and treadmill inclination), exposing that moderate/high intensity aerobic exercise improves pain threshold in healthy people. Some studies demonstrate moderate and high intensity training to increase also, pain threshold/tolerance and pain perception [41][42][43].…”

Section: Discussionmentioning

confidence: 99%

Influence of physical exercise in pain threshold in human: A systematic review

AM¹,

OB²

2020

Int Clin Med

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Pain can be defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of that injury. Aerobic exercise has been widely studied in painful conditions subjects and is related for the improvement of the fragility syndrome, increasing the pain threshold/tolerance during and after its practice. For healthy subjects, aerobic exercise has already shown to prevent various diseases and strengthen the immune system, fighting infection diseases. The objective of this review was to report the modalities of aerobic exercises associated with the treatment of adjuvant pain or reduction of experimental pain (threshold or tolerance) in the skeletal muscle system through a systematic review of clinical studies.The search was performed in the electronic databases PubMed, Web of Science and Scopus following PRISMA recommendation. Articles published between January 1980 and January 2019 were selected, reporting results related to pain modulation through aerobic exercise.A total of 20,790 studies from which we evaluated 110 records and, finally, we included 7 studies in the quantitative analysis, following the eligibility criteria. The results revealed that healthy men and women (about 97 patients) increased the pain threshold /tolerance through aerobic exercise. Protocols with different stimulations were evaluated. Conclusion:With low quality of evidence, it is indicated that aerobic exercise increases threshold / tolerance of peripheral pain in healthy people.

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Effects of eccentric exercise in pressure pain threshold in subjects with functional ankle equinus condition

Cited by 5 publications

References 20 publications

Shockwave Therapy Plus Eccentric Exercises Versus Isolated Eccentric Exercises for Achilles Insertional Tendinopathy

Shockwave Therapy Plus Eccentric Exercises Versus Isolated Eccentric Exercises for Achilles Insertional Tendinopathy

Quantitative Sensory Changes Related to Physical Activity in Adult Populations

Influence of physical exercise in pain threshold in human: A systematic review

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