Long-Term Outcome and Factors Affecting Prognosis of Extracorporeal Shockwave Therapy for Chronic Refractory Achilles Tendinopathy

Lee, Joon-Youn; Yoon, Kyung Jae; Yi, Youbin; Park, Chul-Hyun; Lee, Jung-Sang; Seo, Kyoung Ho; Park, Sung Chul; Lee, Yong Taek

doi:10.5535/arm.2017.41.1.42

Cited by 24 publications

(23 citation statements)

References 41 publications

(64 reference statements)

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“…Lee et al investigated the long-term outcome and factors affecting the prognosis of ESWT for chronic refractory Achilles tendinopathy [37]. Immediate treatment success was associated with an absence of a retrocalcaneal enthesophyte on X-ray, presence of pretreatment abnormal ultrasonography echogenicity, shorter mean duration of "posttreatment soreness," and shorter duration of "posttreatment soreness after first ESWT."…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal Shock Wave Therapy for Achilles Tendinopathy

Stania

Juras

Chmielewska

et al. 2019

BioMed Research International

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Extracorporeal shock wave therapy (ESWT) is among the conservative treatments for Achilles tendinopathy. Unfortunately, no optimal application parameters have been determined that would ensure ESWT effectiveness in this condition. The aim of the paper is to use research reports on ESWT in patients with Achilles tendinopathy to help practising physiotherapists establish the most effective intervention parameters. A search was conducted using the following databases: PubMed, Scopus, EBSCOhost, and Web of Science. The papers were checked for relevant content and were included based on the following criteria: full-text article published in English and including comprehensive description of shock wave application. Twenty-two articles met the inclusion criteria. Most studies on the effectiveness of ESWT for Achilles tendinopathy included in this narrative review were randomized controlled trials. Two case-control studies, a case series study, prospective audit, clinical trial protocol, and a pilot study were also considered. The majority were prospective studies. Only a few authors presented the findings from retrospective observations. The two modalities of shock wave therapy used for Achilles tendinopathy are focused shock waves and radial shock waves. The literature contains reports presenting mainly beneficial effects of ESWT in patients with Achilles tendinopathy.

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Section: Discussionmentioning

confidence: 99%

Extracorporeal Shock Wave Therapy for Achilles Tendinopathy

Stania

Juras

Chmielewska

et al. 2019

BioMed Research International

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“…Most of the studies regarding usage of ESWT in patients with chronic Achilles tendinopathy reported short-term 3 or 4 months [ 10 ], 6 months [ 14 ] or long -term 12 months outcome [ 10 ] [ 11 ] [ 12 ]. We used low - energy radial extracorporeal shock wave therapy.…”

Section: Discussionmentioning

confidence: 99%

“…In the reported studies, Rompe et al treatment protocol included 3 sessions of low - energy ESWT using 0.12 mJ/mm 2 with 2,000 shocks per session [ 10 ], Pavone included 4 sessions of low -energy ESWT with a 2 - week interval, from 800 shocks in each one (4 Hz, 14 KeV) [ 11 ]; Lee et al included a maximum of 12 sessions of ESWT (0.10 -0.11 mJ/mm 2 , 600 shocks, weekly) were conducted until Roles - Maudsley Score reached ‘good’ or ‘excellent’ (treatment success), [ 12 ]; while Furia performed just a single session of ESWT using high -energy (0.21 mJ/mm 2 ) with 3,000 shocks [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Immediate success was associated with the absence of retrocalcaneal enthesophyte on X-ray, the presence of pretreatment abnormal ultrasonography echogenicity, shorter mean duration of ‘post-treatment soreness’, and shorter duration of ‘post -treatment soreness after first ESWT’. The shorter duration of ‘post - treatment soreness after first ESWT’ was identified as the only positive prognostic parameter in achieving long - term success [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…Last decade some article about the effectiveness of extracorporeal shock wave therapy as management of chronic Achilles tendinopathy had been published [ 10 ] [ 11 ] [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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The Effectiveness of Radial Extracorporeal Shock Wave Therapy for Chronic Achilles Tendinopathy: A Case Report with 18 Months Follow-Up

Dimitrova¹,

Gjerakaroska-Savevska²,

Koevska³

et al. 2018

Open Access Maced J Med Sci

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BACKGROUND:Achilles tendinopathy (AT) is a pathological state resulting from repetitive loading or stress on the tendon. The article aims to evaluate the effects of the low - energy radial extracorporeal shockwave therapy (RESWT) in the treatment of the adult with chronic insertional Achilles tendinopathy (AT) after the unsuccessful conservative treatment, with 18 months follow - up evaluation.CASE REPORT:We report the case of a 55 years - old male suffering from severe right posterior heel pain for 4 months. For his chronic insertional Achilles tendinopathy on the right heel, he received conservative treatment in the Institute of Physical Medicine and Rehabilitation. For outcome assessment, Numerical Rating Scale (NRS) for pain, the range of motion in the ankle, and Roles-Maudsley Score (RMS) for assessment of function were used. At the baseline the pain was severe, and he received physical therapy treatment. After unsuccessful conservative treatment, he underwent RESWT treatment. Numeric Rating Scale was significantly decreased at immediate, short-term and long-term follow-up. After the last treatment, the patient had no pain, and function assessed by Roles-Maudsley Score was excellent. At the follow-up check-up at 3, 6, 12 and 18 months the patient had no pain and excellent functional results.CONCLUSION:Radial ESWT is a safe and effective treatment even for a longer period for patients with chronic insertional Achilles tendinopathy.

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Small Intestinal Submucosa Hydrogel Loaded With Gastrodin for the Repair of Achilles Tendinopathy

Zhang,

Li,

Mao

et al. 2024

Small

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Achilles tendinopathy (AT) is an injury caused by overuse of the Achilles tendon or sudden force on the Achilles tendon, with a considerable inflammatory infiltrate. As Achilles tendinopathy progresses, inflammation and inflammatory factors affect the remodeling of the extracellular matrix (ECM) of the tendon. Gastrodin(Gas), the main active ingredient of Astrodia has anti‐inflammatory, antioxidant, and anti‐apoptotic properties. The small intestinal submucosa (SIS) is a naturally decellularized extracellular matrix(dECM)material and has a high content of growth factors as well as good biocompatibility. However, the reparative effects of SIS and Gas on Achilles tendinopathy and their underlying mechanisms remain unknown. Here, it is found that SIS hydrogel loaded with gastrodin restored the mechanical strength of the Achilles tendon, facilitated ECM remodeling, and restored ordered collagen arrangement by promoting the translocation of protein synthesis. It also decreases the expression of inflammatory factors and reduces the infiltration of inflammatory cells by inhibiting the NF‐κB signaling pathway. It is believed that through further research, Gas + SIS may be used in the future for the treatment of Achilles tendinopathy and other Achilles tendon injury disorders.

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Long-Term Outcome and Factors Affecting Prognosis of Extracorporeal Shockwave Therapy for Chronic Refractory Achilles Tendinopathy

Cited by 24 publications

References 41 publications

Extracorporeal Shock Wave Therapy for Achilles Tendinopathy

Extracorporeal Shock Wave Therapy for Achilles Tendinopathy

The Effectiveness of Radial Extracorporeal Shock Wave Therapy for Chronic Achilles Tendinopathy: A Case Report with 18 Months Follow-Up

Small Intestinal Submucosa Hydrogel Loaded With Gastrodin for the Repair of Achilles Tendinopathy

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