Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series

McDevitt, Amy W.; Snodgrass, Suzanne J.; Cleland, Joshua A.; Leibold, Mary Becky; Krause, L.; Mintken, Paul E.

doi:10.1080/09593985.2018.1488023

Cited by 14 publications

(9 citation statements)

References 50 publications

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“…No signi cant differences were found, this result being striking since previous studies with mechanical loads have suggested that load is a very important factor in tendon response. This fact may be attributed to the speed of execution particularly during the eccentric phase as reported by various authors [53][54][55] and the possibility that these devices may not provide as great an eccentric stimulus as expected and may not dehydrate the tendon as much [56].…”

Section: Resultsmentioning

confidence: 99%

Acute effects of supraspinatus-specific isoinertial training on tendon thickness in young active subjects. A pilot study.

Lacalle

García-Escudero

Chulvi‐Medrano

et al. 2022

Preprint

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Isoinertial training is a new form of physical exercise that combines concentric-eccentric exercises while regulating the load. Objectives The aim of the study was to analyze acute changes in the cross-sectional area (CSA) of the supraspinatus tendon after isoinertial 10 sets of yellow inertial disc exercises using 0.052Kgm2 of inertia and a maximum resistance of 18 kg with Handy Gym™ device. Participants Seventy-two healthy athletic subjects (40 men and 32 women) were analyzed. Results The results showed there was a time effect for tendon thickness and volume (p < 0.01) with a reduction of about 5% and 8.3% respectively. Likewise, no significant correlation (p = 0.63) was observed between the load (kg) used by the subject and the changes in the supraspinatus tendon after detailed statistical discrimination in 4 quartiles with loads from 0 to 11.5 kg. Conclusion The isoinertial stimulus/load produced an acute significant decrease in the supraspinatus tendon thickness (CSA) after the isoinertial training proposed in the study.

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Section: Resultsmentioning

confidence: 99%

Acute effects of supraspinatus-specific isoinertial training on tendon thickness in young active subjects. A pilot study.

Lacalle

García-Escudero

Chulvi‐Medrano

et al. 2022

Preprint

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“…Recent research recommends needling for the treatment of tendinopathy, [41][42][43] but only a single case series specific to dry needling of the LHBT for the treatment of LHBT tendinopathy was identified. 21 A third notable finding was the consensus "disagree" in the theme of biophysical agents on seven of nine items including iontophoresis, phonophoresis, electrical stimulation (interferential current, neuromuscular electrical stimulation and transcutaneous electrical nerve stimulation), ultrasound, and low-level laser (Figure 4). In the theme of other there was also consensus "disagree" on shock wave therapy.…”

Section: Discussionmentioning

confidence: 99%

“…3 As such, the respondents reached consensus on a number of interventions across different themes and subthemes supporting a multimodal approach to treatment. Preliminary evidence on the PT management of LHBT tendinopathy is not robust enough to draw strong conclusions 1,2,13,16,[19][20][21] and few studies focus on a multimodal approach. Therefore, obtaining international expert consensus on a multimodal treatment approach further informs treatment recommendations, which could potentially be utilized prior to electing for surgical options.…”

Section: Discussionmentioning

confidence: 99%

“…[15][16][17][18][19][20] Considering chronic biceps tendinopathy often leads to invasive surgical intervention it is essential for physical therapists to recognize interventions that can be potentially effective in treating LHBT tendinopathy to avoid such procedures. 21 Currently no quality studies have identified the most effective interventions for treating individuals with LHBT tendinopathy. Ex-pert opinion in the form of the Delphi method is an important tool in fostering decision making when evidence is lacking.…”

Section: Introductionmentioning

confidence: 99%

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Physical Therapy Interventions for the Management of Biceps Tendinopathy: An International Delphi Study

McDevitt

Cleland

Addison

et al. 2022

International Journal of Sports Physical Therapy

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Background Shoulder pain related to the long head of the biceps tendon (LHBT) tendinopathy can be debilitating and difficult to treat especially in athletes who often elect for surgical intervention. Conservative management is recommended but there are limited established guidelines on the physical therapy (PT) management of the condition. Hypothesis/Purpose The purpose of this study was to establish consensus on conservative, non-surgical physical therapy interventions for individuals with LHBT tendinopathy using the Delphi method approach. Study Design Delphi Study Methods Through an iterative process, experts in the PT field rated their agreement with a list of proposed treatment interventions and suggested additional interventions during each round. Agreement was measured using a four-point Likert scale. Descriptive statistics including median and percentage agreement were used to measure agreement. Data analysis at the end of Round III produced, by consensus, a list of PT interventions recommended for the management of individuals with LHBT tendinopathy. Consensus was defined as an a priori cutoff of ≥75% agreement. Results The respondent group included 29 international experts in the PT management of individuals with shoulder pain. At the conclusion of the study 61 interventions were designated as recommended based on consensus amongst experts and 9 interventions were not recommended based on the same criteria, 15 interventions did not achieve consensus. Conclusion There is a lack of well-defined, PT interventions used to treat LHBT tendinopathy. Expert respondents reached consensus on multimodal interventions including exercise, manual therapy and patient education to manage LHBT tendinopathy. Level of Evidence 5

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“…it follows from the observation of a small group of patients (n = 10) by mcDevitt et al that exercises of an eccentric-concentric character applied in patients with chronic lHbt tendinopathy may be useful in fighting pain, but this requires further observation [106].…”

Section: Lhbt Tendinopathymentioning

confidence: 99%

Recommendations of the Polish Society of Physiotherapy, Polish Society of Family Medicine and the College of Family Physicians in Poland in the scope of physiotherapy in the painful shoulder syndrome in primary healthcare

Kassolik¹,

Rajkowska-Labon²,

Tomasik³

et al. 2018

fmpcr

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4 college of Family physicians in poland 5 Department of Family medicine, chair of internal Diseases and Gerontology, jagiellonian university medical college in krakow, poland 6 academy of physical Education in katowice, poland 7 university of computer science and skills, lodz, poland 8 polish society of Family medicine, poland 9 Department of Family medicine, wroclaw medical university, poland A -study Design, B -Data collection, C -statistical analysis, D -Data interpretation, E -manuscript preparation, F -literature search, G -Funds collection the objective of these guidelines in the scope of physiotherapy in primary healthcare is to suggest simple, uncomplicated and more cost-effective physiotherapeutic activities in patients experiencing pain due to painful shoulder syndrome. a general practitioner should decide whether the treatment undertaken within primary healthcare, including the process of physiotherapy, is effective and sufficient, or whether it requires more advanced activities, such as advanced diagnostics and further specialist treatment. the authors of the recommendations, apart from massage, also include procedures in the scope of kinesiotherapy, physiotherapy and orthopedic equipment. according to the authors, the aim of recovering the correct spatial system, called structural homeostasis, in the shoulder girdle, is, first of all, normalization of muscle tension and then inclusion in a rehabilitation program covering the methods to recover and consolidate the correct models of motor activity. the starting point for determining a rehabilitation program should be the ability to prepare a simple assessment of the patient's condition. this may result from a palpation examination to determine the incorrect distribution of resting tension in the area of the muscles and tendons engaged in the pathology and causing pain. the authors believe that such a solution contains the key to reducing the costs of treatment, providing access to physical therapists and quick assistance in the scope of improvement of a patient's clinical condition. at the same time, they emphasize the need to correct the previous healthcare model, so that it becomes a more effective tool in maintaining health. SummaryISSN 1734-3402, eISSN 2449-8580 this is an open access article distributed under the terms of the creative commons attribution-noncommercial-sharealike 4.0 international (cc by-nc-sa 4.0). license (http://creativecommons.org/licenses/by-nc-sa/4.0/). kassolik k, Rajkowska-labon E, tomasik t, Gieremek k, Dobrzycka a, andrzejewski w, kiljański m, kurpas D. Recommendations of the polish society of physiotherapy, polish society of Family medicine and college of Family physicians in poland in the scope of physiotherapy in painful shoulder syndrome in primary healthcare. Fam Med Prim Care Rev 2018; 20(3): 277-290, doi: https://doi.org/10.5114/ fmpcr.2018.78274.

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Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series

Abstract: Findings from this case series suggest that DN and ECE may be beneficial for the management of patients with chronic LHBT tendinopathy. Further research on the efficacy of this novel treatment approach is warranted.

Cited by 14 publications

References 50 publications

Acute effects of supraspinatus-specific isoinertial training on tendon thickness in young active subjects. A pilot study.

Acute effects of supraspinatus-specific isoinertial training on tendon thickness in young active subjects. A pilot study.

Physical Therapy Interventions for the Management of Biceps Tendinopathy: An International Delphi Study

Recommendations of the Polish Society of Physiotherapy, Polish Society of Family Medicine and the College of Family Physicians in Poland in the scope of physiotherapy in the painful shoulder syndrome in primary healthcare

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