“What are the follow-up timeframes and outcome measures reported in exercise-based interventions for treating Achilles tendinopathy? A structured literature review of randomised control trials”.
Item
- Title
- “What are the follow-up timeframes and outcome measures reported in exercise-based interventions for treating Achilles tendinopathy? A structured literature review of randomised control trials”.
- Author(s)
- Judge, M
- Abstract
- Background No known studies, to the author’s knowledge, have evaluated follow-up times and outcome measures in all forms of exercise-based interventions for Achilles tendinopathy. Objective The primary aim of this review is to evaluate the outcome measures and follow-up times reported in exercise-based interventions for Achilles tendinopathy. The secondary aim of this review is to evaluate what exercise-intervention leads to the greatest result in PF strength improvement. Design A structured literature review. Methods Five electronic databases were searched with keywords and filters applied. Inclusion criteria: randomised control trials, peer-reviewed articles, full-texts available, published 1997-2017, English language, title containing: ‘Achilles tendinopathy’, contains an exercise group, all participants at least 18 years of age and consent from all participating subjects. Exclusion criteria: articles which do not match inclusion criteria, unreferenced texts, any form of injection less than 4 weeks prior to intervention, no exclusion of at least one of the following criteria; co-existing systemic pathology, related current injury or recent injury in the last three months or pregnancy, animal population and no exclusion for past surgery to Achilles tendon. Quality of the trials were measured using Physiotherapy Evidence database and strength of recommendation taxonomy. Outcome measures were assessed and compared when possible. The range, mean and mode of follow-up times were also reported. All trials were evaluated for any reporting of plantarflexion strength. Results The average study quality of selected trials was good, with a mean Physiotherapy Evidence database score of 7.89 and a mode of 2B on the strength of recommendation taxonomy. Mode and mean follow-up was 12 and 29.78 weeks respectively with a range from 3 weeks to 1 year. Due to heterogeneity of outcome measures, only Victorian Institute of Sports Assessment-Achilles scores could be evaluated, which improved in all trials at primary follow-up and was similar to previous systematic review (SR) averages, with a mean 24.5 score improvement at 12 weeks follow-up. No study reported plantarflexion strength. Discussion More homogeneity between outcome measures is needed, including consistent reporting of patien+F28t compliance. Greater evidence is needed for modified eccentric programs and heavy-slow-resistance training on outcome measures. More trials should also follow-up beyond the typical end-point of intervention at 12 weeks to demonstrate long-term efficacy, or lack of. Plantarflexion strength and its pathogenesis and relationship with outcomes needs to be investigated further, including more evidence for potential therapeutic effects on tendon physiology.Conclusion Due to heterogeneity of outcome measures reported, only VISA-A could be evaluated. The mode follow-up time was 12-weeks. No studies reported plantarflexion strength, and consequently could not be analysed.
- presented at
- European School of Osteopathy
- Date Accepted
- 2018
- Date Submitted
- 25.1.2019 17:18:25
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16400
- Inst-Identifier
- 1229
- Keywords
- Achilles tendon
- Recommended
- 0
- Item sets
- Thesis
Judge, M, ““What are the follow-up timeframes and outcome measures reported in exercise-based interventions for treating Achilles tendinopathy? A structured literature review of randomised control trials”.”, Osteopathic Research Web, accessed April 28, 2024, https://www.osteopathic-research.com/s/orw/item/364