Exercise, orthoses and splinting for treating Achilles tendinopathy: a systematic review with meta-analysis

British Journal of Sports Medicine
Fiona WilsonChristopher Bleakley

Abstract

To assess the efficacy of exercise, orthoses and splinting on function, pain and quality of life (QoL) for the management of mid-portion and insertional Achilles tendinopathy, and to compare different types, applications and modes of delivery within each intervention category. Systematic review and meta-analysis. Medline, CINAHL, Embase, AMED, WHO ICTRP, Web of Science, PEDro and Cochrane Library from inception to October 2017. Citation tracking of published studies and conference proceedings and contacting experts in the field. Controlled clinical trials evaluating either exercise, orthoses or splinting for the management of Achilles tendinopathy. Independent reviewers undertook searches, screening and risk of bias appraisal. Primary outcomes of interest were function, pain and QoL. Twenty-two studies were included (1137 participants). Moderate level evidence favoured eccentric exercise over control for improving pain and function in mid-portion tendinopathy. Moderate level evidence favoured eccentric exercise over concentric exercise for reducing pain. There was moderate level evidence of no significant difference in pain or function between eccentric exercise and heavy slow resistance exercise. There was low level evidence t...Continue Reading

References

May 1, 1984·The American Journal of Sports Medicine·D B ClementG W Smart
May 29, 1993·BMJ : British Medical Journal·A M GarrattI T Russell
Jun 9, 1998·The American Journal of Sports Medicine·H AlfredsonR Lorentzon
Oct 14, 2000·The American Journal of Sports Medicine·M PaavolaM Järvinen
Oct 2, 2001·British Journal of Sports Medicine·J M RobinsonUNKNOWN Victorian Institute Of Sport Tendon Study Group
Nov 2, 2005·The American Journal of Sports Medicine·Nele N MahieuPhilippe Roget
Jan 31, 2007·British Journal of Sports Medicine·Frank MayerHeiner Baur
Feb 22, 2007·British Journal of Sports Medicine·Håkan Alfredson, J Cook
May 31, 2007·The Australian Journal of Physiotherapy·Jill Cook
Jun 7, 2007·The Journal of Orthopaedic and Sports Physical Therapy·Karsten KnoblochPeter M Vogt
Jul 9, 2008·Disability and Rehabilitation·Jan D RompeNicola Maffulli
Oct 27, 2009·Journal of Foot and Ankle Research·Shannon E MunteanuLisa A Scott
Sep 2, 2010·The Journal of Orthopaedic and Sports Physical Therapy·Christopher R CarciaUNKNOWN Orthopaedic Section of the American Physical Therapy Association
Jan 12, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·C N van DijkN Maffulli
Jul 4, 2012·Journal of Foot and Ankle Research·Samuel P Sussmilch-LeitchKay M Crossley
Jan 15, 2013·Journal of Clinical Epidemiology·Jeff AndrewsHolger J Schünemann
Apr 11, 2013·Journal of Clinical Epidemiology·Jeffrey C AndrewsGordon Guyatt
Jun 19, 2013·Journal of Bodywork and Movement Therapies·Dimitrios Stasinopoulos, Pantelis Manias
Nov 2, 2013·The Journal of Orthopaedic and Sports Physical Therapy·Thomas HorstmannStefan Grau
Mar 22, 2014·Scandinavian Journal of Medicine & Science in Sports·B Habets, R E H van Cingel
Sep 24, 2014·British Journal of Sports Medicine·Shannon E MunteanuHylton B Menz
Mar 11, 2015·JAMA : the Journal of the American Medical Association·Amar RanganUNKNOWN PROFHER Trial Collaborators
May 29, 2015·The American Journal of Sports Medicine·Rikke BeyerS Peter Magnusson
Nov 28, 2015·Lasers in Medical Science·Steve TumiltyGeorge D Baxter

❮ Previous
Next ❯

Citations

Mar 25, 2020·Clinical Rehabilitation·Ana Luiza Cabrera MartimbiancoRachel Riera
Oct 9, 2019·Physical & Occupational Therapy in Pediatrics·Nili SteinbergDan Nemet
Jan 18, 2020·BioMed Research International·Magdalena StaniaPiotr Król
Jun 1, 2020·Scandinavian Journal of Medicine & Science in Sports·Arco C van der VlistRobert-Jan de Vos
Jan 17, 2021·Foot & Ankle International·Nasr Awad AbdelkaderEmad S B Saweeres
Dec 15, 2020·BMJ : British Medical Journal·Arco C van der VlistRobert-Jan de Vos
May 25, 2021·The Journal of Bone and Joint Surgery. American Volume·Nacime Salomão Barbachan MansurMarcel Jun Sugawara Tamaoki

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.