Rate of Improvement of Pain and Function in Mid-Portion Achilles Tendinopathy with Loading Protocols: A Systematic Review and Longitudinal Meta-Analysis

Sports Medicine
Myles MurphyEbonie Rio

Abstract

Mid-portion Achilles tendinopathy is prevalent within both the athletic and non-athletic populations and loading protocols for Achilles tendinopathy are effective over time, though the rate of symptom change throughout rehabilitation is unknown. The objective of this study was to determine the rate of change in pain and function over time in patients while completing a loading protocol for mid-portion Achilles tendinopathy. A systematic review and longitudinal meta-analysis was conducted as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The databases PubMed, CINAHL (Ovid) and CINAHL (EBSCO) were searched for articles published from inception until 31 July, 2017. Our search focused on clinical trials and cohort studies examining changes in pain and function when completing a loading protocol for mid-portion Achilles tendinopathy. The primary outcome measure assessing pain and function was the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. A total of 31 separate cohorts (24 studies) were eligible, with follow-up ranging from 2 weeks to 6 months. The data were pooled to create the mean (standard deviation) of change from baseline at each time point. The data demons...Continue Reading

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Citations

Aug 7, 2019·Journal of Athletic Training·Seán McAuliffeKieran O'Sullivan
Aug 28, 2020·British Journal of Sports Medicine·Seán Mc AuliffeVasileios Korakakis
Aug 1, 2020·Frontiers in Physiology·Kornelia KuligDavid Ortiz-Weissberg
Sep 27, 2020·Musculoskeletal Care·Kieran MithamPeter Malliaras
Dec 4, 2020·Connective Tissue Research·Sarah M Greising, Vincent M Wang
Dec 29, 2020·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Seán Mc AuliffeKieran O'Sullivan
Mar 31, 2021·International Journal of Sports Medicine·Ben BradfordRachel Chester
Jun 9, 2021·Current Sports Medicine Reports·Kristian J von RickenbachKelly C McInnis
Jul 22, 2021·Physical Therapy·Nabeel Hamdan AlghamdiKarin Grävare Silbernagel

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