| Clinical effectiveness of low-level laser therapy as an adjunct to eccentric exercise for the treatment of Achilles' tendinopathy: a randomized controlled trial. | |
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MedLine Citation:
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PMID: 22541305 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the effectiveness of low-level laser therapy (LLLT) as an adjunct to a program of eccentric exercises for the treatment of Achilles' tendinopathy. DESIGN: Randomized controlled trial with evaluations at baseline and 4, 12, and 52 weeks. SETTING: Primary care clinic. PARTICIPANTS: Participants with midportion Achilles' tendinopathy were randomly assigned to 2 groups (LLLT n=20: mean age ± SD, 45.6±9.1y; placebo n=20: mean age ± SD, 46.5±6.4y). The 12-week evaluation was completed by 36 participants (90%), and 33 participants (82.5%) completed the 52-week evaluation. INTERVENTION: Both groups of participants performed eccentric exercises over a 3-month period. In addition, they received either an active or placebo application of LLLT 3 times per week for the first 4 weeks; the dose was 3J per point. MAIN OUTCOME MEASURES: The primary outcome was the Victorian Institute of Sport Assessment-Achilles' questionnaire (VISA-A) score at 12 weeks; secondary outcome was a visual analog scale for pain. Outcomes were measured at baseline and 4, 12, and 52 weeks. RESULTS: Baseline characteristics exhibited no differences between groups. At the primary outcome point, there was no statistically significant difference in VISA-A scores between groups (P>.05). The difference in VISA-A scores at the 4-week point significantly favored the placebo group (F(1)=6.411, sum of squares 783.839; P=.016); all other outcome scores showed no significant difference between the groups at any time point. Observers were blinded to groupings. CONCLUSIONS: The clinical effectiveness of adding LLLT to eccentric exercises for the treatment of Achilles' tendinopathy has not been demonstrated using the parameters in this study. |
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Authors:
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Steve Tumilty; Suzanne McDonough; Deirdre A Hurley; G David Baxter |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 93 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-04-30 Completed Date: 2012-07-24 Revised Date: 2013-03-07 |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 733-9 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand. steve.tumilty@otago.ac.nz |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Achilles Tendon* Adult Combined Modality Therapy Exercise Therapy* Female Humans Laser Therapy, Low-Level* Male Middle Aged Pain Measurement Questionnaires Single-Blind Method Tendinopathy / radiotherapy*, rehabilitation |
| Comments/Corrections | |
Comment In:
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Arch Phys Med Rehabil. 2013 Feb;94(2):408
[PMID:
23351679
]
Sportverletz Sportschaden. 2012 Sep;26(3):127 [PMID: 23136664 ] Arch Phys Med Rehabil. 2013 Feb;94(2):408 [PMID: 23351678 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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