Document Detail


Clinical effectiveness of low-level laser therapy as an adjunct to eccentric exercise for the treatment of Achilles' tendinopathy: a randomized controlled trial.
MedLine Citation:
PMID:  22541305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Steve Tumilty; Suzanne McDonough; Deirdre A Hurley; G David Baxter
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  93     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-30     Completed Date:  2012-07-24     Revised Date:  2013-03-07    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  733-9     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand. steve.tumilty@otago.ac.nz
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MeSH Terms
Descriptor/Qualifier:
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:
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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