Juan Sancho , Peter Malliaras , Ruth L. Chimenti , Igor Sancho
{"title":"Current clinical management of Achilles tendinopathy by Spanish physiotherapists: An observational study","authors":"Juan Sancho , Peter Malliaras , Ruth L. Chimenti , Igor Sancho","doi":"10.1016/j.ptsp.2025.03.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to explore how Spanish physiotherapists manage Achilles tendinopathy and to evaluate the alignment of their practices with established clinical guidelines.</div></div><div><h3>Design</h3><div>A cross-sectional online survey of Spanish physiotherapists.</div></div><div><h3>Setting</h3><div>Clinical environment.</div></div><div><h3>Participants</h3><div>Four hundred thirty-four physiotherapists completed the survey.</div></div><div><h3>Methods</h3><div>An online survey was administered to Spanish physiotherapists between March and April 2024. The survey collected data on clinicians’ demographics, treatment approaches, and preferences. Descriptive analysis was performed, with nominal and ordinal data analyzed through frequency counts.</div></div><div><h3>Results</h3><div>Valid responses were received from 434 physiotherapists with a mean age of 32 years (IQR = 15, range 22–60). Exercise and education were the most used treatments (94 % and 78 % of respondents respectively), although there was variability in their implementation. However, a significant proportion of Spanish physiotherapists (64 %) reported using invasive techniques, which may reduce the time spent on evidence-based interventions (p = 0.001) for the management of Achilles tendinopathy.</div></div><div><h3>Conclusions</h3><div>Spanish physiotherapists generally follow clinical guidelines for managing AT, with exercise and education as the main interventions. Despite the limited evidence, invasive techniques and manual therapy (74 %) are widely used. Future research should clarify the impact of this practice in the Spanish population.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 57-67"},"PeriodicalIF":2.2000,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physical Therapy in Sport","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1466853X25000550","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
The purpose of this study was to explore how Spanish physiotherapists manage Achilles tendinopathy and to evaluate the alignment of their practices with established clinical guidelines.
Design
A cross-sectional online survey of Spanish physiotherapists.
Setting
Clinical environment.
Participants
Four hundred thirty-four physiotherapists completed the survey.
Methods
An online survey was administered to Spanish physiotherapists between March and April 2024. The survey collected data on clinicians’ demographics, treatment approaches, and preferences. Descriptive analysis was performed, with nominal and ordinal data analyzed through frequency counts.
Results
Valid responses were received from 434 physiotherapists with a mean age of 32 years (IQR = 15, range 22–60). Exercise and education were the most used treatments (94 % and 78 % of respondents respectively), although there was variability in their implementation. However, a significant proportion of Spanish physiotherapists (64 %) reported using invasive techniques, which may reduce the time spent on evidence-based interventions (p = 0.001) for the management of Achilles tendinopathy.
Conclusions
Spanish physiotherapists generally follow clinical guidelines for managing AT, with exercise and education as the main interventions. Despite the limited evidence, invasive techniques and manual therapy (74 %) are widely used. Future research should clarify the impact of this practice in the Spanish population.
期刊介绍:
Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science.
The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.