Matthew Hawks, Erik Clauson, Pamela Hughes, Rebecca Lauters, Paul Crawford
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The Victorian Institute of Sports Assessment-Achilles Questionnaire (VISA-A; scored 0-100; higher score = increased function) was used to assess the patients and patient-reported pain (0-10, increasing pain with score) pre- and post-demonstration of the exercises during each visit.</p><p><strong>Results: </strong>Both the treatment group (53.6% reduction; confidence interval [CI]: 2.1, 3.9; <i>P</i> < 0.001) and the control group (37.5% reduction; CI: 0.4, 2.9; <i>P</i> = 0.023) reported decreased pain between the first and last visit. The treatment group had reduced pain (mean difference [MD] = 1.0; <i>P</i> < 0.01) between pre- and post-eccentric-exercise performance at each visit, while the control group did not (MD = -0.3; <i>P</i> = 0.065). VISA-A scores did not show a difference in functional improvement between the groups (<i>P</i> = 0.296).</p><p><strong>Conclusions: </strong>EA as an adjunct to eccentric therapy significantly improves short-term pain control for insertional Achilles tendinopathy.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 2","pages":"76-81"},"PeriodicalIF":0.8000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10122242/pdf/","citationCount":"0","resultStr":"{\"title\":\"Treatment of Insertional Achilles Tendinopathy Using Adjunct Electroacupuncture Therapy: A Randomized Controlled Trial.\",\"authors\":\"Matthew Hawks, Erik Clauson, Pamela Hughes, Rebecca Lauters, Paul Crawford\",\"doi\":\"10.1089/acu.2022.0051\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Achilles tendinopathy is a common musculoskeletal condition associated with decreased functionality. The insertional variant (<2cm from the calcaneus) is less responsive to eccentric-exercise therapy. This study looked at the effect of electroacupuncture (EA) + eccentric exercise for treating insertional Achilles tendinopathy.</p><p><strong>Materials and methods: </strong>Fifty-two active duty and Department of Defense beneficiaries older than 18 years of age with insertional Achilles tendinopathy were randomized to treatment with either eccentric exercise or eccentric exercise with EA. They were evaluated at 0, 2, 4, 6, and 12 weeks. The treatment group received EA treatment in the first 4 visits. The Victorian Institute of Sports Assessment-Achilles Questionnaire (VISA-A; scored 0-100; higher score = increased function) was used to assess the patients and patient-reported pain (0-10, increasing pain with score) pre- and post-demonstration of the exercises during each visit.</p><p><strong>Results: </strong>Both the treatment group (53.6% reduction; confidence interval [CI]: 2.1, 3.9; <i>P</i> < 0.001) and the control group (37.5% reduction; CI: 0.4, 2.9; <i>P</i> = 0.023) reported decreased pain between the first and last visit. The treatment group had reduced pain (mean difference [MD] = 1.0; <i>P</i> < 0.01) between pre- and post-eccentric-exercise performance at each visit, while the control group did not (MD = -0.3; <i>P</i> = 0.065). 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引用次数: 0
摘要
目的:跟腱病是一种常见的肌肉骨骼疾病,与功能减退有关。跟腱插入变异型(材料与方法:52名年龄超过18岁、患有插入性跟腱病的现役军人和国防部受益人被随机分配接受偏心运动或偏心运动加EA治疗。他们分别在 0、2、4、6 和 12 周时接受评估。治疗组在前 4 次就诊时接受了 EA 治疗。维多利亚运动评估研究所-跟腱问卷(VISA-A;0-100 分;分数越高,功能越强)用于评估患者的疼痛情况(0-10 分,疼痛程度随分数增加而增加):治疗组(减轻 53.6%;置信区间 [CI]:2.1, 3.9;P P = 0.023)和对照组(减轻 53.6%;置信区间 [CI]:2.1, 3.9;P P = 0.023)均报告在首次和最后一次就诊期间疼痛减轻。治疗组疼痛减轻(平均差 [MD] = 1.0;P P = 0.065)。VISA-A 评分显示,两组在功能改善方面没有差异(P = 0.296):结论:EA 作为偏心疗法的辅助疗法可明显改善插入性跟腱病的短期疼痛控制。
Treatment of Insertional Achilles Tendinopathy Using Adjunct Electroacupuncture Therapy: A Randomized Controlled Trial.
Objective: Achilles tendinopathy is a common musculoskeletal condition associated with decreased functionality. The insertional variant (<2cm from the calcaneus) is less responsive to eccentric-exercise therapy. This study looked at the effect of electroacupuncture (EA) + eccentric exercise for treating insertional Achilles tendinopathy.
Materials and methods: Fifty-two active duty and Department of Defense beneficiaries older than 18 years of age with insertional Achilles tendinopathy were randomized to treatment with either eccentric exercise or eccentric exercise with EA. They were evaluated at 0, 2, 4, 6, and 12 weeks. The treatment group received EA treatment in the first 4 visits. The Victorian Institute of Sports Assessment-Achilles Questionnaire (VISA-A; scored 0-100; higher score = increased function) was used to assess the patients and patient-reported pain (0-10, increasing pain with score) pre- and post-demonstration of the exercises during each visit.
Results: Both the treatment group (53.6% reduction; confidence interval [CI]: 2.1, 3.9; P < 0.001) and the control group (37.5% reduction; CI: 0.4, 2.9; P = 0.023) reported decreased pain between the first and last visit. The treatment group had reduced pain (mean difference [MD] = 1.0; P < 0.01) between pre- and post-eccentric-exercise performance at each visit, while the control group did not (MD = -0.3; P = 0.065). VISA-A scores did not show a difference in functional improvement between the groups (P = 0.296).
Conclusions: EA as an adjunct to eccentric therapy significantly improves short-term pain control for insertional Achilles tendinopathy.