دورية أكاديمية
أعرض في EDS

Eccentric exercise is more effective than other exercises in the treatment of mid-portion Achilles tendinopathy: systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Eccentric exercise is more effective than other exercises in the treatment of mid-portion Achilles tendinopathy: systematic review and meta-analysis.
المؤلفون: Prudêncio DA; Department of Physiotherapy, Physiotherapy Postgraduation Program (PPGF), Santa Catarina State University, Florianópolis, Brazil., Maffulli N; Department of Orthopaedics, School of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.; School of Pharmacy and Bioengineering, Faculty of Medicine, Keele University, Stoke On Trent, UK.; Centre for Sports and Exercise Medicine at Queen, Mary University of London, London, UK., Migliorini F; Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany. migliorini.md@gmail.com., Serafim TT; Department of Physiotherapy, Physiotherapy Postgraduation Program (PPGF), Santa Catarina State University, Florianópolis, Brazil., Nunes LF; Department of Pharmacy, Federal University of Santa Catarina, Florianópolis, Brazil., Sanada LS; Department of Physiotherapy, Physiotherapy Postgraduation Program (PPGF), Santa Catarina State University, Florianópolis, Brazil., Okubo R; Department of Physiotherapy, Physiotherapy Postgraduation Program (PPGF), Santa Catarina State University, Florianópolis, Brazil.
المصدر: BMC sports science, medicine & rehabilitation [BMC Sports Sci Med Rehabil] 2023 Jan 26; Vol. 15 (1), pp. 9. Date of Electronic Publication: 2023 Jan 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101605016 Publication Model: Electronic Cited Medium: Print ISSN: 2052-1847 (Print) Linking ISSN: 20521847 NLM ISO Abbreviation: BMC Sports Sci Med Rehabil Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, [2013]-
مستخلص: Achilles tendinopathy (AT) is one of the most frequent overuse injuries in the ankle. The evidence base for its conservative management AT continues to evolve, but there is still a gap in the evidence for the efficacy of any modality of treatment in high-quality studies. This systematic review and meta-analysis investigated the efficacy of EE in improving pain and function in adult patients with mid-portion Achilles tendinopathy compared to other forms of exercise. A search was performed in PubMed, BIREME, SportDiscus, Cinahl, Web of Science and PEDro, in November 2022. The methodological quality was evaluated using the Risk of Bias 2 tool (RoB2) of the Cochrane collaboration, and the meta-analysis was performed using the Review Manager 5.1 program. 2024 articles were identified and eight fulfilled the inclusion criteria. RoB2 presented a final score with 62.5% of the studies presented "some concerns", and 37.5% (five and three articles, respectively) presenting "high risk" of bias. EE was effective for the managment of AT. The only variable for which a meta-analysis was possible was pain (five articles), analysed with the visual analogue scale/numerical visual scale. The mean difference (MD) in treatment effect using EE was - 1.21 (- 2.72 to - 0.30) with a 95% of confidence interval (CI), thus identifying a significant positive effect for the improvement of pain in patients with AT in whom EE was used. EE is effective in the management of AT. The meta-analysis shows the need for appropriately powered randomized controlled trials with better design, the use of standard outcome measures and well-planned protocols for conservative management of AT.Level of evidence: Level 1.Registration: CRD42018118016.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Achilles tendinopathy; Ankle injuries; Exercise therapy; Physiotherapy modalities; Review
تواريخ الأحداث: Date Created: 20230126 Latest Revision: 20230202
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9878810
DOI: 10.1186/s13102-023-00618-2
PMID: 36698184
قاعدة البيانات: MEDLINE
الوصف
تدمد:2052-1847
DOI:10.1186/s13102-023-00618-2