Comparability of the Effectiveness of Different Types of Exercise in the Treatment of Achilles Tendinopathy: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Search Strategy
2.2. Inclusion–Exclusion Criteria
2.3. Methodological Quality
2.4. Level of Research Evidence
3. Results
3.1. Description of Studies
3.2. Characteristics of Studies
3.3. Methodological Quality
3.4. Interventions
3.5. Compliance
3.6. Results of Outcome Measures in the Intervention and Control Groups
3.7. Groups Comparison
3.8. Exercise Effectiveness
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Authors | Sample | Sex | Symptoms Duration | Age | Intervention | Control | Outcome Measures | Results | Score |
---|---|---|---|---|---|---|---|---|---|
Habets et al., 2021 [35] | 40 non-professional athletes Mid-portion AT AG: 18 SG: 22 | Men (55%) and women (45%) | >3 months | 18–65 | Alfredson Group (progressive loading eccentric exercises) | Silbernagel Group (Concentric-eccentric (progressive loading)-plyometrics) | VISA-A VAS-ADL VAS-sports EQ -5D GPE 0, 12, 26 weeks, 1 year | Positive for both teams | 9/12 |
Beyer et al., 2015 [34] | 44 (out of 58 initially) non-professional athletes Mid-portion AT ECC: 25 HSR: 22 | Men (68.1%) and women (31.9%) | >3 months | 18–60 | Alfredson Group (eccentric exercises-progressive loading) | Heavy Slow Resistance (HSR) | VISA-A VAS (heel) VAS (running) Tendon swelling (A-P, ultrasound) Neovascularization (Doppler) 0, 12, 52 weeks | Positive for both teams | 8/12 |
Yu et al., 2012 [33] | 32 EG: 16 CG: 16 | Men | 6 months at least | 20–30 | Curvin and Stanish&Alfredson et al. [24] (combination)-eccentric | Mafi et al., 2001 [32] concentric and stretches | VAS Knee and ankle muscle strength Endurance with an isokinetic dynamometer Dynamic balance (Biodex Balance Platform) Dexterity (side-step test) Agility (SargnetJump Test) 8 weeks | Pain improved more in the intervention group (IG) Knee extension, ankle dorsiflexion, plantar flexion strength (IG)-plantar flexion endurance ONLY in (IG) Dynamic balance- agility positive in both groups TBI, agility-large difference in IG | 9/12 |
Mafi et al., 2001 [32] | 44 EG: 22 CG: 22 Mid-portion AT | Men (54.5%) and women (45.5%) | 3–120 months | 48–58 | Alfredson Group(progressive loading eccentric exercises) | Progressive loading concentric exercises | VAS Satisfaction with treatment 6, 12 weeks | Significant reduction in pain and satisfaction in IG | 8/12 |
Niesen-Vertommen et al., 1992 [31] | 17 EG: 8 CG: 9 | Men (58.8%) and women (41.2%) | 1 month–2.6 years | 22–49 | Curvin and Stanish (progressive loading eccentric exercises) | Progressive loading concentric exercises | Pain 0–10 Return to activities 0–10 Maximum torque in concentric and eccentric Plantar flexion at speeds of 30 and 50 degrees/sec Isokinetic dynamometer 0, 4, 8, 12 weeks | Pain reduction, maximum torque- return to activities positive in both groups- emphasis in the IG | 7/12 |
Study | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | Maximum Score | Score | Rate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Niesen-Vertommen et al. [31] | ? | ? | − | − | + | + | + | ? | + | + | + | + | 12 | 7/12 | 58% |
Mafi et al. [32] | + | + | − | − | − | + | + | ? | + | + | + | + | 12 | 8/12 | 67% |
Yu et al. [33] | + | + | − | − | − | + | + | + | + | + | + | + | 12 | 9/12 | 75% |
Beyer et al. [34] | + | + | − | − | ? | + | + | ? | + | + | + | + | 12 | 8/12 | 67% |
Habets et al. [35] | + | + | − | − | + | + | + | + | + | + | + | + | 12 | 10/12 | 83% |
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Sivrika, A.P.; Papadamou, E.; Kypraios, G.; Lamnisos, D.; Georgoudis, G.; Stasinopoulos, D. Comparability of the Effectiveness of Different Types of Exercise in the Treatment of Achilles Tendinopathy: A Systematic Review. Healthcare 2023, 11, 2268. https://doi.org/10.3390/healthcare11162268
Sivrika AP, Papadamou E, Kypraios G, Lamnisos D, Georgoudis G, Stasinopoulos D. Comparability of the Effectiveness of Different Types of Exercise in the Treatment of Achilles Tendinopathy: A Systematic Review. Healthcare. 2023; 11(16):2268. https://doi.org/10.3390/healthcare11162268
Chicago/Turabian StyleSivrika, Aikaterini Pantelis, Eleni Papadamou, George Kypraios, Demetris Lamnisos, George Georgoudis, and Dimitrios Stasinopoulos. 2023. "Comparability of the Effectiveness of Different Types of Exercise in the Treatment of Achilles Tendinopathy: A Systematic Review" Healthcare 11, no. 16: 2268. https://doi.org/10.3390/healthcare11162268