Whole-body vibration versus eccentric training or a wait-and-see approach for chronic achilles tendinopathy : a randomized clinical trial
Deutscher übersetzter Titel: | Ganzkörper-Vibrationen im Vergleich zu exzentrischem Training oder ein Wait-and-See-Ansatz für chronische Achillessehnenentzündungen : eine randomisierte klinische Studie |
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Autor: | Horstmann, Thomas; Jud, Holger Matthias; Fröhlich, Vanessa; Mündermann, Annegret; Grau, Stefan |
Erschienen in: | Journal of orthopaedic & sports physical therapy |
Veröffentlicht: | 43 (2013), 11, S. 794-803, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0190-6011, 1938-1344 |
DOI: | 10.2519/jospt.2013.4762 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201409009242 |
Quelle: | BISp |
Abstract
STUDY DESIGN: Randomized clinical trial. OBJECTIVES: To test the hypothesis that whole-body vibration training results in greater improvements in symptoms and pain, structural changes, and muscle flexibility and strength of the triceps surae muscle-tendon unit than those achieved with eccentric training or with a wait-and-see approach. BACKGROUND: The potential use of vibration training for the treatment of Achilles tendinopathy has not been explored. METHODS:
Fifty-eight patients (mean age, 46.0 years) with Achilles tendinopathy were randomly assigned to a 12-week intervention using whole-body vibration training, eccentric training, or a wait-and-see approach. Pain, tendon structure and path, and muscle flexibility and strength were assessed at baseline and follow-up, and compared using mixed-factor analyses of variance. RESULTS: Pain improvements at the midsection of the tendon were greater in the vibration- and eccentric-training groups than in the wait-and-see group (mean difference from the vibration-training group, -18.0; 95% confidence interval [CI]: -35.0, -1.1; mean difference from the eccentric-training group, -27.0; 95% CI: -50.9, -3.1). Improvements in pain at the musculotendinous junction were greater in the eccentric-training group than in the other groups (mean difference from the vibration-training group, -31.4; 95% CI: -60.7, -2.0; mean difference from the wait-and-see group, -50.2; 95% CI: -82.3, -18.1). Improvements in most participants were achieved in the vibration-training group, followed by the eccentric-training group. CONCLUSION: Vibration training may be an alternative or a complementary treatment in patients who do not respond well to eccentric training, especially in those with insertional pain. LEVEL OF EVIDENCE: Therapy, level 2b-. Verf.-Referat