About this trial
The purpose of this research is to compare two different approaches for treating patients with achilles tendinopathy: eccentric exercise, stretching and manual therapy VS Electric dry needling, eccentric exercise, stretching and manual therapy. Physical therapists commonly use all of these techniques to treat achilles tendinopathy. This study is attempting to find out if one treatment strategy is more effective than the other.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult >18 years old that is able to speak English.
Report of at least 3 months of Achilles pain clinically diagnosed as Achilles tendonitis or Achilles tendinopathy
Diagnosis of noninsertional tendinopathy, defined as the following
Subjective report of pain located 2-6 cm proximal to the insertion of Achilles tendon to the calcaneus, particularly with running or jumping
Disqualifiers
Report of red flags to manual physical therapy to include: hypertension infection, diabetes, peripheral neuropathy, heart disease, stroke, chronic ischemia, edema, severe vascular disease, malignancy, etc.
History of previous Achilles tendon surgery, ankle arthrodesis, hind foot fracture, or leg length discrepancy of more than one half inch.
History of arthrosis or arthritis of the ankle and/or foot.
History of significant ankle and/or foot instability
Trial design
Parallel
Treatments tested in this trial
Electric dry needling and conventional PT
Other interventionElectrical Dry Needling, Eccentric Exercise, Stretching and Manual Therapy
Conventional PT
Other interventionEccentric Exercise, Stretching and Manual Therapy
Treatment groups
Trial outcomes
Primary outcomes
Change in VISA-A Questionnaire
Index of severity of Achilles tendinopathy. Lower score means greater severity of condition.
Secondary outcomes
Change in achilles pain (NPRS) (Rating Score)
Higher scores mean greater pain
Change in Foot and Ankle Ability Measure - ADL
activities of daily living (0-84 points) 21 Item 84-point ADL Subscale
Change in Foot and Ankle Ability Measure - Sports
Sports (0-32 points) 8 Item 32-point sports subscale
GROC (ranges from -7 to +7). Global Rating of Change score.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Alabama Physical Therapy & Acupuncture
Lead sponsor
Universidad Rey Juan Carlos
Collaborator