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ISSN 2078-7162 (Print)

2021, Number 2

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Rev Cub de Med Fis y Rehab 2021; 13 (2)

Conservative treatment of insertional Achilles tendinopathy

Benito CJ, Abuin PV, Benito CJ

Language: Spanish
References: 41
Page: 1-25
PDF size: 635.49 Kb.


ABSTRACT

Achilles tendinopathy is one of the most common overuse diseases. Conservative treatment is the first management option, which has shown satisfactory results in Achilles tendinopathy of the middle portion. Achilles insertional tendinopathy represents 25% of cases and the management used in the mid-portion variant is not always valid for the insertional variant. Despite the different conservative treatment alternatives available, it has not yet been elucidated which is the most effective. The general objective is to update the scientific knowledge regarding conservative treatment in the management of insertional Achilles tendinopathy. To achieve this purpose, a systematic search of original articles was carried out in four different electronic databases (MEDLINE Complete, CINAHL with Full Text, PubMed, Rehabilitation & Sports Medicine Source). The methodological quality was evaluated through the PEDro scale and the Cochrane tool. The search found 320 articles, eight of which met the selection criteria. Eccentric exercise showed a significant improvement in pain and function scales. Extracorporeal shock wave therapy reported superior efficacy to eccentric exercise. It was concluded that extracorporeal shock wave therapy appears to have superior clinical efficacy to eccentric exercise. However, the combination of both therapies can increase the effectiveness of the treatment.


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