RECRUITING

Electrical DN as an Adjunct to Eccentric Exercise, Stretching + MT for Achilles Tendinopathy

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

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.

Official Title

Electrical Dry Needling as an Adjunct to Eccentric Exercise, Stretching and Manual Therapy for Mid-portion Achilles Tendinopathy: a Multicenter Randomized Clinical Trial

Quick Facts

Study Start:2019-06-10

Study Completion:2025-03-01

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:RECRUITING

Study ID

NCT03968614

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion Criteria
1. Adult \>18 years old that is able to speak English. 2. Report of at least 3 months of Achilles pain clinically diagnosed as Achilles tendonitis or Achilles tendinopathy 3. Patient has not had physical therapy, massage therapy, chiropractic treatment or injections for Achilles pain in the last 6 months: 4. 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 * Tenderness to palpation of the Achilles tendon while the clinician gently squeezes the tendon between the thumb and index finger in a proximal to distal direction * Positive Arc Sign - Intratendinous swelling moves relative to the malleoli with the tendon during active dorsi/plantar Flexion * Royal London Test - Tenderness to palpation decreases significantly or disappears with max dorsiflexion	1. 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. 2. History of previous Achilles tendon surgery, ankle arthrodesis, hind foot fracture, or leg length discrepancy of more than one half inch. 3. History of arthrosis or arthritis of the ankle and/or foot. 4. History of significant ankle and/or foot instability 5. Two or more positive neurologic signs consistent with nerve root compression, including any two of the following: 1. Muscle weakness involving a major lower extremity muscle group 2. Diminished lower extremity patella or Achilles tendon reflexes 3. Diminished / absent sensation in any lower extremity dermatome 6. Involvement in litigation or worker's compensation regarding foot pain 7. Any condition that might contraindicate the use of electro-needling 8. The patient is pregnant.

Inclusion Criteria

Exclusion Criteria

1. Adult \>18 years old that is able to speak English.
2. Report of at least 3 months of Achilles pain clinically diagnosed as Achilles tendonitis or Achilles tendinopathy
3. Patient has not had physical therapy, massage therapy, chiropractic treatment or injections for Achilles pain in the last 6 months:
4. 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
* Tenderness to palpation of the Achilles tendon while the clinician gently squeezes the tendon between the thumb and index finger in a proximal to distal direction
* Positive Arc Sign - Intratendinous swelling moves relative to the malleoli with the tendon during active dorsi/plantar Flexion
* Royal London Test - Tenderness to palpation decreases significantly or disappears with max dorsiflexion

1. 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.
2. History of previous Achilles tendon surgery, ankle arthrodesis, hind foot fracture, or leg length discrepancy of more than one half inch.
3. History of arthrosis or arthritis of the ankle and/or foot.
4. History of significant ankle and/or foot instability
5. Two or more positive neurologic signs consistent with nerve root compression, including any two of the following:
1. Muscle weakness involving a major lower extremity muscle group
2. Diminished lower extremity patella or Achilles tendon reflexes
3. Diminished / absent sensation in any lower extremity dermatome
6. Involvement in litigation or worker's compensation regarding foot pain
7. Any condition that might contraindicate the use of electro-needling
8. The patient is pregnant.

Contacts and Locations

Study Contact

James Dunning, DPT

CONTACT

18017079056

jamesdunning@hotmail.com

Raymond Butts, DPT PhD

CONTACT

8034223954

fellowship@spinalmanipulation.org

Principal Investigator

James Dunning, DPT

PRINCIPAL_INVESTIGATOR

American Academy of Manipulative Therapy

Study Locations (Sites)

Prisma Health - Research PT Specialists

Columbia, South Carolina, 29201

United States

Collaborators and Investigators

Sponsor: Alabama Physical Therapy & Acupuncture

James Dunning, DPT, PRINCIPAL_INVESTIGATOR, American Academy of Manipulative Therapy

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2019-06-10

Study Completion Date2025-03-01

Study Record Updates

Study Start Date2019-06-10

Study Completion Date2025-03-01

Terms related to this study

Additional Relevant MeSH Terms

Achilles Tendinopathy