To investigate the effects of spinal manipulation for Achilles tendinopathy; a pilot study
Laura Kingston
20 participants
Jul 17, 2012
Interventional
Conditions
Summary
The goal of this trial is to assess if spinal manipulation, in addition to eccentric exercises, has an impact on the functional recovery of Achilles tendinopathy. The hypothesis is that both groups will improve after 4 weeks of eccentric exercises, and that the intervention group (receiving the spinal manipulation), will improve more than the group receiving eccentric exercises alone.
Eligibility
Inclusion Criteria1
- -65 years old; diagnosis chronic AT by an advanced physiotherapist (i.e. post graduate practitioner); available twice weekly for a 20 minute physiotherapy appointment over 4 consecutive weeks.
Exclusion Criteria1
- Contraindications to spinal manipulation such as osteoprosis, rheumatoid arthritis or the presence of cancer; bilateral tendinopathy involvement; Scheuermanns disease; neurological disease; pregnancy; inability to understand intervention or protocol.
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Interventions
The intervention is a high velocity, low amplitude thrust manipulation, applied to the mid part of the spine (thoracic spine). It will take approximately 2 minutes to position the volunteer for this manipulation, and will take seconds to deliver the thrust. Volunteers will receive the manipulation during each physiotherapy appointment (i.e. twice weekly, for a total of 4 weeks). The physiotherapy appointments will take about 20 minutes each, and during this time eccentric exercises will be monitored and modified as appropriate, and secondary outcome measures (blood pressure and pulse rate) will also be recorded.
Locations(1)
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ACTRN12612000304831