Show simple item record

dc.contributor.authorStevens, Marc
dc.contributor.authorTan, Chee-Wee
dc.date.accessioned2018-06-29T21:44:48Z
dc.date.available2018-06-29T21:44:48Z
dc.date.issued2014
dc.identifierER3629
dc.identifier.citationStevens, M. & Tan, C. (2014) Effectiveness of the Alfredson Protocol Compared With a Lower Repetition-Volume Protocol for Midportion Achilles Tendinopathy: A Randomized Controlled Trial, Journal of Orthopaedic & Sports Physical Therapy, vol. 44, , pp. 59-67,
dc.identifier.issn0190-6011
dc.identifier.urihttp://dx.doi.org/10.2519/jospt.2014.4720
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/3629
dc.description.abstractStudy Design Randomized clinical trial. Objectives To compare the effectiveness of the Alfredson eccentric heel-drop protocol with a do-as-tolerated- protocol for nonathletic individuals with midportion Achilles tendinopathy. Background The Alfredson protocol recommends the completion of 180 eccentric heel drops a day. However, completing this large number of repetitions is time consuming and potentially uncomfortable. There is a need to investigate varying exercise dosages that minimize the discomfort yet retain the clinical benefits. Methods Twenty-eight individuals from outpatient physiotherapy departments were randomized to either the standard (n = 15) or the do-as-tolerated (n = 13) 6-week intervention protocol. Apart from repetition volume, all other aspects of management were standardized between groups. Tendinopathy clinical severity was assessed with the Victorian Institute of Sport Assessment-Achilles (VISA-A) questionnaire. Pain intensity was assessed using a visual analog scale (VAS). Both were assessed at baseline, 3 weeks, and 6 weeks. Treatment satisfaction was assessed at week 6. Adverse effects were also monitored. Results There was a statistically significant within-group improvement in VISA-A score for both groups (standard, P = .03; do as tolerated, P<.001) and VAS pain for the do-as-tolerated group (P = .001) at week 6, based on the intention-to-treat analysis. There was a statistically significant between-group difference in VISA-A scores at week 3, based on both the intention-to-treat (P = .004) and per-protocol analyses (P = .007), partly due to a within-group deterioration at week 3 in the standard group. There were no statistically significant between-group differences for VISA-A and VAS pain scores at week 6, the completion of the intervention. There was no significant association between satisfaction and treatment groups at week 6. No adverse effects were reported. Conclusion Performing a 6-week do-as-tolerated program of eccentric heel-drop exercises, compared to the recommended 180 repetitions per day, did not lead to lesser improvement for individuals with midportion Achilles tendinopathy, based on VISA-A and VAS scores.
dc.format.extent59-67
dc.relation.ispartofJournal of Orthopaedic & Sports Physical Therapy
dc.titleEffectiveness of the Alfredson Protocol Compared With a Lower Repetition-Volume Protocol for Midportion Achilles Tendinopathy: A Randomized Controlled Trial
dc.typearticle
dcterms.accessRightsrestricted
dc.description.facultysch_phy
dc.description.volume44
dc.identifier.doihttp://doi:10.2519/jospt.2014.4720
dc.description.ispublishedpub
dc.description.eprintid3629
rioxxterms.typearticle
qmu.authorTan, Chee-Wee
qmu.centreCentre for Health, Activity and Rehabilitation Research
dc.description.statuspub
dc.description.number2


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record