Tumilty 2016 | Achilles Tendinopathy
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Tumilty S, Mani R, Baxter GD. Photobiomodulation and eccentric exercise for Achilles tendinopathy: a randomized controlled trial. Lasers Med Sci. 2016 Jan;31(1):127-35.
Double-blind randomised controlled trial Methods : 80 subjects were randomly assignedto • Group 1: Placebo laser + Ex Regime 1 • Group 2: Laser + Ex Regime 1 • Group 3: Placebo laser + Ex Regime 2 • Group 4: Laser + Ex Regime 2 Protocols: • Laser: ED 6.66J/cm², total dose: 450J per session, 2X/week for 4 weeks • LightForce EX device • Exercise Regime 1: 14 sessions/week (2x/day) • Exercise Regime 2: 2 sessions/week (2x/week) Results : • Significantly greater improvement of VISA-A score at 12 weeks in Group 4 compared to other groups. • Clinical relevance: • Twice-daily exercise sessions are not necessary as equivalent results can be obtained with two exercise sessions per week. • The addition of photobiomodulation as adjunct to exercise can bring added benefit.
KEY MESSAGE: In this study the best results were obtained with a combined protocol of twice a week eccentric exercise plus high power photobiomodulation therapy.
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