Trial reportLasers in medical science2016
Photobiomodulation and eccentric exercise for Achilles tendinopathy: a randomized controlled trial.
Trial report in Lasers in medical science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 23 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Photobiomodulation Therapy for Plantar Fasciitis: A Single-Blind Randomized Control Trial
Evaluating the Technology and Assessing the Biological Effects of Commercially Available PhotoBioModulation Devices
Photobiomodulation Therapy for Pain Control in Post-Operative Total Knee Arthroplasty Patients: A Pilot Study
Who cites it
23 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Exercise therapy for tendinopathy: a mixed-methods evidence synthesis exploring feasibility, acceptability and effectiveness.Health technology assessment (Winchester, England) · 2023Pooled it
- Effectiveness of Exercise Treatments with or without Adjuncts for Common Lower Limb Tendinopathies: A Living Systematic Review and Network Meta-analysis.Sports medicine - open · 2023Pooled it
- ICON 2020-International Scientific Tendinopathy Symposium Consensus: A Systematic Review of Outcome Measures Reported in Clinical Trials of Achilles Tendinopathy.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- Which treatment is most effective for patients with Achilles tendinopathy? A living systematic review with network meta-analysis of 29 randomised controlled trials.British journal of sports medicine · 2021Pooled it
- Load progression criteria in exercise programmes in lower limb tendinopathy: a systematic review.BMJ open · 2020Pooled it
- Rate of Improvement of Pain and Function in Mid-Portion Achilles Tendinopathy with Loading Protocols: A Systematic Review and Longitudinal Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2018Pooled it
- Is Exercise Enough? Evidence from Controlled Clinical Trials on Rehabilitation with and Without Adjunct Modalities for Musculoskeletal Disorders.Life (Basel, Switzerland) · 2026Review
- Achilles tendinopathy.Nature reviews. Disease primers · 2025Review
- Exercise, radial pressure waves, and photobiomodulation for management of non-insertional Achilles tendinopathy in runners: a three-arm non-blinded randomised control trial.BMJ open sport & exercise medicine · 2025Article
- Systematic Review and Meta-analyses of Randomized Controlled Trials Comparing Exercise Loading Protocols With Passive Treatment Modalities or Other Loading Protocols for the Management of Midportion Achilles Tendinopathy.Orthopaedic journal of sports medicine · 2023Review
- Eccentric exercise is more effective than other exercises in the treatment of mid-portion Achilles tendinopathy: systematic review and meta-analysis.BMC sports science, medicine & rehabilitation · 2023Article
- Resistance Training Interventions for Lower Limb Tendinopathies: A Scoping Review of Resistance Training Reporting Content, Quality, and Scientific Implementation.Translational sports medicine · 2022Article
- Research protocol to evaluate the effectiveness of shockwave therapy, photobiomodulation and physical therapy in the management of non-insertional Achilles tendinopathy in runners: a randomised control trial with elective cross-over design.BMJ open sport & exercise medicine · 2022Article
- Generalizability of Eccentric Exercise for Patients with Subacromial Pain Syndrome to Real-world Clinical Practice: A Propensity Score-based Analysis.Progress in rehabilitation medicine · 2021Article
- Photobiomodulation does not influence maturation and mildly improves functional healing of mouse achilles tendons.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020Article
- Current Clinical Concepts: Conservative Management of Achilles Tendinopathy.Journal of athletic training · 2020Review
- Modulatory effect of laser irradiation on mastoparan-7-induced contraction.Biomedical reports · 2020Article
- Conservative Treatment of Chronic Achilles Tendinopathy: A Systematic Review.Journal of functional morphology and kinesiology · 2019Review
- Immediate effect of photobiomodulation therapy on Achilles tendon morphology and mechanical properties: an exploratory study.Translational sports medicine · 2019Article
- Eccentric Exercise for Achilles Tendinopathy: A Narrative Review and Clinical Decision-Making Considerations.Journal of functional morphology and kinesiology · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe common regime of eccentric exercise in use for Achilles tendinopathy is somewhat arduous and compliance issues can arise. This is the first study to investigate the effectiveness of a regime of fewer exercise sessions combined with photobiomodulation for the treatment of Achilles tendinopathy.
methodsA double blind randomized controlled trial and intention-to-treat analysis were performed. Eighty participants, 18-65 years with Achilles tendinopathy and symptoms for longer than 3 months, were included in the trial. Participants randomized into one of four groups; 1 (Placebo + Ex Regime 1) or 2 (Laser + Ex Regime 1) or 3 (Placebo + Ex Regime 2) or 4 (Laser + Ex Regime 2). The primary outcome measure was the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. Outcomes were collected at baseline, week 4 and week 12.
resultsSixteen participants were lost to follow-up at 12 weeks, 4 of which due to adverse reactions. As per intention to treat, missing data were imputed, 80 participants were included in the final analysis. For VISA-A at 12 weeks, group 4 achieved significant gains over the other 3 groups: group 1 (18.5 [9.1, 27.9]), group 2 (10.4 [1.5, 19.2]), group 3 (11.3 [3.0, 19.6]). There was a moderate effect size in favour of exercise twice per week (7.2 [-1.8, 16.2], ES .7).
conclusionsTwice-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.
Indexed as
Identifiers
26610637What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.