Evidence map›Paper›PMID 26893309›Full record

Trial reportSports health

Eccentric Exercise Versus Eccentric Exercise and Soft Tissue Treatment (Astym) in the Management of Insertional Achilles Tendinopathy.

Joshua R McCormack, Frank B Underwood, Emily J Slaven, Thomas A Cappaert

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05654688 (GRASTON VERSUS MUSCLE ENERGY TECHNIQUE IN NONSPECIFIC NECK PAIN), which is not on this map. Cited by 27 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT05654688 nacompletednot on this map

Graston versus muscle energy technique in nonspecific neck pain

TypeinterventionalSponsorHelwan UniversityRan2022 to 2022Enrolled42ConditionsNon Specific Neck PainArmsgraston and muscle energy technique
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Article
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  14. Article
  15. AstymAnnals of translational medicine · 2019
    Article
  16. Review
  17. Conservative Treatment of Chronic Achilles Tendinopathy: A Systematic Review.Journal of functional morphology and kinesiology · 2019
    Review
  18. Article
  19. Article
  20. AstymAnnals of translational medicine · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Joshua R McCormackRocky Mountain University of Health Professions, Provo, Utah.
Frank B UnderwoodRocky Mountain University of Health Professions, Provo, Utah.
Emily J SlavenUniversity of Indianapolis, Indianapolis, Indiana.
Thomas A CappaertRocky Mountain University of Health Professions, Provo, Utah.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEccentric exercise is commonly used in the management of Achilles tendinopathy (AT) but its effectiveness for insertional AT has been questioned. Soft tissue treatment (Astym) combined with eccentric exercise could result in better outcomes than eccentric exercise alone. HYPOTHESIS: Soft tissue treatment (Astym) plus eccentric exercise will be more effective than eccentric exercise alone for subjects with insertional AT. STUDY

designProspective randomized controlled trial. LEVEL OF EVIDENCE: Level 2.

methodsSixteen subjects were randomly assigned to either a soft tissue treatment (Astym) and eccentric exercise group or an eccentric exercise-only group. Intervention was completed over a 12-week period, with outcomes assessed at baseline, 4, 8, 12, 26, and 52 weeks. Outcomes included the Victorian Institute of Sport Assessment Achilles-Specific Questionnaire (VISA-A), the numeric pain rating scale (NPRS), and the global rating of change (GROC).

resultsSignificantly greater improvements on the VISA-A were noted in the soft tissue treatment (Astym) group over the 12-week intervention period, and these differences were maintained at the 26- and 52-week follow-ups. Both groups experienced a similar statistically significant improvement in pain over the short and long term. A significantly greater number of subjects in the soft tissue treatment (Astym) group achieved a successful outcome at 12 weeks.

conclusionSoft tissue treatment (Astym) plus eccentric exercise was more effective than eccentric exercise only at improving function during both short- and long-term follow-up periods. CLINICAL RELEVANCE: Soft tissue treatment (Astym) plus eccentric exercise appears to be a beneficial treatment program that clinicians should consider incorporating into the management of their patients with insertional AT.

Indexed as

Therapy, Soft TissueAchilles TendonAdultAgedAthletic InjuriesExercise TherapyFemaleHumansMaleMiddle AgedPainPain ManagementProspective StudiesTendinopathyTreatment OutcomeAchilleseccentricssoft tissue treatment (Astym)tendinopathy

Identifiers

PMID26893309
PMCPMC4981065

What OpenQuestion holds

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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.