Display options
Cite
Jayaseelan DJ, Kecman M, Alcorn D, et al. Manual therapy and eccentric exercise in the management of Achilles tendinopathy. J Man Manip Ther. 2016;25(2):106-114doi: 10.1080/10669817.2016.1183289.
Jayaseelan, D. J., Kecman, M., Alcorn, D., & Sault, J. D. (2017). Manual therapy and eccentric exercise in the management of Achilles tendinopathy. The Journal of manual & manipulative therapy, 25(2), 106-114. https://doi.org/10.1080/10669817.2016.1183289
Jayaseelan, Dhinu J, et al. "Manual therapy and eccentric exercise in the management of Achilles tendinopathy." The Journal of manual & manipulative therapy vol. 25,2 (2017): 106-114. doi: https://doi.org/10.1080/10669817.2016.1183289
Jayaseelan DJ, Kecman M, Alcorn D, Sault JD. Manual therapy and eccentric exercise in the management of Achilles tendinopathy. J Man Manip Ther. 2017 May;25(2):106-114. doi: 10.1080/10669817.2016.1183289. Epub 2016 May 30. PMID: 28559670; PMCID: PMC5430449.
Copy Download .nbib Format: NLM
Share it on

J Man Manip Ther. 2017 May;25(2):106-114. doi: 10.1080/10669817.2016.1183289. Epub 2016 May 30.

Manual therapy and eccentric exercise in the management of Achilles tendinopathy.

The Journal of manual & manipulative therapy

Dhinu J Jayaseelan, Michael Kecman, Daniel Alcorn, Josiah D Sault

Affiliations

  1. Department of Physical Therapy and Health Care Sciences, The George Washington University, Washington, DC, USA.
  2. The Jackson Clinics, Middleburg, VA, USA.
  3. Department of Physical Therapy, University of Illinois at Chicago, Chicago, IL, USA.

PMID: 28559670 PMCID: PMC5430449 DOI: 10.1080/10669817.2016.1183289

Abstract

Chronic Achilles tendinopathy (AT) is an overuse condition seen among runners. Eccentric exercise can decrease pain and improve function for those with chronic degenerative tendon changes; however, some individuals have continued pain requiring additional intervention. While joint mobilization and manipulation has not been studied in the management in Achilles tendinopathy, other chronic tendon dysfunction, such as lateral epicondylalgia, has responded well to manual therapy (MT). Three runners were seen in physical therapy (PT) for chronic AT. They were prescribed eccentric loading exercises and calf stretching. Joint mobilization and manipulation was implemented to improve foot and ankle mobility, decrease pain, and improve function. Immediate within-session changes in pain, heel raise repetitions, and pressure pain thresholds (PPT) were noted following joint-directed MT in each patient. Each patient improved in self-reported function on the Achilles tendon specific Victorian Institute for Sport Assessment questionnaire (VISA-A), pain levels, PPT, joint mobility, ankle motion, and single-leg heel raises at discharge and 9-month follow-up. The addition of MT directed at local and remote sites may enhance the rehabilitation of patients with AT. Further research is necessary to determine the efficacy of adding joint mobilization to standard care for AT.

LEVEL OF EVIDENCE: Case series. Therapy, Level 4.

Keywords: Ankle; Manipulation; Mobilization; Running injury; Tendon

References

  1. Neuroscience. 2013;255:110-21 - PubMed
  2. Knee Surg Sports Traumatol Arthrosc. 2011 Aug;19(8):1367-75 - PubMed
  3. J Pain. 2006 Aug;7(8):602-7 - PubMed
  4. Foot Ankle Surg. 2013 Jun;19(2):112-7 - PubMed
  5. Am J Sports Med. 1998 Mar-Apr;26(2):266-70 - PubMed
  6. J Orthop Sports Phys Ther. 2014 Feb;44(2):59-67 - PubMed
  7. Man Ther. 2001 Aug;6(3):163-9 - PubMed
  8. Phys Ther. 2011 May;91(5):675-88 - PubMed
  9. Phys Ther. 2009 Dec;89(12):1292-303 - PubMed
  10. Scand J Med Sci Sports. 2009 Oct;19(5):609-15 - PubMed
  11. J Man Manip Ther. 2008;16(4):225-37 - PubMed
  12. Br J Sports Med. 2001 Oct;35(5):335-41 - PubMed
  13. Man Ther. 2010 Apr;15(2):149-53 - PubMed
  14. Man Ther. 2009 Oct;14(5):531-8 - PubMed
  15. J Orthop Sports Phys Ther. 2010 Dec;40(12):818-25 - PubMed
  16. Am J Sports Med. 1999 Sep-Oct;27(5):585-93 - PubMed
  17. Am J Sports Med. 2011 Mar;39(3):607-13 - PubMed
  18. Clin Orthop Relat Res. 1986 Jul;(208):65-8 - PubMed
  19. J Shoulder Elbow Surg. 2013 Apr;22(4):478-84 - PubMed
  20. Knee Surg Sports Traumatol Arthrosc. 2004 Sep;12 (5):465-70 - PubMed
  21. J Immunol. 2006 Dec 15;177(12):8757-66 - PubMed
  22. J Manipulative Physiol Ther. 2011 Nov;34(9):635-42 - PubMed
  23. Sports Med Arthrosc. 2009 Sep;17(3):190-7 - PubMed
  24. Man Ther. 2001 Aug;6(3):170-7 - PubMed
  25. Man Ther. 2007 Feb;12(1):63-71 - PubMed
  26. Sports Health. 2010 Mar;2(2):94-100 - PubMed
  27. Clin Rehabil. 2012 May;26(5):423-30 - PubMed
  28. Sports Med. 1999 Jun;27(6):393-408 - PubMed
  29. J Orthop Sports Phys Ther. 2000 Mar;30(3):126-37 - PubMed
  30. Phys Ther. 2003 Apr;83(4):374-83 - PubMed
  31. J Immunol. 2007 Nov 1;179(9):6246-54 - PubMed
  32. J Orthop Sports Phys Ther. 2016 Mar;46(3):168-76 - PubMed
  33. J Orthop Sports Phys Ther. 2010 Sep;40(9):A1-26 - PubMed
  34. J Orthop Sports Phys Ther. 2011 Sep;41(9):644-50 - PubMed
  35. J Man Manip Ther. 2007;15(1):50-6 - PubMed
  36. Br J Sports Med. 2011 Oct;45(13):1026-8 - PubMed
  37. Disabil Rehabil. 2015;37(7):601-10 - PubMed
  38. Eur J Pain. 2006 Jan;10(1):77-88 - PubMed
  39. J Electromyogr Kinesiol. 2012 Oct;22(5):752-67 - PubMed
  40. Pain Med. 2012 Aug;13(8):1049-58 - PubMed
  41. Man Ther. 2012 Feb;17(1):84-8 - PubMed
  42. Scand J Med Sci Sports. 2015 Feb;25(1):3-15 - PubMed
  43. J Man Manip Ther. 2011 Nov;19(4):201-11 - PubMed
  44. Disabil Rehabil. 2008;30(20-22):1666-76 - PubMed
  45. J Pain. 2010 Feb;11(2):179-85 - PubMed
  46. Br J Sports Med. 2004 Feb;38(1):8-11; discussion 11 - PubMed
  47. J Sport Rehabil. 2014 Nov;23(4):351-9 - PubMed
  48. Man Ther. 2009 Oct;14(5):508-13 - PubMed
  49. Man Ther. 2015 Dec;20(6):827-34 - PubMed
  50. J Manipulative Physiol Ther. 2009 Mar-Apr;32(3):184-92 - PubMed
  51. Acta Orthop Traumatol Turc. 2011;45(3):162-7 - PubMed
  52. Ann Intern Med. 2004 Dec 21;141(12):920-8 - PubMed
  53. Eur J Pain. 2004 Aug;8(4):283-91 - PubMed
  54. Am J Sports Med. 1998 May-Jun;26(3):360-6 - PubMed

Publication Types