<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20201021049094N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-11-01</date_registration>
      <primary_sponsor>Riphah college of Rehabilitation and Allied Health science Lahore</primary_sponsor>
      <public_title>Effects of Ultrasound Therapy Versus Transverse Friction Massage along with Eccentric Exercise Program on chronic Achilles Tendinopathy</public_title>
      <acronym></acronym>
      <scientific_title>Effects of Ultrasound Therapy Versus Transverse Friction Massage along with Eccentric Exercise Program on chronic Achilles Tendinopathy</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-10-07</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>76</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/51865</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block, individual randomization with allocation concealment using sealed envelopes.
The envelopes contained the slips labeled "TFM" and "US" (equal in number).
The individual having TFM slip envelope were assigned the group of Transverse Friction Massage along with Eccentric Exercise.
The individual having US slip envelope were assigned the group of Ultrasound Therapy along with Eccentric Exercise, Blinding description: Outcome assessor was masked of treatment given to the participants and group allocation. he was unaware of the group from which the participant come for assessment.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Achilles Tendinopathy is a common clinical pathology causing pain swelling, inflammation and decreased ROM at tendon due to prolonged standing, dysfunction and inflammation of tendon in athletes and common people..</hc_freetext>
      <i_freetext>Intervention 1: Intervention no. 1: (Group A) participants were treated with Transverse Frictional message along with Eccentric exercises.  Unilateral, heavy-load, eccentric plantarflexion training program for 6 sets of 15 repetitions, twice per day, 7 days per week, performed on a step and individually target the gastrocnemius and soleus by being performed (for 3 sets) with the knee held in extension, and (for 3 sets) in slight knee flexion. TFM was applied over a 3cm- 5cm rectangular area for approximately 3 min medial-to-lateral over TA by thumb. at the rate of 0.5Hz. Intervention 2: Intervention no. 2: (Group B) participants were treated with ultrasonic therapy along with Eccentric exercises. Unilateral, heavy-load, eccentric plantarflexion training program for 6 sets of 15 repetitions, twice per day, 7 days per week, performed on a step and individually target the gastrocnemius and soleus by being performed (for 3 sets) with the knee held in extension, and (for 3 sets) in slight knee flexion. Participants in the Ultrasound group received US consisting of a 2ms burst of 1.0MHzsine waves repeating at 100 Hz.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
EFFECTS OF ULTRASOUND THERAPY VERSUS TRANSVERSE FRICTION MASSAGE ALONG WITH ECCENTRIC EXERCISE PROGRAM ON CHRONIC ACHILLES TENDINOPATHY

When:
study is completed and become available after its publication

To whom:
person in clinical/academic field. Patient data will not be shown.

Conditions:
under the usage with terms in which journal is accessed /processed for publication it could be used in request.

Where to obtain:
+923207866611 from the University office and Responsible supervisor and from journal we will process in future

How to obtain:
email

Comments:
data can be provided on request</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Raheela Kousar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>City hospital, tanda chowk, jalal pur jattan, gujrat</address>
        <city>Jalal Pur Jattan</city>
        <country1>Pakistan</country1>
        <zip>50780, 50670</zip>
        <telephone>+92 53 3589155</telephone>
        <email>raheelasaleem10@gmail.com</email>
        <affiliation>The university of Lahore, Chenab Campus, Gujrat</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Shakeel ur Rehman</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Madar-e-Millat Road, Quaid-e-Azam Industrial Estate Quaid e Azam Industrial Estate, Lahore, Punjab, Pakistan</address>
        <city>lahore</city>
        <country1>Pakistan</country1>
        <zip>747-424</zip>
        <telephone>+92 63 2750254</telephone>
        <email>shakil.urrehman@riphah.edu.pk</email>
        <affiliation>Riphah college of Rehabilitation &amp; Allied Health Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Aged 18 to 65 years.
Not received any treatment for Achilles tendon within the last 3 months.
Achilles pain on at least one of jumping/ landing, running or changing directions.
Pain on palpation of Achilles tendon.
Victorian Institute of Sport Assessment-Achilles (VISA-A) scale score of &gt;20 and &lt;80 points.
Symptoms (pain, inflammation, weakness) sufficient to affect exercise and activity for at least last 6 months.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Clinical signs and symptoms of any pathology other than Achilles tendinopathy  e.g. comorbid musculoskeletal conditions like polymyositis, dermatomayositis.
Previous Achilles tendon surgery.
Injection into ankle joint during last 6 months.
Osteoarthritis or Rheumatoid arthritis.
Primary and secondary Osteoporosis.
Autoimmune disorders.
Other conditions that could cause pain in heel pain posteriorly.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M76.6</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Achilles Tendinopathy/Tendinitis</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention no. 1: (Group A) participants were treated with Transverse Frictional message along with Eccentric exercises.  Unilateral, heavy-load, eccentric plantarflexion training program for 6 sets of 15 repetitions, twice per day, 7 days per week, performed on a step and individually target the gastrocnemius and soleus by being performed (for 3 sets) with the knee held in extension, and (for 3 sets) in slight knee flexion. TFM was applied over a 3cm- 5cm rectangular area for approximately 3 min medial-to-lateral over TA by thumb. at the rate of 0.5Hz.</i_keyword>
      <i_keyword>Intervention no. 2: (Group B) participants were treated with ultrasonic therapy along with Eccentric exercises. Unilateral, heavy-load, eccentric plantarflexion training program for 6 sets of 15 repetitions, twice per day, 7 days per week, performed on a step and individually target the gastrocnemius and soleus by being performed (for 3 sets) with the knee held in extension, and (for 3 sets) in slight knee flexion. Participants in the Ultrasound group received US consisting of a 2ms burst of 1.0MHzsine waves repeating at 100 Hz.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain. Timepoint: before, after 3 week, after the intervention. Method of measurement: Numeric Pain Rating Scale.</prim_outcome>
      <prim_outcome>Range of Motion. Timepoint: before, after 3 week, after the intervention. Method of measurement: Goniometer.</prim_outcome>
      <prim_outcome>Functional capablity. Timepoint: before, after 3 week, after the intervention. Method of measurement: Victorian Institute of Sport Assessment-Achilles Questionnaire (VISA-A).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Riphah College of Rehabilitation and Allied health Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-10-07</approval_date>
        <contact_name>Secretary Ethical Review Committee</contact_name>
        <contact_address>28-M,Quaid-e-Azam, Industrial Estate, Kot Lakhpat, Lahore. Lahore Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
