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IRCT20231017059755N1 IRCT 2024-05-09 The University of Lahore Effect of Alfredson vs Silbernagel eccentric protocol on clinical outcomes in Amateur players with Achilles tendinopathy Effect of Alfredson vs Silbernagel eccentric protocol on clinical outcomes in Amateur players with Achilles tendinopathy 2023-09-18 anticipated 72 Complete https://irct.ir/trial/73234 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Randomization description: The mechanics of randomization play a crucial role in ensuring unbiased comparisons between the two interventions. The method of randomization refers to the technique used to allocate participants to the different treatment groups is : Simple Randomization: A basic method where each participant has an equal chance of being assigned to the protocol group. Tool can be used for randomization is Random Number Tables in which each number has an equal chance of being selected. These tables can use to assign participants randomly. The random sequence is built based on the chosen method of randomization. For simple randomization, a list of random numbers can be generated, Blinding description: An independent assessor, who will be a senior and experienced physiotherapist and further will not be the part of study will perform the assessment of patients. N/A Achilles tendinopathy. Intervention 1: Group A: Patients will be instructed about the treatment procedures. The Alfredson isolated eccentric exercise program, which comprises 4 weeks of eccentric heel-drops on the injured limb, with the use of the uninjured limb to concentrically return to the start position. Exercises will be performed twice daily, for three sets of 15 repetitions, both with a straight and bent knee (i.e. 180 repetitions each day). Non-disabling pain during the exercises will be permitted, and load added gradually in a backpack (in steps of 5 kg) when exercises can be performed without pain. Intervention 2: Group B: This group will receive Silbernagel protocol comprises various concentric and eccentric heel raise exercises, which are performed both on two legs and one leg, with three sets of 15 repetitions. The duration of the program is also 4 weeks, and non-disabling pain during the exercises is also permitted, but contrary to the Alfredson program, exercises are performed only once daily. Progression is made by changing from bipedal to unipedal exercises, by progressing from concentric-eccentric to purely eccentric loading, by adding weight in a backpack (in steps of 5 kg when pain did not exceed 5 on a 0–10 numerical rating scale), and finally by using fast-rebounding and plyometric exercises. Yes - There is a plan to make this available What will be shared: All collected identified IPD When: Data will be available after the completion of study and will remain available till 6 months To whom: Data will be available for other people almost 6 months after the completion of study Conditions: The data/document could be used by communicating with the principle investigator "Mehak Amjad" on email address "mehakamir50@gmail.com". Where to obtain: Mehak Amjad, mehakamir50@gmail.com How to obtain: The data/document can be accessed through communicating with the principle investigator "Mehak Amjad" on email address "mehakamir50@gmail.com". Comments:
public Mehak Amjad
The university of Lahore main campus near bhobatian chowk
Lahore Pakistan 54000 +92 302 6965902 mehakamir50@gmail.com The University of Lahore, Pakistan scientific Mehak Amjad
1-km, Defence Road, Off Bhobatian Chowk , Lahore
Lahore Pakistan 54000 +92 302 6965902 mehakamir50@gmail.com The university of Lahore Pakistan Age of 18-40 years Both male and female Grade 1, Grade 2 – Tendinopathy (grade 1 represents a normal tendon; grade 2 an enlarged tendon). Clinical diagnosis of Achilles tendinopathy Arc test, Thompson test, RLH test are diagnostic tests 18 years 40 years Both Achilles tendon rupture History of invasive intervention for AT on more painful side Diagnosed systemic inflammatory conditions (e.g. rheumatoid arthritis, ankylosing spondylitis) Any other lower limb pathology M76. 60 used to indicate a diagnosis for reimbursement purposes Other Other Group A: Patients will be instructed about the treatment procedures. The Alfredson isolated eccentric exercise program, which comprises 4 weeks of eccentric heel-drops on the injured limb, with the use of the uninjured limb to concentrically return to the start position. Exercises will be performed twice daily, for three sets of 15 repetitions, both with a straight and bent knee (i.e. 180 repetitions each day). Non-disabling pain during the exercises will be permitted, and load added gradually in a backpack (in steps of 5 kg) when exercises can be performed without pain. Group B: This group will receive Silbernagel protocol comprises various concentric and eccentric heel raise exercises, which are performed both on two legs and one leg, with three sets of 15 repetitions. The duration of the program is also 4 weeks, and non-disabling pain during the exercises is also permitted, but contrary to the Alfredson program, exercises are performed only once daily. Progression is made by changing from bipedal to unipedal exercises, by progressing from concentric-eccentric to purely eccentric loading, by adding weight in a backpack (in steps of 5 kg when pain did not exceed 5 on a 0–10 numerical rating scale), and finally by using fast-rebounding and plyometric exercises Pain. Timepoint: Before intervention and after 4 weeks of intervention. Method of measurement: Numerical pain rating scale (NPRS). Pain, Quality of life. Timepoint: Before intervention and after 4 weeks of intervention. Method of measurement: Victorian Institute of Sport Assessment (VISA-A), The Achilles tendon Total Rupture Score (ATRS). The University of Lahore Approved 2023-09-14 Institutional review board 1-km, Defence Road, Off Bhobatian Chowk , Lahore Lahore Punjab Pakistan