Background: Pulsed electromagnetic field (PEMF) therapy is a potential nonoperative treatment for Achilles tendinopathy, but the current published literature on its effects is sparse.
Purpose: To evaluate the therapeutic efficacy of PEMF therapy and eccentric exercise for Achilles tendinopathy.
Study Design: Randomized controlled trial; Level of evidence, 1.
Methods: A total of 65 participants met the inclusion criteria and were randomly assigned to either the active PEMF group (n = 33) or the sham group (n = 32). The PEMF group received biweekly PEMF therapy (10 minutes per session) for 8 weeks, plus eccentric exercise for 12 weeks. The sham group received the same eccentric exercise for 12 weeks minus active PEMF exposure. The primary outcome was the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. The secondary outcomes were numeric pain rating scale (NPRS) score, tendon neovascularity, and total time spent on sports per week. A physical therapist assessed all outcomes at baseline and then 4, 8, and 12 weeks after the commencement of the PEMF treatment. The level of tendon neovascularity was determined by the Öhberg score (range, 0-3).
Results: VISA-A scores improved significantly from baseline to 12 weeks posttreatment in both the PEMF group (from 57.9 to 71.7) and the sham group (from 55.1 to 66.8) ( < .001 for both), with no significant difference in scores between treatment groups throughout the 12 weeks ( = .527). NPRS scores during sports also improved significantly from baseline to 12 weeks for the PEMF group (from 6.05 to 2.95) and the sham group (from 6.45 to 3.85) ( < .001), with no group differences ( = .346).
Conclusion: PEMF therapy, in addition to eccentric exercise, did not improve outcome scores or tendon neovascularity compared with eccentric exercise alone in participants with Achilles tendinopathy.
Registration: NCT05316961 (ClinicalTrials.gov identifier).
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555732 | PMC |
http://dx.doi.org/10.1177/23259671241284772 | DOI Listing |
Healthcare (Basel)
November 2024
Department of Physical Education and Sport, University of Seville, 41013 Sevilla, Spain.
Background/objectives: This study investigated the impacts of a 12-week training program on kinetic parameters during landings in non-professional recreational athletes.
Methods: Fifty-seven non-elite recreational athletes performed three unilateral-landing trials from a 30 cm high structure on a force platform. The following outcome measures were analyzed: the ground reaction forces at initial ground contact (PF1) and the highest value (PF2), impulse (change in the moment of force during landing), stabilization time, and ankle and knee accelerations.
Physiol Rep
December 2024
Department of Physiology and Pharmacology, KI Karolinska Institutet, Stockholm, Sweden.
This study aimed to investigate the effect of eccentric exercise on exercise-induced muscle damage (EIMD) and inflammation on high-altitude-induced venous gas emboli (VGE). Subjects were exposed to an altitude of 24,000 ft. for 90 min, with either prior eccentric exercise (ECC) or no exercise (Control) 24 h before.
View Article and Find Full Text PDFEur J Sport Sci
December 2024
Physical Education Office, Ming Chuan University, Taipei City, Taiwan.
This study investigated the effect of five consecutive days of cold-water immersion (CWI) on recovery from exercise-induced muscle damage (EIMD) in the hamstrings following maximal eccentric contraction (EC) exercise. Eighteen healthy adult women were randomly assigned to a CWI group and a control group (CG) (n = 9/group). Participants performed 10 sets of 10 repetitions of isokinetic EC at 30°/second and underwent maximum voluntary isometric contraction (MVC), delayed onset muscle soreness (DOMS) assessment, straight leg raise (SLR) test, and plasma myoglobin (Mb) measurement.
View Article and Find Full Text PDFPhysiol Rep
December 2024
Department of Biomedical Engineering, Toyo University, Asaka, Saitama, Japan.
Low-intensity resistance exercise with slow movement and tonic force generation (LRST) effectively improves cognitive inhibitory control (IC) while heightening the subjective perception, which is a barrier to exercise adherence. Compared with concentric (CON) contractions, eccentric (ECC) contractions have greater brain activation related to cognitive functions while decreasing subjective perception. Therefore, we examined whether LRST with a longer duration of ECC contraction (ECC-LRST) could further enhance exercise-induced IC improvement while reducing the subjective perception, compared with traditional LRST.
View Article and Find Full Text PDFJ Bodyw Mov Ther
March 2025
Human Performance Laboratory, Federal University of Amazonas, Manaus, AM, Brazil. Electronic address:
Objectives: To analyze the magnitude and direction of inter-limb asymmetries in vertical jump, T-test, isokinetic peak torque, and muscle volume in professional female soccer players.
Methods: Sixteen female soccer players participated in the study (22.7 ± 3.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!