Photobiomodulation Associated With Conservative Treatment for Achilles Tendon Rupture: A Double-Blind, Superiority, Randomized Controlled Trial

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorOLIVEIRA, P. R. de
dc.contributor.authorARREBOLA, L. S.
dc.contributor.authorSTéFANI, K. C.
dc.contributor.authorPINFILDI, C. E.
dc.date.accessioned2024-03-13T20:03:58Z
dc.date.available2024-03-13T20:03:58Z
dc.date.issued2022
dc.description.abstractObjective: To investigate the effects of photobiomodulation on Achilles tendon rupture (ATR) treated conservatively. Design: Prospective, patient- and assessor-blinded, parallel, randomized controlled trial. Setting: Patients with acute ATR treated conservatively. Participants: Thirty-four male individuals with acute unilateral ATR treated conservatively (N=34), equally divided in 2 groups: photobiomodulation group (PBMG) and sham group, with mean age of 45.5±9.47 and 48.7±8.38 years, respectively. Intervention: All participants underwent through an immobilization period, followed by rehabilitation sessions (2 d/wk for 12 weeks) comprising strengthening, range of motion, and balance/weightbearing exercises. In PBMG, the tendon was irradiated with a photobiomodulation cluster (1 904 nm/50 mW infrared laser, 4 858 nm/50 mW infrared diodes, and 4 658 nm/40 mW red diodes; power density of 105 mW/cm2 per cluster area) during the immobilization period (2 d/wk for 8 weeks) and the sham group received a simulation of the procedure with no irradiation. Outcomes were assessed at the removal of the immobilization 12 and 16 weeks after tendon rupture. Main Outcome Measures: Primary outcome was the Achilles Tendon Rupture Score. Secondary outcomes included Numerical Pain Rating Scale at rest and during effort, plantar flexor strength, and ankle range of motion. Results: Both groups demonstrated an increase in the Achilles Tendon Rupture Score and improvements in range of motion, plantar flexor strength, and pain. There were no significant differences in outcomes between the 2 groups (P>.05) except in pain during walking, which was significantly lower in the PBMG in week 12 (P<.01, effect size=0.56) and week 16 (P<.01, effect size=0.55). Conclusion: Photobiomodulation associated with conservative treatment is not superior to conservative treatment alone for improving function in patients with acute ATR.eng
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.identifier.citationARCHIVES OF REHABILITATION RESEARCH AND CLINICAL TRANSLATION, v.4, n.4, article ID 100219, p, 2022
dc.identifier.doi10.1016/j.arrct.2022.100219
dc.identifier.issn2590-1095
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58702
dc.language.isoeng
dc.publisherELSEVIER INC.eng
dc.relation.ispartofArchives of Rehabilitation Research and Clinical Translation
dc.rightsopenAccesseng
dc.rights.holderCopyright ELSEVIER INC.eng
dc.subjectAchilles tendoneng
dc.subjectLow-level light therapyeng
dc.subjectRehabilitationeng
dc.subject.otherachilles tendoneng
dc.subject.otherachilles tendon ruptureeng
dc.subject.otheradulteng
dc.subject.otherarticleeng
dc.subject.otherclinical articleeng
dc.subject.otherconservative treatmenteng
dc.subject.othercontrolled studyeng
dc.subject.otherdouble blind procedureeng
dc.subject.otherhumaneng
dc.subject.otherinfrared radiationeng
dc.subject.otherlimb paineng
dc.subject.otherlow level laser therapyeng
dc.subject.othermaleeng
dc.subject.othermiddle agedeng
dc.subject.othermuscle trainingeng
dc.subject.othernumeric rating scaleeng
dc.subject.otheroutcome assessmenteng
dc.subject.otherprospective studyeng
dc.subject.otherrandomized controlled trialeng
dc.subject.otherrange of motioneng
dc.subject.othersimulationeng
dc.subject.othertreatment durationeng
dc.subject.otherwalkingeng
dc.subject.otherweight trainingeng
dc.titlePhotobiomodulation Associated With Conservative Treatment for Achilles Tendon Rupture: A Double-Blind, Superiority, Randomized Controlled Trialeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalOLIVEIRA, P. R. de:Department of Human Movement Sciences, Federal University of São Paulo (UNIFESP), Baixada Santista Campus, São Paulo, Physical Therapy Department, Institute of Medical Assistance to the State Public Servant (IAMSPE), São Paulo
hcfmusp.author.externalARREBOLA, L. S.:Department of Human Movement Sciences, Federal University of São Paulo (UNIFESP), Baixada Santista Campus, São Paulo, Physical Therapy Department, Institute of Medical Assistance to the State Public Servant (IAMSPE), São Paulo
hcfmusp.author.externalPINFILDI, C. E.:Department of Human Movement Sciences, Federal University of São Paulo (UNIFESP), Baixada Santista Campus, São Paulo
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcKELLY CRISTINA STEFANI
hcfmusp.description.articlenumber100219
hcfmusp.description.issue4
hcfmusp.description.volume4
hcfmusp.origemSCOPUS
hcfmusp.origem.dimensionspub.1149756440
hcfmusp.origem.scopus2-s2.0-85174352644
hcfmusp.origem.wosWOS:001135941400002
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