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Estado actual de los tratamientos farmacológicos invasivos en tendinopatía aquilea

Pedro Javier Martín Llantino, Cesar Calvo Lobo, Irene Sanz Corbalan
2018 European Journal of Podiatry / Revista Europea de Podología  
54 Martín-Llantino et al Introducción La tendinopatía aquilea representa del 30% al 50% de todas las relacionadas con el deporte (1) (2) .  ... 
doi:10.17979/ejpod.2018.4.2.3561 fatcat:7sdua5jwg5fqjcmyrn7lbtkkxq

Estado actual de la validez y fiabilidad de la valoración ecográfica del tendón de Aquiles

Pedro Javier Martín-Llantino, César Calvo-Lobo, Irene Sanz-Corbalán
2019 European Journal of Podiatry / Revista Europea de Podología  
Objetivo: Conocer la validez y fiabilidad de la ecografía musculo esquelética en la valoración del tendón de Aquiles. Conocer los hallazgos ecográficos típicos en el tendón de Aquiles, tanto sano como lesionado.Material y métodos: Se realizó una revisión bibilográfica desarrollando una búsqueda en PubMed que abarcó trabajos desde 1984 hasta el 30 de enero de 2018 Se usaron los siguientes términos: "Ultrasound achilles tendon", "Ultrasound triceps surae", "Achilles tendinopathy ultrasound". Se
more » ... cluyeron artículos en base a su calidad metodológica, relevancia científica, aportación de una visión novedosa y su utilidad clínica.Resultados: Se encontraron artículos sobre la validez y fiabilidad de la evaluación del tendón de Aquiles, así como de estructuras próximas, con ecografía músculo esquelética. También se encontraron artículos sobre los hallazgos en la imagen del tendón de Aquiles sano y lesionado. Conclusiones: La literatura parece confirmar que la ecografía músculo esquelética es un método valido y fiable para evaluar la tendinopatía aquilea. Existirían diferencias ecográficas entre tendones sanos y lesionados, y no parece diferenciarse éste entre lesión crónica y desgarro interno. El engrosamiento tendinoso y la neovascularización deberían tenerse al diagnosticar la tendinopatía aquilea, pero su simple presencia no determinaría la severidad clínica.
doi:10.17979/ejpod.2019.5.1.3542 fatcat:6pe3s7ngzre63klxitaxyq5vmu

Ultrasonography Features of the Plantar Fascia Complex in Patients with Chronic Non-Insertional Achilles Tendinopathy: A Case-Control Study

Carlos Romero-Morales, Pedro Javier Martín-Llantino, César Calvo-Lobo, Daniel López-López, Rubén Sánchez-Gómez, Blanca De-La-Cruz-Torres, David Rodríguez-Sanz
2019 Sensors  
Purpose: The goal of the present study was to assess, by ultrasound imaging (USI), the thickness of the plantar fascia (PF) at the insertion of the calcaneus, mid and forefoot fascial locations, and the calcaneal fat pad (CFP) in patients with Achilles tendinopathy (AT). Methods: An observational case-control study. A total sample of 143 individuals from 18 to 55 years was evaluated by USI in the study. The sample was divided into two groups: A group composed of the chronic non-insertional AT
more » ... = 71) and B group comprised by healthy subjects (n = 72). The PF thicknesses at insertion on the calcaneus, midfoot, rearfoot and CFP were evaluated by USI. Results: the CFP and PF at the calcaneus thickness showed statistically significant differences (P < 0.01) with a decrease for the tendinopathy group with respect to the control group. For the PF midfoot and forefoot thickness, no significant differences (P > 0.05) were observed between groups. Conclusion: The thickness of the PF at the insertion and the CPF is reduced in patients with AT measured by USI.
doi:10.3390/s19092052 fatcat:2ikpijfkvjdqloobmwszqhbldu

SPECIAL COMMUNICATION Achilles tendinopathy and eccentric exercise, a narrative review Tendinopatía aquilea y ejercicio excéntrico, una revisión narrativa

Pedro Javier, Martín Llantino, Patricia Rigueira, David Rodríguez Sanz, Carlos Morales, Cesar Lobo, Pedro Javier, Martín Llantino, Dirección, San Calle, Mariano
2018 J Pod   unpublished
Objectives: The main objective of this bibliographical review is to know the most effective application according to the science of eccentric exercise (EE) when it comes to managing Aquilles Tendinopathy (AT). The secondary objectives are to know the differences between the sexes when receiving the treatment of eccentric exercise in the AT and to know the mechanism of action of EE in the AT. Methods: A literature search was made in the PubMed database. The following terms were used: We selected
more » ... articles that provided methodological quality, scientific relevance, or a novel vision. Results: We found articles that support the application of EE as a treatment for AT and the recommended dosage. We found several articles that theorize about the effects of EE on AT. An article was found that differentiates the effects of EE in men and women in AT. Conclusions: EE is the treatment of choice in AT. The Alfedson protocol has the most scientific support. In the future it will be necessary to carry out studies of higher methodological quality on different exercise options. It is not clear what are the mechanisms of EE action in the TA. It is shown that the effects of EE in women are limited compared to men. Resumen Objetivos: El objetivo principal de esta revisión bibliográfica es conocer la aplicación más eficaz según la ciencia de ejercicio excéntrico (EE) a la hora de manejar la TA. Los objetivos secundarios son conocer las diferencias entre sexos al recibir el tratamiento de ejercicio excéntrico en la TA y conocer el mecanismo de acción del EE en la TA. Material y Métodos: Se realizó una búsqueda bibliográfica en la base de datos PubMed. Se usaron los siguientes términos: "Tendinopathy", "Tendinopathy treatment", "Tendinopathy eccentric" "Tendinopathy eccentric exercise", "Achilles tendinopathy", "Achilles tendinopathy treatment", "Achilles tendinopathy rehabilitation", "Achilles tendinopathy physical therapy", "Achilles tendinopathy exersice", "Achilles tendinopathy eccentric". Se seleccionaron artículos que aportaban calidad metodológica, relevancia científica, o una visión novedosa. Resultados: Se encontraron artículos que apoyan la aplicación de EE como tratamiento de la TA y la dosificación recomendada. Se encontraron varios artículos que teorizan sobre los efectos del EE en la TA. Se encontró un artículo que diferencia los efectos del EE en hombres y en mujeres en la TA. Conclusiones: El EE sería el tratamiento de elección en una TA. El protocolo de Alfedson cuenta con la mayoría de los apoyos científicos. En el futuro será necesario realizar estudios de mayor calidad metodológica sobre diferentes opciones de ejercicio. No quedan claros cuáles son los mecanismos de acción del EE en la TA. Queda demostrado que los efectos del EE en las mujeres son limitados en comparación con los hombres.
fatcat:d7eek2p7qfemfnosidw3fpi43q

Effectiveness of Eccentric Exercise and a Vibration or Cryotherapy Program in Enhancing Rectus Abdominis Muscle Thickness and Inter-Rectus Distance in Patients with Chronic Mid-Portion Achilles Tendinopathy: A Randomized Clinical Trial

Carlos Romero-Morales, Pedro Javier Martín-Llantino, César Calvo-Lobo, Hector Beltran-Alacreu, Daniel López-López, Rubén Sánchez-Gómez, David Rodríguez-Sanz
2018 International Journal of Medical Sciences  
Purpose: Abdominal muscles are key in maintaining body stability and balance and an improvement in the functioning of these muscles could influence the rehabilitation process in lower limb pathologies such as Achilles Tendinopathy (AT). The aim was to explore whether calf eccentric exercise (EE) with vibration training was more effective at causing adaptation to the rectus anterior (RA) thickness and inter-rectus distance (IRD) than calf EE with cryotherapy. Methods: The investigation was a
more » ... le-blinded, randomized, controlled clinical trial (NCT03515148). Sixty-one individuals diagnosed with mid-portion AT were recruited and divided in two groups: group A (n = 30) followed an EE with vibration program and group B (n = 31) an EE program with cryotherapy, for 12-weeks. RA muscle thickness and IRD were measured in maximal isometric contraction and at rest as an indication of superficial abdominal muscle activation. Results: IRD measures showed a significant (P < 0.05) decrease at baseline, 4 and at 12-weeks in both groups, but no significant differences were observed between the intervention groups. RA thickness was significantly increased (P < 0.05) in measures at baseline, 4 and 12-weeks showed a significant increase in maximal isometric contraction and at rest in favor of the EE vibration program group. Conclusions: The present study showed a RA thickness increase in both groups in favor of the EE vibration program with respect to cryotherapy added to EE in short and mid term in maximal isometric contraction and at rest in subjects with chronic mid-portion AT. IRD was decreased in both groups without between-groups differences.
doi:10.7150/ijms.28656 fatcat:cgp5acqobzgkpnbjaheg25eytq