A Study to Compare the Efficacy Of Ultrasound with Cryokinetics & Ultrasound with Soft Tissue Massage (Deep Transverse Friction Massage) in Achilles Tendinopathy

Abstract

Background
Achilles Tendinopathy (AT) is a common cause of disability. Despite the economic and social
relevance of the problem, the causes and mechanisms of Achilles Tendinopathy remain unclear.
Tendon vascularity, gastrocnemius-soleus dysfunction, age, sex, body weight and height, pes
cavus, and lateral ankle instability are considered common intrinsic factors. Achilles
tendinopathy is essentially a failed healing response characterized by random tenocyte growth,
some tendon cell degeneration, disruption of collagen fibres, and an increase in non-collagenous
matrix. Tendinopathic tendons undergo a higher rate of matrix remodelling, which makes them
less mechanically stable and more prone to injury.
Methods
Ninety subjects who has been diagnosed as Achilles Tendinopathy were taken as subject in this
study. All subjects were randomly divided into two group, A & B, with forty-five subjects in
each group. Group A underwent received ultrasound therapy (UST) with cryokinetics & Group
B underwent treatment of received ultrasound therapy with soft tissue massage (Deep
Transverse Friction Massage).