{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:06:51Z","timestamp":1787314011806,"version":"build-2736575974"},"reference-count":47,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"11","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Randomized clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To test the hypothesis that whole-body vibration training results in greater improvements in symptoms and pain, structural changes, and muscle flexibility and strength of the triceps surae muscle-tendon unit than those achieved with eccentric training or with a wait-and-see approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The potential use of vibration training for the treatment of Achilles tendinopathy has not been explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty-eight patients (mean age, 46.0 years) with Achilles tendinopathy were randomly assigned to a 12-week intervention using whole-body vibration training, eccentric training, or a wait-and-see approach. Pain, tendon structure and path, and muscle flexibility and strength were assessed at baseline and follow-up, and compared using mixed-factor analyses of variance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Pain improvements at the midsection of the tendon were greater in the vibration- and eccentric-training groups than in the wait-and-see group (mean difference from the vibration-training group, \u221218.0; 95% confidence interval [CI]: \u221235.0, \u22121.1; mean difference from the eccentric-training group, \u221227.0; 95% CI: \u221250.9, \u22123.1). Improvements in pain at the musculotendinous junction were greater in the eccentric-training group than in the other groups (mean difference from the vibration-training group, \u221231.4; 95% CI: \u221260.7, \u22122.0; mean difference from the wait-and-see group, \u221250.2; 95% CI: \u221282.3, \u221218.1). Improvements in most participants were achieved in the vibration-training group, followed by the eccentric-training group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Vibration training may be an alternative or a complementary treatment in patients who do not respond well to eccentric training, especially in those with insertional pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Therapy, level 2b-. J Orthop Sports Phys Ther 2013;43(11):794\u2013803. Epub 9 September 2013. doi:10.2519\/jospt.2013.4762<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2519\/jospt.2013.4762","type":"journal-article","created":{"date-parts":[[2013,9,10]],"date-time":"2013-09-10T00:09:43Z","timestamp":1378771783000},"page":"794-803","update-policy":"https:\/\/doi.org\/10.2519\/jospt.crossmarkpolicy","source":"Crossref","is-referenced-by-count":57,"title":["Whole-Body Vibration Versus Eccentric Training or a Wait-and-See Approach for Chronic Achilles Tendinopathy: A Randomized Clinical Trial"],"prefix":"10.2519","volume":"43","author":[{"given":"Thomas","family":"Horstmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger M.","family":"Jud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Fr\u00f6hlich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annegret","family":"M\u00fcndermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Grau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1394","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2007.035543"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200029020-00005"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260030301"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2008.053546"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-199808000-00001"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1007\/s004210050512"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2005.019950"},{"key":"bib8","first-page":"10","volume":"77","author":"Costantino C","year":"2006","journal-title":"Acta Biomed."},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000069752.96438.B0"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507303116"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1097\/01.phm.0000247652.94486.92"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0418-z"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0b013e31822e02a5"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1007\/BF01560205"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-130888"},{"key":"bib16","first-page":"324","volume":"45","author":"Issurin VB","year":"2005","journal-title":"J Sports Med Phys Fitness"},{"key":"bib17","first-page":"459","volume":"19","author":"Jordan MJ","year":"2005","journal-title":"J Strength Cond Res."},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.1997.tb00123.x"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2281.2001.00335.x"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2006.030916"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0b013e3181586b13"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2006.030437"},{"key":"bib23","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199418030-00004"},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2012.04.009"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(84)90807-8"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200535010-00003"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70021-0"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701786427"},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(03)00004-8"},{"key":"bib30","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505279918"},{"key":"bib31","first-page":"286","volume":"41","author":"Mahieu NN","year":"2006","journal-title":"J Athl Train"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2009.00981.x"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B11.23060"},{"key":"bib34","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2002.120103.x"},{"key":"bib35","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0441-0"},{"key":"bib36","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199204000-00006"},{"key":"bib37","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280050301"},{"key":"bib38","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2281.2000.00238.x"},{"key":"bib39","doi-asserted-by":"publisher","DOI":"10.1016\/0006-8993(93)90237-H"},{"key":"bib40","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506295940"},{"key":"bib41","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.1997.tb00125.x"},{"key":"bib42","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000210204.10200.dc"},{"key":"bib43","first-page":"S40","volume":"28","author":"Sa\u00f1udo B","year":"2010","journal-title":"Clin Exp Rheumatol."},{"key":"bib44","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2006.05.008"},{"key":"bib45","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2001.110402.x"},{"key":"bib46","first-page":"CD009097","volume":"2","author":"Sitj\u00e0 Rabert M","year":"2012","journal-title":"Cochrane Database Syst Rev."},{"key":"bib47","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-010-1228-z"}],"container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2013.4762","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T10:03:07Z","timestamp":1724666587000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2013.4762"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11]]},"references-count":47,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.2519\/jospt.2013.4762"],"URL":"https:\/\/doi.org\/10.2519\/jospt.2013.4762","relation":{},"ISSN":["0190-6011","1938-1344"],"issn-type":[{"value":"0190-6011","type":"print"},{"value":"1938-1344","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,11]]},"assertion":[{"value":"2013-10-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}