Chronic Disease, Rupture of Achilles Tendon, Tendinopathy
Conditions
Brief summary
The purpose of the study is to compare the treatment by wearing shoes inclined at kinesitherapy because it is the first treatment offered by primary care physicians in chronic Achilles tendinopathy.
Interventions
DEVICE8° incline shoe
Wearing inclined shoes for 6 weeks, walking 15 minutes (2 times/day). The shoe is inclined from front to back and from top to bottom of 8 °. This causes a controlled and an eccentric contraction during the passage. During the walk we will have: In support tardigrade : an ankle dorsiflexion with a stretching the Achilles tendon (eccentric contractions). In support digitigrade: plantar flexion of ankle with a muscle contraction of triceps surae (concentric contraction).
OTHERkinesitherapy
Daily eccentric contraction at home and once per week for 6 weeks with the physiotherapist
Sponsors
Nantes University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Age: 18-75 years * Disease: chronic Achilles tendinopathy de novo or recurrent confirmed by ultrasound * Patients having signed the informed consent for the study participation * Patients covered by medical insurance * Patients having no behavioral disorders
Exclusion criteria
* History of rupture of the Achilles tendon (= stage 4) * Antibiotic treatment tendinotoxique (Quinolones, ...) * Inability to walk more than 30 minutes per day. * Haglund Syndrome * Treatment of tendinopathy or being older than six months * Minors * Major trust
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evolution of the American Orthopaedic Foot and Ankle Score (AOFAS) | at Day 0 and 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Evolution of amplitude to the tibio-tarsal | at 12 weeks |
| Pain Scores on the Visual Analog Scale | at 12 weeks |
Countries
France
Outcome results
None listed