insertional achilles tendinopathy, exercise, load, rehabilitation
Conditions
Interventions
Eccentric exercise and Isometric exercise plus concentric exercise
Sponsors
University Medical Center Groningen (UMCG)
Eligibility
Inclusion criteria
Inclusion criteria: - Individuals of both sexes, aged between 18 and 55 years - Chronic pain in the Achilles tendon insertion for more than 3 months - Pain during the palpation - Abnormal ultrasound imaging (hypoechoic areas, irregular fiber orientation and thickening of the tendon).
Exclusion criteria
Exclusion criteria: - Imaging abnormalities as: superficial or retrocalcaneal fluid on the ultrasound examination as a sign of bursitis, or changes on mid-portion tendon structure; - Systematic disease (eg, diabetes, rheumatoid arthritis); - Prior Achilles tendon rupture; - Prior injections for Achilles tendinopathy treatment; - Patient that performed eccentric calf-muscle training > 4 weeks under the supervision of a physical therapist before;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain during calf-raise test | — |
Secondary
| Measure | Time frame |
|---|---|
| - Tendon Structure determined by the ultrasound tissue characterization (UTC) - VISA-A questionnaire - SF- 36 questionnaire - Impact on work [Quality - Quantity questionnaire (QQ-q) and Work ability index (WAI)] - Pain score - Patients impression of improvement | — |
Contacts
Public ContactLucas Maciel Rabello
University Medical Center Groningen (UMCG)
Outcome results
None listed