No registrations found.
ID
Source
Brief title
Health condition
insertional achilles tendinopathy, exercise, load, rehabilitation
Sponsors and support
Intervention
Outcome measures
Primary outcome
Pain during calf-raise test
Secondary outcome
- 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
Background summary
Ratinale:
Achilles tendinopathy (AT) is a common injury that normally affects physically active people and the incidence increases with age. Several studies have shown the efficacy of the eccentric exercises protocol as treatment in patients diagnosed with mid-portion AT. However, few studies assessed the effect of eccentric exercise in patients with insertional Achilles tendinopathy (IAT) and results are inconclusive.
Objectives:
The primary objective of this pilot study is to determine the effect of an isometric exercises plus eccentric-concentric exercise protocol compared to the usual care eccentric exercise protocol on Achilles tendon pain and structure in subjects diagnosed with IAT.
Study design:
Single blinded, pilot study using a 2 group design with a treatment period of 12 weeks.
Study population:
Patients diagnosed with insertional Achilles tendinopathy
Intervention:
One group will perform eccentric exercise during 12 weeks, the other group will perform isometric exercise during 4 weeks and after concentric-eccentric exercise during 8 weeks.
Main study parameters/endpoints:
Pain during calf-raise test
Study objective
Exercise leads to pain and funcional improvement in patients diagnosed with insertional Achilles tendinopathy
Study design
- pretreatment (Baseline)
- 4 weeks after baseline
- 8 weeks after baseline
- 12 weeks after baseline
Intervention
Eccentric exercise and Isometric exercise plus concentric exercise
Lucas Maciel Rabello
Hanzeplein 1, Postbus 30001
Groningen 9700 RB
The Netherlands
l.maciel.rabello@umcg.nl
Lucas Maciel Rabello
Hanzeplein 1, Postbus 30001
Groningen 9700 RB
The Netherlands
l.maciel.rabello@umcg.nl
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
- 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
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL6167 |
| NTR-old | NTR6314 |
| CCMO | NL58148.042.16 |