An Isometric and Functionally Based 4-Stage Progressive Loading Program in Achilles Tendinopathy: A 12-Month Pilot Study

Background. Achilles tendinopathy (AT) is a common musculoskeletal disorder, and its management remains challenging. Hypothesis/Purpose. By conducting a pilot study, we aimed to assess the feasibility, safety, and clinical improvement of a new home-based 4-stage rehabilitation program with progressi...

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Bibliographic Details
Published in:Translational sports medicine 2022, Vol.2022, p.6268590-11
Main Authors: Krogh, Thøger Persson, Jensen, Thomas Theis, Madsen, Merete Nørgaard, Fredberg, Ulrich
Format: Article
Language:English
Subjects:
Arthritis
Cohort analysis
Energy storage
Family physicians
Isometric exercise
Pain
Pilot projects
Rehabilitation
Strength training
Tendons
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Summary:Background. Achilles tendinopathy (AT) is a common musculoskeletal disorder, and its management remains challenging. Hypothesis/Purpose. By conducting a pilot study, we aimed to assess the feasibility, safety, and clinical improvement of a new home-based 4-stage rehabilitation program with progressive loading including isometric exercises on a small scale prior to setting up a randomized controlled trial. Methods. Ten recreational athletes with chronic midportion AT were included. The primary outcome was change in VISA-A score after 1, 2, 3, 6, and 12 months. Secondary outcomes included tenderness on palpation of the tendon and ultrasonographic changes after 6 months. Results. Average VISA-A improvements of 26.9 points (P=0.004) and 35.4 points (P=0.006) were observed at 6- and 12-month follow-up, respectively. Tenderness on palpation of the tendon (0–10) was reduced from 5.5 to 2.5 (P
ISSN:2573-8488
2573-8488
DOI:10.1155/2022/6268590