المؤلفون: Coates, Wendy C, Sims, Leroy

مصطلحات موضوعية: Biomedical and Clinical Sciences, Clinical Sciences, Health Sciences, Quality Education, Achilles tendinopathy, ankle/foot, ballet, chronic overuse injury, dance medicine, education/pedagogy, emergency medicine, primary care, Human Movement and Sports Sciences, Psychology, Performing Arts and Creative Writing, Clinical sciences, Performing arts, Sports science and exercise

الوصف: BackgroundAchilles tendinopathy can be a devastating condition in ballet dancers. Initial medical evaluation is frequently conducted by generalist physicians, who may lack the perspective of dance and sports medicine focused training and often prescribe complete rest for chronic overuse injuries. In order to provide targeted information about Achilles tendinopathy and the unique needs of elite athletes, such as ballet dancers, we designed an educational intervention that covers relevant anatomy, physiology, biomechanics, clinical presentation and evaluation, and recommendations for initial treatment and sub-specialty referral. The objectives of this study were to determine baseline understanding of Achilles tendinopathy by generalist physicians and to evaluate the efficacy of an educational intervention on their knowledge.MethodsThis was a prospective pre- post-test study, to measure improvement in knowledge about Achilles tendinopathy. Emergency Medicine and Primary Care physicians participated in an educational intervention with didactic and hands-on components. Data were analyzed using a two-tailed t-test.ResultsTwenty generalist physicians participated. There was significant improvement in their knowledge of Achilles tendinopathy for all our educational objectives (Pre-test: 59% correct answers; post-test: 79% correct answers; P

الوصول الحر: https://escholarship.org/uc/item/4jk808whTest

المؤلفون: Alessandro Sangiorgio, Martina Sirone, Federico Maria Adravanti, Enrique Adrian Testa, Martin Riegger, Giuseppe Filardo

المصدر: EFORT Open Reviews, Vol 9, Iss 7, Pp 1-8 (2024)

مصطلحات موضوعية: achilles tendinopathy, achilles tendon rupture, ciprofloxacin, fluoroquinolones, levofloxacin, ofloxacin, Orthopedic surgery, RD701-811

الوصف: Purpose: The association between fluoroquinolone intake and Achilles tendinopathy (AT) or Achilles tendon rupture (ATR) is widely documented. However, it is not clear whether different molecules have the same effect on these complications. The purpose of this study was to document Achilles tendon complications for the most prescribed fluoroquinolones molecules. Methods: A literature search was performed on Pubmed, Cochrane, Embase, and Web of Science databases up to April 2023. Inclusion criteria: studies of any level of evidence, written in English, documenting the prevalence of AT/ATR after fluoroquinolone consumption and stratifying the results for each type of molecule. The Downs and Black’s ‘Checklist for Measuring Quality’ was used to evaluate the risk of bias. Results: Twelve studies investigating 439,299 patients were included (59.7% women, 40.3% men, mean age: 53.0 ± 15.6 years). The expected risk of AT/ATR was 0.17% (95% CI: 0.15–0.19, standard error (s.e.): 0.24) for levofloxacin, 0.17% (95% CI: 0.16–0.19, s.e.: 0.20) for ciprofloxacin, 1.40% (95% CI: 0.88–2.03, s.e.: 2.51) for ofloxacin, and 0.31% (95% CI: 0.23–0.40, s.e.: 0.77) for the other molecules. The comparison between groups documented a significantly higher AT/ATR rate in the ofloxacin group (P < 0.0001 for each comparison). Levofloxacin and ciprofloxacin showed the same risk (P = n.s.). The included studies showed an overall good quality. Conclusion: Ofloxacin demonstrated a significantly higher rate of AT/ATR complications in the adult population, while levofloxacin and ciprofloxacin showed a safer profile compared to all the other molecules. More data are needed to identify other patient and treatment-related factors influencing the risk of musculoskeletal complications.

وصف الملف: electronic resource

العلاقة: https://eor.bioscientifica.com/view/journals/eor/9/7/EOR-23-0181.xmlTest; https://doaj.org/toc/2058-5241Test

الوصول الحر: https://doaj.org/article/87f3050e80424805a0db0a7bf89dd688Test

المؤلفون: Nibin Sunny, Saurabh Agarwal, Mahesh Navadaya, Mayank Kumar Singh

المصدر: Asian Journal of Medical Sciences, Vol 15, Iss 7, Pp 133-136 (2024)

مصطلحات موضوعية: achilles tendinopathy, platelet-rich plasma, tendinopathy, Medicine

الوصف: Background: Platelet-rich plasma (PRP) helps in the treatment of various insertion tendinitis, and the recurrence rate will be low. In this study, we used intralesional injections of autologous PRP for the treatment of insertion tendinitis. Aims and Objectives: Assessment of pain relief following PRP treatment for insertion tendinitis and ascertaining the efficacy of PRP as a treatment option for insertion tendinitis. Materials and Methods: The study was done at Maharani Laxmi Bai Medical College, Jhansi, between January 2021 and June 2022, including 100 patients were applied for the treatment of PRP. We assessed patients before treatment and at three follow-up time points: 2, 4, and 6 months after the end of treatment. During each evaluation, three parameters were noted: Victorian Institute of Sports Assessment- Achilles (VISA-A) score, the Visual Analog Scale, and patient satisfaction according to the roles and Maudsley score. Results: This was a prospective trial by study design conducted on 100 patients, which included 44 patients with plantar fasciitis and 56 patients with tennis elbow. The response to PRP injection in patients with plantar fasciitis was assessed by the VISA-A score. The pre-injection VISA-A score of patients with plantar fasciitis was 56.82 (mean with SD of 18.015), which improved to 65.45 in the 2nd month (mean with SD −18.857), 4th month with 69.77 (mean with SD–19.823), and at 6 months 71.82 (mean with SD–20.829). Statistical analysis with an analysis of variance test gave a P=0.001. In our study, the patients had gradual sequential improvement in VISA-A score throughout the follow-up, with maximum improvement from the pre-injection score were observed in 2 months (65.45 with SD 18.85). Conclusion: Autologous PRP injection is a safe and useful modality of treatment in the treatment of insertion tendinitis.

وصف الملف: electronic resource

العلاقة: https://www.nepjol.info/index.php/AJMS/article/view/63755Test; https://doaj.org/toc/2467-9100Test; https://doaj.org/toc/2091-0576Test

الوصول الحر: https://doaj.org/article/0e9e12af8937474b9d17fcb668f335f6Test

المؤلفون: Alfredson H, Waldén M, Roberts D, Spang C

المصدر: Open Access Journal of Sports Medicine, Vol Volume 15, Pp 41-45 (2024)

مصطلحات موضوعية: achilles tendinopathy, surgery, plantaris, consecutive, ultrasound, Sports medicine, RC1200-1245

الوصف: Håkan Alfredson,1,2 Markus Waldén,3,4 David Roberts,3 Christoph Spang5– 7 1Department of Community Medicine and Rehabilitation, Sports Medicine, Umeå University, Umeå, Sweden; 2Alfredson Tendon Clinic, Capio Ortho Center Skåne, Malmö, Sweden; 3Capio Ortho Center Skåne, Malmö, Sweden; 4Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden; 5Department of Integrative Medical Biology, Anatomy Section, Umeå University, Umeå, Sweden; 6Private Orthopaedic Spine Center, Würzburg, Germany; 7Institute for Sports Science, Würzburg University, Würzburg, GermanyCorrespondence: Håkan Alfredson, Department of Community Medicine and Rehabilitation, Sports Medicine, Umeå University, Umeå, 90187, Sweden, Tel +46 (0) 702288441, Email hakan.alfredson@umu.sePurpose: Midportion Achilles tendinopathy is a relatively common condition. This study aimed to investigate the presence of a normal Achilles tendon, but a tendinopathic plantaris tendon, in a large and consecutive prospective sample of patients referred to a specialised tendon clinic for midportion Achilles tendon pain not responding to non-surgical treatment.Patients and Methods: A total of 105 consecutive tendons were operated on in 81 patients (62 males) suffering from painful midportion Achilles tendon pain. Clinical examination, ultrasound (US) and colour Doppler (CD) examination, and wide awake local anaesthetic no tourniquet (WALANT) surgery were performed in all patients.Results: For 19/105 (18%) tendons from 14 patients, clinical examination suspected plantaris tendinopathy alone as there was a distinct tenderness on the medial side, but no thickening of the Achilles tendon. US examination followed by surgery confirmed the diagnosis.Conclusion: Midportion Achilles tendon pain is not always related to Achilles tendinopathy since pain related to the plantaris tendon alone was found in almost every fifth patient. Consequently, there is an obvious need for proper examination to identify the pain source and establish a correct diagnosis before treatment.Keywords: Achilles tendinopathy, surgery, plantaris, consecutive, ultrasound

وصف الملف: electronic resource

العلاقة: https://www.dovepress.com/tendinopathic-plantaris-but-normalTest-achilles-tendon-found-in-about-one--peer-reviewed-fulltext-article-OAJSM; https://doaj.org/toc/1179-1543Test

الوصول الحر: https://doaj.org/article/0e1970a925fe4a35b46e498fc8f693f7Test

المؤلفون: Aleksandra Janocha, Aneta Jerzak, Anna Hitnarowicz, Bożena Kmak, Anna Szot, Agnieszka Pociecha

المصدر: Journal of Education, Health and Sport, Vol 67 (2024)

مصطلحات موضوعية: plasma-rich therapy, orthopedics, Achilles tendinopathy, bone fracture, cartilage injuries, Education, Sports, GV557-1198.995, Medicine

الوصف: Introduction and purpose Platelet-rich plasma (PRP) therapy represents a technology designed to enhance tissue repair by locally administering one's own bioactive agents, aiming to influence physiological processes like inflammation, angiogenesis, and extracellular matrix synthesis. Recently, the use of PRP therapy has become a subject of discussion in the orthopedic field. This review comprehensively examines the mechanisms, contemporary applications, clinical evidence, safety aspects, and potential future advancements of PRP in orthopedic treatment. Research has documented the efficacy of PRP injections in achieving full regeneration and enabling a comeback to competitive sports. PRP injections could serve as a viable alternative treatment for individuals with lateral tendonitis when compared to surgery. Further research investigating the impact of PRP on the bone healing process following a fracture is warranted. Materials and methods The methodology for conducting literature search involved utilizing medical subject headings terms to explore PubMed. Search terms included: "plasma-rich therapy", "tendinopathy", "injury" " articular cartilage ", "bone fracture " Conclusions Research at different evidence levels has shown that PRP is safe and has beneficial effects in above uses. Due to the autologous nature of the therapy, side effects are minimal. In the majority of cases, PRP therapy alleviates pain sensations in both short- and long-term observations, facilitating a faster return to daily functionality. However, additional randomized, controlled clinical trials are anticipated to be conducted in the future. Progressing further necessitates the standardization of methods for preparing plasma and procedures for its application.

وصف الملف: electronic resource

العلاقة: https://apcz.umk.pl/JEHS/article/view/49195Test; https://doaj.org/toc/2391-8306Test

الوصول الحر: https://doaj.org/article/a204c4878f1943eba0423c94aeab8a00Test

المؤلفون: Muhammad Raihan Maulidan, Suryo Saputra Perdana, Amalia Nur Azizah

المصدر: Kinestetik, Vol 7, Iss 4, Pp 890-901 (2023)

مصطلحات موضوعية: achilles tendinopathy, eswt, eccentric exercises, para athletics, physiotherapy, Special aspects of education, LC8-6691, Recreation. Leisure, GV1-1860

الوصف: Achilles tendinopathy is a degenerative process due to excessive and cumulative use of microtrauma with internal and external risk factor. Approximately 52% of runners experience an Achilles tendinopathy (AT) injury during their lifetime. Achilles Tendinopathy can limit Indonesia's athletic performance due to pain on the side of the knee during running, walking and jumping. The aim of this study was to evaluate the physiotherapy management for Achilles Tendinopathy cases in Indonesian para-athletics. This research is a descriptive case studyinvolving one client with participatory observation. The physiotherapy intervention involved modality intervention using Eccentric exercises, ESWT, Stretching, Muscle release, Electrical Stimulation, and Cryotheraphy. The subject of the study was An. B, a 28 year old para athlete with height 182 cm, weight 77 kg, and BMI 23.3 in the ideal category. The patient came to the physiotherapy clinic of NPC Indonesia on 20 August 2023 with complaints of pain and burning in the left leg. Physical examination showed normal results except for pain examination using Numeric Rating Scale (NRS), where silent pain 0/10, tenderness 9/10, and motion pain 7/10 were found. The diagnosis of Achilles Tendinopathy sinistra was confirmed through specific examination. After four physiotherapy sessions Based on the results of studies that have been carried out, ESWT and Eccentric exercise can reduce pain, increase joint range of motion, increase muscle strength, increase ankle stability and improve functional abilities in Achilles tendinopathy patients.

وصف الملف: electronic resource

العلاقة: https://ejournal.unib.ac.id/kinestetik/article/view/30165Test; https://doaj.org/toc/2477-331XTest; https://doaj.org/toc/2685-6514Test

الوصول الحر: https://doaj.org/article/54a1a98079404adda521489ad0444d2dTest

المؤلفون: Rashid RH, Ali R, Zahid M, Ali M, Ahmad T

المصدر: Malaysian Orthopaedic Journal, Vol 17, Iss 3, Pp 59-65 (2023)

مصطلحات موضوعية: flexor hallucis longus transfer, chronic achilles tendon rupture, insertional achilles tendinopathy, Orthopedic surgery, RD701-811

الوصف: Introduction: To assess outcomes of FHL transfer and V-Y plasty for chronic Achilles rupture due to insertional Achilles tendinopathy. Materials and methods: A case series of 12 patients was conducted between 1st January 2017 and 31st December 2018. The patients had short flexor hallucis longus tendon transfer with gastrocnemius lengthening by V-Y plasty for Achilles tendon rupture. Patients were allowed full weight bearing at six weeks post-operatively, and were followed up at three months and six months post-operatively, when the range of motion of the ankle was examined, and the outcome was assessed using the EFAS score. Results: Of the 12 patients in the study, the majority were males; the mean age was 50.6±8.96 years. A significant improvement in dorsiflexion and plantarflexion was noted at the six-month follow-up compared to the three-month follow-up (P=

وصف الملف: electronic resource

العلاقة: https://www.morthoj.org/2023/v17n3/hallucis-longus-transfer.pdfTest; https://doaj.org/toc/1985-2533Test; https://doaj.org/toc/2232-111XTest

الوصول الحر: https://doaj.org/article/ad6e1cecf2be422bb451d20c4d335b43Test

المؤلفون: Alghamdi, Nabeel Hamdan, Pohlig, Ryan T., Seymore, Kayla D., Sions, Jaclyn Megan, Crenshaw, Jeremy R., Grävare Silbernagel, Karin

مصطلحات موضوعية: achilles tendinopathy, ankle, gait, VISA-A score

الوصف: This article was originally published in Orthopaedic Journal of Sports Medicine. The version of record is available at: https://doi.org/10.1177/23259671231221583Test. © The Author(s) 2024 ; Background: Physical therapists frequently employ heel lifts as an intervention to reduce Achilles tendon pain and restore function. Purpose: To determine the short-term effect of heel lifts on clinical and gait outcomes in participants with insertional Achilles tendinopathy (IAT). Study Design: Case series; Level of evidence, 4. Methods: Participants with IAT underwent eligibility screening and completed assessments at baseline and 2 weeks later. Primary outcomes included symptom severity (Victoria Institute of Sports Assessment-Achilles [VISA-A]), gait analysis with the 10-m walk-test at 2 speeds (normal and fast), and pain during walking. Pain and gait analysis were assessed under 3 conditions: before fitting 20-mm heel lifts, immediately after heel-lift fitting, and after 2 weeks of wearing heel lifts. Ultrasound images and measurements at the Achilles insertion were obtained from prone and standing positions (with and without heel lifts). Spatiotemporal gait parameters and tibial tilt angles were evaluated at normal speed using inertia measurement units during the 3 study conditions. Differences between the conditions were analyzed using paired t test or analysis of variance. Results: Overall, 20 participants (12 female, 13 with bilateral IAT; mean age, 51 ± 9.3 years; mean body mass index 31.6 ± 6.8 kg/m2) completed all assessments. Symptom severity (VISA-A) of the more symptomatic side significantly improved at 2 weeks (60 ± 20.6) compared with baseline (52.2 ± 20.4; P < .01). Pain during gait (Numeric Pain Rating Scale) was significantly reduced immediately after heel-lift fitting (0.7 ± 2.0) when compared with baseline (2.2 ± 2.7, P = .043). Spatiotemporal gait parameters and tibial tilt angle before and after using heel lifts at normal walking speed were not significantly different; however, gait speed, stride ...

وصف الملف: application/pdf

العلاقة: Alghamdi NH, Pohlig RT, Seymore KD, Sions JM, Crenshaw JR, Grävare Silbernagel K. Immediate and Short-Term Effects of In-Shoe Heel-Lift Orthoses on Clinical and Biomechanical Outcomes in Patients With Insertional Achilles Tendinopathy. Orthopaedic Journal of Sports Medicine. 2024;12(2). doi:10.1177/23259671231221583; https://udspace.udel.edu/handle/19716/33987Test

الإتاحة: https://doi.org/10.1177/23259671231221583Test
https://udspace.udel.edu/handle/19716/33987Test

المؤلفون: Alfredson, HÃ¥kan, Waldén, Markus, Roberts, David, Spang, Christoph

مصطلحات موضوعية: Achilles tendinopathy, consecutive, plantaris, surgery, ultrasound, Sport and Fitness Sciences, Idrottsvetenskap

الوصف: Purpose: Midportion Achilles tendinopathy is a relatively common condition. This study aimed to investigate the presence of a normal Achilles tendon, but a tendinopathic plantaris tendon, in a large and consecutive prospective sample of patients referred to a specialised tendon clinic for midportion Achilles tendon pain not responding to non-surgical treatment. Patients and Methods: A total of 105 consecutive tendons were operated on in 81 patients (62 males) suffering from painful midportion Achilles tendon pain. Clinical examination, ultrasound (US) and colour Doppler (CD) examination, and wide awake local anaesthetic no tourniquet (WALANT) surgery were performed in all patients. Results: For 19/105 (18%) tendons from 14 patients, clinical examination suspected plantaris tendinopathy alone as there was a distinct tenderness on the medial side, but no thickening of the Achilles tendon. US examination followed by surgery confirmed the diagnosis. Conclusion: Midportion Achilles tendon pain is not always related to Achilles tendinopathy since pain related to the plantaris tendon alone was found in almost every fifth patient. Consequently, there is an obvious need for proper examination to identify the pain source and establish a correct diagnosis before treatment.

وصف الملف: application/pdf

العلاقة: Open Access Journal of Sports Medicine, 2024, 15, s. 41-45; orcid:0000-0002-9977-334x; http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-223487Test; Scopus 2-s2.0-85189972539

الإتاحة: https://doi.org/10.2147/OAJSM.S456389Test
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-223487Test

المؤلفون: Violet Man-Chi Ko, Xin He, Sai-Chuen Fu, Patrick Shu-Hang Yung, Samuel Ka-Kin Ling

المصدر: Trials, Vol 24, Iss 1, Pp 1-10 (2023)

مصطلحات موضوعية: Achilles tendinopathy, Pulsed electromagnetic field (PEMF), Eccentric exercise, Rehabilitation, Medicine (General), R5-920

الوصف: Abstract Background The Achilles tendon is the largest and strongest tendon in the human body. Achilles tendinopathy (AT) is a common clinical problem with Achilles overuse. Eccentric exercise is often used as an initial treatment for these patients. Most patients with AT experienced moderate to severe pain, limiting the incentive to perform eccentric exercise. It is difficult for them to complete eccentric exercise for 3 months consecutively to obtain significant improvements. Using PEMF as an adjunct, there could be immediate pain relief and improved response to eccentric exercise by modulating the mechanical properties of the Achilles tendon. Participants may experience less pain while performing eccentric exercises to increase compliance with the rehabilitation programme. Methods This prospective randomised double-blinded, placebo-controlled trial aims to investigate the treatment effects of PEMF for participants with AT. All participants are randomised into two groups: the intervention group (n = 20; active PEMF treatment and eccentric exercise) and the control group (n = 20; sham treatment and eccentric exercise). Researchers perform self-reported, functional and ultrasonographic outcomes during baseline assessment, 4 weeks, 8 weeks follow-ups, and 3 and 6 months follow-ups after the commencement of the PEMF treatment. Discussion AT is a common clinical condition affecting athletes and sedentary populations. It is essential to investigate treatment adjuncts to improve rehabilitation outcomes for these patients. This trial may demonstrate the effectiveness of PEMF in relieving pain, improving function, and restoring mechanical changes of the tendon in participants with AT. Trial registration ClinicalTrials.gov NCT05316961. Registered on 7th April 2022.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1745-6215Test

الوصول الحر: https://doaj.org/article/967e2a7910604b8b9d2f96213ad5be68Test