Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled study.

https://arctichealth.org/en/permalink/ahliterature165092
Source
Am J Sports Med. 2007 Jun;35(6):897-906
Publication Type
Article
Date
Jun-2007
Author
Karin Grävare Silbernagel
Roland Thomeé
Bengt I Eriksson
Jon Karlsson
Author Affiliation
Lundberg Laboratory of Orthopaedic Research, Department of Orthopaedics, Göteborg University, Sahlgrenska University Hospital, Gröna Stråket 12, 413 45 Göteborg, Sweden. karin.gravare-silbernagel@orthop.gu.se
Source
Am J Sports Med. 2007 Jun;35(6):897-906
Date
Jun-2007
Language
English
Publication Type
Article
Keywords
Achilles Tendon - injuries - physiopathology - surgery - ultrasonography
Adult
Female
Humans
Male
Middle Aged
Pain - physiopathology
Pain Measurement - standards
Prospective Studies
Questionnaires
Running
Sports
Sweden
Tendinopathy - rehabilitation
Abstract
Achilles tendinopathy is a common overuse injury, especially among athletes involved in activities that include running and jumping. Often an initial period of rest from the pain-provoking activity is recommended.
To prospectively evaluate if continued running and jumping during treatment with an Achilles tendon-loading strengthening program has an effect on the outcome.
Randomized clinical control trial; Level of evidence, 1.
Thirty-eight patients with Achilles tendinopathy were randomly allocated to 2 different treatment groups. The exercise training group (n = 19) was allowed, with the use of a pain-monitoring model, to continue Achilles tendon-loading activity, such as running and jumping, whereas the active rest group (n = 19) had to stop such activities during the first 6 weeks. All patients were rehabilitated according to an identical rehabilitation program. The primary outcome measures were the Swedish version of the Victorian Institute of Sports Assessment-Achilles questionnaire (VISA-A-S) and the pain level during tendon-loading activity.
No significant differences in the rate of improvements were found between the groups. Both groups showed, however, significant (P
Notes
Comment In: Am J Sports Med. 2007 Jul;35(7):1208; author reply 1208-917581977
Comment In: Clin J Sport Med. 2008 May;18(3):303-418469580
PubMed ID
17307888 View in PubMed
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