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Achilles tendinopathy

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https://www.readbyqxmd.com/read/29789266/microvascular-volume-in-symptomatic-achilles-tendons-is-associated-with-visa-a-score
#1
S F E Praet, J H Ong, C Purdam, M Welvaert, G Lovell, L Dixon, J E Gaida, J Anglim, S Manzanero, N Vlahovich, D Hughes, G Waddington
OBJECTIVES: The role of neovascularisation in tendinopathy is still poorly understood, potentially due to technical limitations of conventional power Doppler ultrasound. This study aimed to investigate the association between contrast-enhanced ultrasound (CEUS) microvascular volume (MV), Victorian Institute of Sports Assessment-Achilles (VISA-A) scores and intrinsic Achilles tendon tenderness, as well as two different Power Doppler modes. DESIGN: Cross-sectional study...
May 15, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29781907/novel-interventions-for-recalcitrant-achilles-tendinopathy-benefits-seen-following-high-volume-image-guided-injection-or-extracorporeal-shockwave-therapy-a-prospective-cohort-study
#2
Patrick C Wheeler, Chloe Tattersall
OBJECTIVE: To compare the outcomes for patients with chronic noninsertional Achilles tendinopathy following extracorporeal shockwave therapy (ESWT) and high-volume image-guided injection (HVIGI). DESIGN: Prospective cohort study. SETTING: Hospital-based Sports Medicine Outpatient Clinic. PATIENTS: Sixty-three consecutive patients with chronic noninsertional Achilles tendinopathy, treated with ESWT (n = 22) or HVIGI (n = 41), with minimum 3-month follow-up...
May 16, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29775801/narrative-review-on-the-effect-of-shockwave-treatment-for-management-of-upper-and-lower-extremity-musculoskeletal-conditions
#3
REVIEW
Julia M Reilly, Eric Bluman, Adam S Tenforde
Extracorporeal shockwave therapy (ESWT) is a technology that was first introduced into clinical practice in 1982 for urological conditions. Subsequent clinical applications in musculoskeletal conditions have been described in treatment of plantar fasciopathy, both upper and lower extremity tendinopathies, greater trochanteric pain syndrome, medial tibial stress syndrome, management of non-union fractures, and joint disease including avascular necrosis (AVN). The aim of this review is to summarize the current understanding of treatment of musculoskeletal conditions with ESWT, accounting for differences in treatment protocol and energy levels...
May 15, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29771609/achilles-tendon-structure-differs-between-competitive-distance-runners-and-non-runners-despite-no-clinical-signs-or-symptoms-of-mid-substance-tendinopathy
#4
Todd J Hullfish, Kenton L Hagan, Ellen Casey, Josh R Baxter
Achilles tendinopathy affects many running athletes and often leads to chronic pain and functional deficits. While changes in tendon structure have been linked with tendinopathy, the effects of distance running on tendon structure is not well understood. Therefore, the purpose of this study was to characterize structural differences in the Achilles tendons in healthy young adults and competitive distance runners using quantitative ultrasound analyses. We hypothesized that competitive distance runners with no clinical signs or symptoms of tendinopathy would have quantitative signs of tendon damage, characterized by decreased collagen alignment and echogenicity, in addition to previous reports of thicker tendons...
May 17, 2018: Journal of Applied Physiology
https://www.readbyqxmd.com/read/29766442/rate-of-improvement-of-pain-and-function-in-mid-portion-achilles-tendinopathy-with-loading-protocols-a-systematic-review-and-longitudinal-meta-analysis
#5
REVIEW
Myles Murphy, Mervyn Travers, William Gibson, Paola Chivers, James Debenham, Sean Docking, Ebonie Rio
BACKGROUND: Mid-portion Achilles tendinopathy is prevalent within both the athletic and non-athletic populations and loading protocols for Achilles tendinopathy are effective over time, though the rate of symptom change throughout rehabilitation is unknown. OBJECTIVE: The objective of this study was to determine the rate of change in pain and function over time in patients while completing a loading protocol for mid-portion Achilles tendinopathy. METHODS: A systematic review and longitudinal meta-analysis was conducted as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
May 15, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29764889/autologous-stem-cells-in-achilles-tendinopathy-ascat-protocol-for-a-phase-iia-single-centre-proof-of-concept-study
#6
Andrew J Goldberg, Razi Zaidi, Deirdre Brooking, Louise Kim, Michelle Korda, Lorenzo Masci, Ruth Green, Paul O'Donnell, Roger Smith
INTRODUCTION: Achilles tendinopathy (AT) is a cause of pain and disability affecting both athletes and sedentary individuals. More than 150 000 people in the UK every year suffer from AT.While there is much preclinical work on the use of stem cells in tendon pathology, there is a scarcity of clinical data looking at the use of mesenchymal stem cells to treat tendon disease and there does not appear to be any studies of the use of autologous cultured mesenchymal stem cells (MSCs) for AT...
May 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29759125/common-soft-tissue-musculoskeletal-pain-disorders
#7
REVIEW
Matthew J Hubbard, Bernard A Hildebrand, Monica M Battafarano, Daniel F Battafarano
Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. The authors used a regional approach to organize the material, as providers will encounter these syndromes with complaints of pain referring to an anatomic location. The covered disorders include myofascial pain syndrome, rotator cuff tendinopathy, bicipital tendinopathy, subacromial bursitis, olecranon bursitis, epicondylitis, De Quervain disease, trigger finger, trochanteric bursitis, knee bursitis, pes anserine bursitis, Baker cyst, plantar fasciitis, and Achilles tendinopathy...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29741808/intravoxel-incoherent-motion-ivim-imaging-in-human-achilles-tendon
#8
Kenneth Wengler, Takeshi Fukuda, Dharmesh Tank, Mingqian Huang, Elaine S Gould, Mark E Schweitzer, Xiang He
BACKGROUND: Limited microcirculation has been implicated in Achilles tendinopathy and may affect healing and disease progression. Existing invasive and noninvasive approaches to evaluate tendon microcirculation lack sensitivity and spatial coverage. PURPOSE: To develop a novel Achilles tendon intravoxel incoherent motion (IVIM) MRI protocol to overcome the limitations from low tendon T2 /T2 * value and low intratendinous blood volume and blood velocity to evaluate tendon microcirculation...
May 9, 2018: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/29732609/diffusion-tensor-imaging-of-human-achilles-tendon-by-stimulated-echo-readout-segmented-epi-ste-rs-epi
#9
Kenneth Wengler, Dharmesh Tank, Takeshi Fukuda, James M Paci, Mingqian Huang, Mark E Schweitzer, Xiang He
PURPOSE: Healing, regeneration, and remodeling of the injured Achilles tendon are associated with notable changes in tendon architecture. However, assessing Achilles microstructural properties with conventional diffusion tension imaging (DTI) remains a challenge because of very short T2 / T2* values of the tendon. Hence, the objective of this study was to develop a novel Achilles tendon DTI protocol for a non-invasive investigation of the changes of microstructural integrity in tendinopathy...
May 6, 2018: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/29712549/achilles-pain-stiffness-and-muscle-power-deficits-midportion-achilles-tendinopathy-revision-2018-using-the-evidence-to-guide-physical-therapist-practice
#10
(no author information available yet)
Midportion Achilles tendinopathy is a relatively common, overuse, lower extremity soft tissue injury for individuals who are active and participate in sports. The clinical practice guideline published in the May 2018 issue of JOSPT, titled "Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2018," can help physical therapists engage in evidence-informed practice and reduce unnecessary clinical variation. J Orthop Sports Phys Ther 2018;48(5):425-426. doi:10...
May 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29712548/optimizing-recovery-after-achilles-tendon-pain-guidelines-help-deliver-quality-care
#11
(no author information available yet)
Achilles tendinopathy can temporarily stop many active people, and particularly those who participate in sports. Pain in the Achilles tendon often occurs in the middle of this fibrous tissue that connects the muscles at the back of the lower leg to the heel bone. Physical therapists can help ensure that patients with Achilles tendinopathy receive the best quality care to optimize their recovery. Guidelines published in the May 2018 issue of JOSPT recommend best practices from the published literature for evaluating, diagnosing, and treating Achilles tendon pain...
May 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29712543/achilles-pain-stiffness-and-muscle-power-deficits-midportion-achilles-tendinopathy-revision-2018
#12
Robroy L Martin, Ruth Chimenti, Tyler Cuddeford, Jeff Houck, J W Matheson, Christine M McDonough, Stephen Paulseth, Dane K Wukich, Christopher R Carcia
The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). The purpose of these revised clinical practice guidelines is to review recent peer-reviewed literature and make recommendations related to midportion Achilles tendinopathy...
May 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29698299/corr-insights%C3%A2-is-platelet-rich-plasma-injection-effective-for-chronic-achilles-tendinopathy-a-meta-analysis
#13
Mark W LaBelle, Randall E Marcus
No abstract text is available yet for this article.
April 24, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29690827/cross-cultural-adaptation-and-measurement-properties-of-the-brazilian-portuguese-version-of-the-victorian-institute-of-sport-assessment-achilles-visa-a-questionnaire
#14
Gabriel Nunes de Mesquita, Marcela Nicácio Medeiros de Oliveira, Amanda Ellen Rodrigues Matoso, Alberto Galvão de Moura Filho, Rodrigo Ribeiro de Oliveira
Study Design Clinical measurement study. Background Achilles tendon disorders are very common among athletes and it is important to objectively measure symptoms and functional limitations related to Achilles tendinopathy using outcome measures that have been validated in the language of the target population. Objectives To perform a cross-cultural adaptation and to evaluate the measurement properties of the Brazilian version of the Victorian Institute of Sport Assessment-Achilles (VISA-A) questionnaire. Methods We adapted the VISA-A questionnaire to Brazilian Portuguese (VISA-A-Br)...
April 24, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29685839/meta-analysis-comparing-autologous-blood-derived-products-including-platelet-rich-plasma-injection-versus-placebo-in-patients-with-achilles-tendinopathy
#15
Meng-Ting Lin, Ching-Fang Chiang, Chueh-Hung Wu, Hui-Hsuan Hsu, Yu-Kang Tu
PURPOSE: To compare the effectiveness of autologous blood-derived products (ABP) injection with that of placebo (sham injection, no injection, or physiotherapy alone) in patients with Achilles tendinopathy. METHODS: Electronic databases, including PubMed, Scopus, EMBASE, and Cochrane Library were searched up to June 2017. All published or unpublished randomized controlled trials (RCTs) were included. Two independent raters assessed the risk of bias of RCTs with the Cochrane Risk of Bias Tool...
April 20, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29671490/common-running-injuries-evaluation-and-management
#16
Michael J Arnold, Aaron L Moody
Running is a common form of exercise but predisposes athletes to several running-related injuries. Most running injuries are due to overuse and respond to conservative treatment. Tendinopathies in the patellar, Achilles, and hamstring tendons are common, and are primarily treated with eccentric exercise. Iliotibial band syndrome and patellofemoral pain syndrome are less common than patellar tendinopathy and are treated by strengthening exercises for the core and legs in addition to flexibility exercises. Acute hamstring strains and medial tibial stress syndrome require a period of relative rest, followed by stretching and graded return to activity...
April 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29626145/risk-factors-for-lower-limb-injuries-during-initial-naval-training-a-prospective-study
#17
Daniel R Bonanno, S E Munteanu, G S Murley, K B Landorf, H B Menz
INTRODUCTION: This study aimed to identify risk factors associated with the development of common lower limb injuries during initial defence training in naval recruits who were enrolled in a randomised trial. METHODS: Three-hundred and six naval recruits were randomly allocated flat insoles (n=153) or foot orthoses (n=153) while undertaking 11 weeks of initial training. Participant characteristics (including anthropometrics, general health, physical activity, fitness and foot characteristics) were collected at the baseline assessment and injuries were documented prospectively...
April 6, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29620182/response-of-decorin-to-different-intensity-treadmill-running
#18
Shao-Yong Xu, Sheng-Yao Liu, Lei Xu, Song-Yun Deng, Yong-Bin He, Shu-Fen Li, Guo-Xin Ni
Decorin is widely understood to affect collagen fibrillogenesis. However, little is understood about its response to various mechanical loading conditions. In the present study, 36 Wistar rats were randomly divided into control (CON), moderate treadmill running (MTR) and strenuous treadmill running (STR) groups. Animals in the MTR and STR groups were subjected to a 4‑ or 8‑week treadmill running protocol. Subsequently, all Achilles tendons were harvested to perform histological and biochemical analyses...
March 28, 2018: Molecular Medicine Reports
https://www.readbyqxmd.com/read/29610612/the-effectiveness-of-radial-extracorporeal-shock-wave-therapy-for-chronic-achilles-tendinopathy-a-case-report-with-18-months-follow-up
#19
Erieta Dimitrije Nikolikj-Dimitrova, Cvetanka Gjerakaroska-Savevska, Valentina Koevska, Biljana Mitrevska, Marija Gocevska, Maja Manoleva, Biljana Kalchovska-Ivanovska
BACKGROUND: Achilles tendinopathy (AT) is a pathological state resulting from repetitive loading or stress on the tendon. The article aims to evaluate the effects of the low - energy radial extracorporeal shockwave therapy (RESWT) in the treatment of the adult with chronic insertional Achilles tendinopathy (AT) after the unsuccessful conservative treatment, with 18 months follow - up evaluation. CASE REPORT: We report the case of a 55 years - old male suffering from severe right posterior heel pain for 4 months...
March 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29601383/is-platelet-rich-plasma-injection-effective-for-chronic-achilles-tendinopathy-a-meta-analysis
#20
Yi-Jun Zhang, San-Zhong Xu, Peng-Cheng Gu, Jing-Yu Du, You-Zhi Cai, Chi Zhang, Xiang-Jin Lin
BACKGROUND: Chronic Achilles tendinopathy is common in the general population, and platelet-rich plasma (PRP) is seeing increased use to treat this problem. However, studies disagree as to whether PRP confers a beneficial effect for chronic Achilles tendinopathy, and no one to our knowledge has pooled the available randomized trials in a formal meta-analysis to try to reconcile those differences. QUESTIONS/PURPOSES: In the setting of a systematic review and meta-analysis of randomized controlled trials (RCTs), we asked: Does PRP plus eccentric strength training result in (1) greater improvements in Victorian Institute of Sports Assessment-Achilles (VISA-A) scores; (2) differences in tendon thickness; or (3) differences in color Doppler activity compared with placebo (saline) injections plus eccentric strength training in patients with chronic Achilles tendinopathy? METHODS: A search of peer-reviewed articles was conducted to identify all RCTs using PRP injection with eccentric training for chronic Achilles tendinopathy in the electronic databases of PubMed, Web of Science (SCI-E/SSCI/A&HCI), and EMBASE from January 1981 to August 2017...
March 28, 2018: Clinical Orthopaedics and related Research
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