Abstract:
PURPOSE:To evaluate the effects of eccentric strengthening exercises (ESE) in athletic patients with Achilles tendinopathy. METHODS:Forty-five athletic patients (29 men, average age 26 years +/- 12.8, range 18 - 42; 16 women, average age 28 years +/- 13.1, range 20 - 46; average height: 173 +/- 16.8, range 158 - 191; average weight 70.8 kg +/- 15.3, range 51.4 - 100.5) with a clinical diagnosis of unilateral tendinopathy of the main body of the Achilles tendon completed the VISA-A questionnaire at first attendance and at their subsequent visits. The patients underwent a graded progressive eccentric calf strengthening exercises programme for 12 weeks. RESULTS:The mean pre-management VISA-A scores of 36 (SD 23.8; 95% CI: 29 - 46) improved to 52 (SD 27.5; 95% CI: 41.3 - 59.8) at the latest follow up (p = 0.001). Twenty seven of the 45 patients responded to the eccentric exercises. Of the 18 patients who did not improve with eccentric exercises, 5 (mean age: 33 years) improved with two peritendinous aprotinin and local anaesthetic injections. 10 of the 18 patients (9 men, mean age 35 years; 1 woman aged 40 years) who did not improve with eccentric exercises and aprotinin injections proceeded to have surgery. The remaining three patients (3 women, mean age 59.6 years) of the 18 non-responders to eccentric exercises and aprotinin injections declined surgical intervention. CONCLUSIONS:ESE in athletic patients provide comparable clinical outcome compared to our previous results in non-athletic patients. ESE are a viable option for the management of AT in athletes, but, in our hands, only around 60% of our athletic patients benefited from an intensive, heavy load eccentric heel drop exercise regimen alone. If ESE fail to improve the symptoms, aprotinin and local anaesthetic injections should be considered. Surgery is indicated in recalcitrant cases after 3 to 6 months of non operative management.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Maffulli N,Walley G,Sayana MK,Longo UG,Denaro Vdoi
10.1080/09638280701786427subject
Has Abstractpub_date
2008-01-01 00:00:00pages
1677-84issue
20-22eissn
0963-8288issn
1464-5165pii
793152337journal_volume
30pub_type
杂志文章abstract:PURPOSE:Kinesiophobia and catastrophizing are frequent among people with chronic fatigue syndrome (CFS). This study was aimed at examining (1) whether kinesiophobia, anticipated symptoms and fatigue catastrophizing are related to stair climbing performance in people with CFS; and (2) whether kinesiophobia and fatigue c...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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abstract:PURPOSE:The best approach to delivering advanced gross motor skills interventions for children with cerebral palsy (CP) is unknown. This study's aim was to assess trial feasibility and compare effectiveness of sports skills movement training (Brain change after Fun, Athletic Sports skills Training [BeFAST]) to conventi...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
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更新日期:2020-09-15 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2004-09-02 00:00:00
abstract:PURPOSE:With the aim of improving the measurement of child health and disability in survey research, this paper reviews the coverage of chronic health conditions and the domains of disability and related environmental factors as they are laid out in the ICD-10 and ICF, respectively, in national surveys of school-aged c...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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abstract::Purpose: To determine the reliability, responsiveness, validity, and agreement of handheld dynamometry, relative to electromechanical dynamometry, for assessing quadriceps strength surrounding total knee arthroplasty.Methods: Fifty-six patients (48% female) undergoing total knee arthroplasty were assessed prior to sur...
journal_title:Disability and rehabilitation
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更新日期:2020-03-06 00:00:00
abstract:PURPOSE:A key component in assessing the performance of rehabilitation services is the client's perspective. The purpose of this paper is to report on the development of a publicly available measure of client-centred rehabilitation (CCRQ) that can be used for discriminative and evaluative purposes. METHOD:Mixed qualit...
journal_title:Disability and rehabilitation
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更新日期:2006-11-30 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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abstract:PURPOSE:To transculturally adapt the Quebec Back Pain Disability Scale for Hindi-speaking population and examine its psychometric properties in patients with low back pain. MATERIALS AND METHODS:The Quebec Back Pain Disability Scale was translated and cross-culturally adapted into Hindi following international guideli...
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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doi:10.3109/09638288.2012.667190
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pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:to provide test-retest reliability for the TGlittre-P in children and adolescents with cystic fibrosis (CFG) and healthy controls (HCG), to establish the minimal detectable change for time in TGlittre-P and comparing the performance in the TGlittre-P test between these populations. METHOD:A cross-sectional s...
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abstract::Chiropody is a rather unknown paramedical profession in The Netherlands. A chiropodist treats foot and nail problems or postural deviations which may be corrected by means of remedial foot therapy. There is no history of scientific research on chiropody. A necessary first step is a survey on professional practice, dia...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638289309165875
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更新日期:2012-01-01 00:00:00
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更新日期:2017-06-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2004-10-07 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2013-06-01 00:00:00
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更新日期:2005-02-04 00:00:00