Objectives: Insertional Achilles tendinopathy is a common and disabling condition. This trial aimed to determine the feasibility of conducting a parallel group randomised trial to evaluate the efficacy of heel lifts compared to a sham intervention for reducing pain intensity associated with insertional Achilles tendinopathy.
Methods: Twenty-six people with insertional Achilles tendinopathy were randomised to either the heel lift group or sham intervention group. Outcome measures were obtained at baseline, 4, 8 and 12 weeks. The primary outcome was feasibility, evaluated according to demand (recruitment rate and conversion rate), acceptability, adherence, adverse events and retention. Limited efficacy testing was conducted on secondary outcome measures including pain intensity, function, physical activity, health-related quality of life, use of co-interventions and global rating of change.
Results: Between August 25, 2023, and April 7, 2024, we recruited and tested 26 participants (aged 28-65 years, mean [SD] 51 [8]). The pre-determined thresholds were met for demand, acceptability, adherence, retention, pain intensity, function, quality of life and global rating of change and partly met for adverse events, physical activity and use of co-interventions. Between 47 and 241, participants will be needed for a fully powered randomised trial.
Conclusion: In its current form, a randomised trial of heel lifts compared to a sham intervention is feasible. However, future triallists may need to consider strategies to manage the risk of adverse events and plan to adjust the analyses to account for the use of co-interventions.
Trial Registration: ACTRN12623000721606.
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http://dx.doi.org/10.1002/jfa2.70025 | DOI Listing |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658913 | PMC |
Clin Rehabil
December 2024
Department of Physiotherapy, School of Primary Health Care, Monash University, Frankston, Victoria, Australia.
Objectives: To investigate the efficacy of adding radial extracorporeal shockwave therapy or sham to exercise for people with insertional Achilles tendinopathy.
Design: A two-armed, parallel-group, explanatory, single-centre, randomised controlled trial within a superiority framework.
Setting: Private clinic.
J Foot Ankle Res
December 2024
Physiotherapy Department, School of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Science, Monash University, Melbourne, Victoria, Australia.
Objectives: Insertional Achilles tendinopathy is a common and disabling condition. This trial aimed to determine the feasibility of conducting a parallel group randomised trial to evaluate the efficacy of heel lifts compared to a sham intervention for reducing pain intensity associated with insertional Achilles tendinopathy.
Methods: Twenty-six people with insertional Achilles tendinopathy were randomised to either the heel lift group or sham intervention group.
Arch Orthop Trauma Surg
December 2024
Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center, Munich (MUM), University Hospital, LMU Munich, Munich, Germany.
Introduction: There is a clear roadmap for the treatment of primary insertional Achilles tendinopathy (IAT), but data on the outcome of revision surgery is missing. The current study aimed to analyze the outcome following revision surgery for surgically failed IAT.
Material And Methods: Included were patients with IAT revision surgery at a single reference center (01/2010-10/2016) and a follow-up of at least 12 months.
J Exp Orthop
October 2024
Bone, Joint and Related Tissue Research Center Shahid Beheshti University of Medical Sciences Tehran Iran.
Purpose: Multiligament knee injuries (MLKIs) involve various ligaments in the knee. Current double-bundle anatomical reconstructions of the medial collateral ligament (MCL) increase the level of technical complexity, often resulting in the establishment of numerous bone tunnels and different fixation points with additional hardware. To overcome these limitations, we proposed a novel minimally invasive nonanatomical MCL reconstruction with one tibial tunnel in the metaphysis using Achilles allograft in the MLKI setting.
View Article and Find Full Text PDFSkeletal Radiol
December 2024
Department of Radiology, Balgrist University Hospital, Faculty of Medicine, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.
Objectives: To assess calf muscle constitution in chronic Achilles tendon disease (ATD) using two-point Dixon-based MRI (2pt-MRI).
Materials And Methods: This retrospective study analyzed 91 patients (36 females; 57.0 ± 14.
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