Igor Sancho1, Dylan Morrissey2, Richard W Willy3, Christian Barton4, Peter Malliaras5. 1. Sports and Exercise Medicine. Queen Mary University of London, London, UK. Electronic address: i.sanchoamundarain@qmul.ac.uk. 2. Sports and Exercise Medicine. Queen Mary University of London, London, UK; Physiotherapy Department, Barts Health NHS Trust, London, UK. Electronic address: d.morrissey@qmul.ac.uk. 3. School of Physical Therapy and Rehabilitation Sciences, University of Montana, Missoula, MT, USA. Electronic address: richard.willy@mso.umt.edu. 4. Sports and Exercise Medicine. Queen Mary University of London, London, UK; La Trobe Sport and Exercise Medicine Research Centre. College of Science, Health and Engineering, Australia; Department of Surgery, St Vincent's Hospital, University of Melbourne, Australia. Electronic address: c.barton@latrobe.edu.au. 5. Sports and Exercise Medicine. Queen Mary University of London, London, UK; Department of Physiotherapy, Monash University, Australia. Electronic address: peter.malliaras@monash.edu.
Abstract
OBJECTIVES: To examine the feasibility of recommended education and exercise supplemented by a hopping intervention implemented based on self-reported pain over 12 weeks for recreational runners with Achilles tendinopathy. DESIGN: Single cohort feasibility study. SETTING: One private physiotherapy clinic in Melbourne, Australia. PARTICIPANTS: Fifteen male recreational runners with midportion Achilles tendinopathy. MAIN OUTCOME MEASURES: Recruitment and adherence measures, adverse events, intervention acceptability and treatment effect trends were measured at baseline, 4 and 12 weeks. RESULTS: Recruitment (100%), retention (87%) and follow-up (93%) rates were high. Exercise adherence was 70% (SD = 12.7) but fidelity was 50% (SD = 13.9). Three participants suffered adverse events (undertaking activities contrary to advice). Participants reported the education package, perceived benefit, and feedback frequency as intervention enablers; while the onerous time commitment was regarded a barrier. At 12 weeks, five participants were satisfied and eight very satisfied, while VISA-A had improved 24 ± 20.65 points (μ2 = 0.740). CONCLUSIONS: A randomised control trial including recommended education and exercise with a pain-guided hopping intervention as treatment for recreational runners with midportion Achilles tendinopathy may be warranted, once strategies to improve adherence and reduce adverse events are addressed.
OBJECTIVES: To examine the feasibility of recommended education and exercise supplemented by a hopping intervention implemented based on self-reported pain over 12 weeks for recreational runners with Achilles tendinopathy. DESIGN: Single cohort feasibility study. SETTING: One private physiotherapy clinic in Melbourne, Australia. PARTICIPANTS: Fifteen male recreational runners with midportion Achilles tendinopathy. MAIN OUTCOME MEASURES: Recruitment and adherence measures, adverse events, intervention acceptability and treatment effect trends were measured at baseline, 4 and 12 weeks. RESULTS: Recruitment (100%), retention (87%) and follow-up (93%) rates were high. Exercise adherence was 70% (SD = 12.7) but fidelity was 50% (SD = 13.9). Three participants suffered adverse events (undertaking activities contrary to advice). Participants reported the education package, perceived benefit, and feedback frequency as intervention enablers; while the onerous time commitment was regarded a barrier. At 12 weeks, five participants were satisfied and eight very satisfied, while VISA-A had improved 24 ± 20.65 points (μ2 = 0.740). CONCLUSIONS: A randomised control trial including recommended education and exercise with a pain-guided hopping intervention as treatment for recreational runners with midportion Achilles tendinopathy may be warranted, once strategies to improve adherence and reduce adverse events are addressed.
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