A Randomized Controlled Trial on the Effect of Early Progressive Strength Exercise for Treatment of Acute Achilles Tendon Rupture. The Achilles Tendon Back-On-Track Study.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Achilles Tendon Rupture
- Sponsor
- Aalborg University Hospital
- Enrollment
- 82
- Locations
- 2
- Primary Endpoint
- Achilles tendon total rupture score ATRS
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The purpose of this trial is to investigate the efficacy of standard care versus standard care combined with an early progressive exercise program in improving the function of the tendon and leg muscles after non-surgical treated Achilles tendon rupture
Detailed Description
Acute Achilles tendon rupture often results in long-term muscular deficits. Patients struggle to return to work and sports with high load on the lower leg. Early functional rehabilitation has shown good results, but research on resistance exercise is scarce and the reporting of the specifics of the exercises are poor.
Investigators
Marianne Christensen
PT, PHD student
Aalborg University Hospital
Eligibility Criteria
Inclusion Criteria
- •Acute total Achilles tendon rupture treated non-surgically
- •Diagnosed within 3 days (of their injury)
- •Age 18 - 65, able and willing to participate in the intervention
- •Able to speak and understand Danish
Exclusion Criteria
- •Achilles tendon rupture close to insertion on calcaneus or in the musculo-tendinous junction of the triceps surae
- •Previous Achilles tendon rupture or other conditions in either leg causing lower leg disability (pain, deficits in strength or range of movement)
- •Treated with Fluoroquinolons or Corticosteroids within the last 6 months
- •Diabetes or rheumatic diseases
- •Severe medical illness: ASA score higher than or equal to
- •(ASA: American Society of Anesthesiologists physical status classification system)
Outcomes
Primary Outcomes
Achilles tendon total rupture score ATRS
Time Frame: 13 weeks
Validated patient reported outcome measure. It contains 10 questions about physical performance in an 11-point Likert scale from zero to ten.
Secondary Outcomes
- The fear of re-rupture(9, 13 and 52 weeks)
- Compliance(9 weeks)
- Achilles tendon resting angle (ATRA)(13 and 52 weeks)
- Adverse events(9, 13 and 52 weeks)
- International Physical Activity Questionnaire (IPAQ)(baseline, 13, 26 and 52 weeks)
- Achilles tendon length(9, 13 and 52 weeks)
- Isometric muscle strength(9, 13 and 52 weeks)
- Muscle endurance(13 and 52 weeks)
- Achilles tendon total rupture score ATRS(Baseline, 26 and 52 weeks)