A Comparison of Endoscopic Surgery and Exercise Therapy in Patients With Longstanding Achilles Tendinopathy
- Conditions
- Tendinopathy
- Interventions
- Procedure: endoscopic surgeryBehavioral: physiotherapy and exercise
- Registration Number
- NCT03025412
- Lead Sponsor
- Norwegian University of Science and Technology
- Brief Summary
Exercise is a preferred treatment modality for mid-portion achilles tendinopathy. Despite this, as many as 44 % of achilles tendinopathy patients do not respond to exercise treatment.
Surgery for midportion achilles tendinopathy has for many years been done as an open procedure. New knowledge resulted in a variety of minimally invasive procedures and the development of endoscopic surgery.
In this study, the effect of non-open surgery and conservative treatment (physiotherapy and exercises) will be compared.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 10
- diagnosis of mid-portion achilles tendinopathy
- pain during at least 3 months
- decreased function (a score less than 80 on VISA-A)
- Physiotherapy during previous three months
- history of major achilles trauma
- cardiovascular, respiratory, systemic, or metabolic conditions limiting exercise tolerance
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Endoscopic surgery endoscopic surgery Ambulatory surgery. Postoperative rehabilitation. From week 6 postoperative the patients start the same exercise regimen as the conservative treatment group. Conservative treatment physiotherapy and exercise Physiotherapy and exercise. First physiotherapy consultation: Information, advice, instructions. Exercise regime during 12 weeks in three phases. Endoscopic surgery physiotherapy and exercise Ambulatory surgery. Postoperative rehabilitation. From week 6 postoperative the patients start the same exercise regimen as the conservative treatment group.
- Primary Outcome Measures
Name Time Method pain using The Victorian Institute of Sports Assessment - Achilles questionnaire (VISA-A) 6 months after 12 week exercising pain using The Victorian Institute of Sports Assessment - Achilles 3 months (immediately following 12 week exercising)
- Secondary Outcome Measures
Name Time Method pain using a numeric rating scale (NRS) 6 months after 12 week exercising Tampa Scale of Kinesiophobia [TSK] 6 months after 12 week exercising Hospital Anxiety and Depression Scale (HAD) 6 months after 12 week exercising Time-to-exhaustion 6 months after 12 week exercising A time-to-exhaustion test will be performed by the participants, with the same movement as described for the 1RM-test. If there is bilateral pain, the most painful side will be tested. The plantar flexion movement will be performed with a frequency of 0.5 Hz, starting with a load of 5 kg. Each minute additional 5 kg will be added until exhaustion is achieved or pain exceeds 5 on a VAS-scale. This is a common test in studies where one wish to assess aerobic endurance capacity.
Patient-clinician therapeutic relationship 6 months after 12 week exercising assessed by Scale To Assess Therapeutic Relationships in Community Mental Health Care (STAR)
Maximal strength (one repetition maximum, 1RM) 6 months after 12 week exercising Measures of maximal strength will be conducted in the following manner; participants do a warm up routine where they perform 8-15 repetitions with a comfortable load. This is performed in a leg-press machine. The load is gradually increased, and the participant performs the exercise once per attempt. 3 minutes break are given in between each attempt. The heaviest load the participants manages to lift is their 1RM, and is planned to be achieved within 3-6 attempts.
Physical activity level 6 months follow-up after rehabilitation measured by accelerometer
Trial Locations
- Locations (1)
Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences
🇳🇴Trondheim, Norway