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Impact of Achilles Tendon Ruptures: Cross-Sectional Analysis

Not yet recruiting
Conditions
Achilles Tendon Rupture
Registration Number
NCT05676632
Lead Sponsor
University of Leicester
Brief Summary

This project will assess the clinical outcomes of individuals completing rehabilitation for their Achilles tendon rupture at the University Hospitals of Leicester. Patients attending the Achilles tendon rupture clinic or rehabilitation classes will be asked to complete ultrasound imaging, strength testing and questionnaires. This will provide an insight into the rehabilitation outcomes of a broad range of patients at each rehabilitation timepoint.

Detailed Description

This study will measure the recovery of participants following Achilles tendon rupture. Measurements will capture individual participants at each rehabilitation time point following Achilles tendon rupture. These time points include following rupture (week 0), after 8 weeks, 10 weeks, 4 months, 6 months and 1 year. The measurements include an ultrasound tissue characterisation scan, isometric (static) strength test and heel raise test. In addition questionnaires will be completed by participants at each time point. Questionnaires include the Achilles Tendon Rupture Score, Hospital Anxiety and Depression Scale, EQ5D (a health related quality of life measure), International Physical Activity Questionnaire, Tampa Scale for Kinesiophobia and the Pain Catastrophising Scale.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
90
Inclusion Criteria
  • Able to provide informed consent
  • 16 years of age or above
Exclusion Criteria
  • Inability to provide informed consent due to cognitive impairment
  • Inability to provide informed consent as unable to understand sufficient English

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Ultrasound Tissue Characterisation12 months

Imaging of the Achilles Tendon

Secondary Outcome Measures
NameTimeMethod
Isometric plantarflexor strength testingWeek 0, week 8, week 10, 4 months, 6 months and 12 months

Isometric plantarflexor strength will be tested in plantargrade (neutral position) using the fysiometer.

Achilles Tendon Rupture Score (ATRS)Week 0, week 8, week 10, 4 months, 6 months and 12 months

Scores are between 0-100 with a higher score indicating less severe limitations

International Physical Activity Questionnaire - Short Form (IPAQ-SF)Week 0, week 8, week 10, 4 months, 6 months and 12 months

Results can be reported in categories (low activity levels, moderate activity levels or high activity levels) or MET minutes representing the amount of energy expended carrying out

36-Item Short Form Survey (SF-36)Week 0, week 8, week 10, 4 months, 6 months and 12 months

SF-36 measures eight domains of health status: physical functioning (10 items); physical role limitations (four items); bodily pain (two items); general health perceptions (five items); energy/vitality (four items); social functioning (two items); emotional role limitations (three items) and mental health (five items). Higher scores indicate higher quality of life

Heel Raise TestWeek 0, week 8, week 10, 4 months, 6 months and 12 months

The heel raise test will measure the amount of heel raises and the work completed by the participant in joules.

EuroQol- 5 Dimension - 5 Level (EQ-5D-5L)Week 0, week 8, week 10, 4 months, 6 months and 12 months

An index score is produced which is calculated using the UK index score reference. The thermometer score is between 0-100 with a higher score indicating better perceived health

Tampa Scale of Kinesiophobia (TSK)Week 0, week 8, week 10, 4 months, 6 months and 12 months

The total score of the scale range from 17- 68, where 17 means no kinesiophobia, 68 means severe kinesiophobia

Pain Catastrophizing Scale (PCS)Week 0, week 8, week 10, 4 months, 6 months and 12 months

A total score is calculated from 0-54 with a higher score indicating higher pain catastrophising

Hospital Anxiety and Depression Scale (HADS)Week 0, week 8, week 10, 4 months, 6 months and 12 months

The two domains (anxiety and depression) provide scores between 0-21 with a higher score indicating higher severity

AccelerometerWeek 0, week 8, week 10, 4 months, 6 months and 12 months

GENEactiv wrist based accelerometer measuring sleep duration for 7 days

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