| One-year follow-up of a randomised controlled trial on added splinting to eccentric exercises in chronic midportion Achilles tendinopathy. | |
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MedLine Citation:
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PMID: 18838406 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: The study examined whether the addition of a night splint to eccentric exercises is beneficial for functional outcome in chronic midportion Achilles tendinopathy. DESIGN: One-year follow-up of a randomised controlled single blinded clinical trial. SETTING: Sports medicine department in a general hospital. PATIENTS: 58 patients (70 tendons) were included. INTERVENTIONS: All patients completed a 12-week heavy load eccentric training programme. One group received a night splint in addition to eccentric exercises. MAIN OUTCOME MEASUREMENTS: Outcome scores were: Victorian Institute of Sport Assessment-Achilles (VISAA) score, subjective patient satisfaction and neovascularisation score measured with power Doppler ultrasonography (PDU). RESULTS: For both groups the VISA-A score increased significantly (from 50 to 76 (p<0.01) in the eccentric group and from 49 to 78 (p<0.01) in the night splint group). No significant differences in the VISA-A score were found between the groups from baseline to one year (p = 0.32). The presence of neovessels at baseline did not predict a change in the VISA-A score after one year in the whole group (p = 0.71). CONCLUSION: Eccentric exercises with or without a night splint improved functional outcome at one year follow-up. At follow-up there was no significant difference in clinical outcome when a night splint was used in addition to an eccentric exercise programme. Between 3 months and one year follow-up, a continuing increase in the VISA-A score was found. Assessment of the neovascularisation score with PDU at baseline has no prognostic value on long-term clinical outcome. |
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Authors:
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S de Jonge; R J de Vos; H T M Van Schie; J A N Verhaar; A Weir; J L Tol |
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Publication Detail:
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Type: Journal Article Date: 2008-10-06 |
Journal Detail:
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Title: British journal of sports medicine Volume: 44 ISSN: 1473-0480 ISO Abbreviation: Br J Sports Med Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0432520 Medline TA: Br J Sports Med Country: England |
Other Details:
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Languages: eng Pagination: 673-7 Citation Subset: IM |
Affiliation:
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Sports Medicine Department, The Hague Medical Centre, Leidschendam, The Netherlands. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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