Eccentric exercises for the management of tendinopathy of the main body of the Achilles tendon with or without an AirHeel Brace. A randomized controlled trial. B: Effects of compliance

Disability and Rehabilitation
Karsten KnoblochPeter M Vogt

Abstract

To evaluate microcirculatory variables in and around the Achilles tendon (AT) in patients undergoing a programme of daily eccentric training for the management of tendinopathy of the main body of the AT in non-compliant in contrast to compliant patients. A total of 116 patients with tendinopathy of the AT were enrolled for prospective eccentric training. Non-compliant patients were defined following drop-out due to less than 80% participation in the daily eccentric training regimen. Overall 12-week-compliance was 79% (92/116). The reasons for non-compliance were moving out of town (21%, 5/24), overwhelming pain (25%, 6/24), limited discipline (29%, 7/24), and surgery (17%, 4/24). Capillary blood flow, tendon and paratendon oxygen saturation as well as postcapillary venous filling pressures were not significantly different between compliant and non-compliant patients. Gender, age, BMI, non steroidal anti inflammatory drugs, corticosteroid medication and smoking habits were not significantly different. Only the use of oral contraceptives (non- vs. compliant: 54% vs. 10%, p = 0.0001) and walking/swimming (46% vs. 70%, p = 0.041) were significantly different. Pain level was reduced (5.6 +/- 1.9 to 2.9 +/- 1.2, p < 0.05) following e...Continue Reading

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