Comparison of short term recovery in patients with midportion Achilles tendinopathy with varying degrees of kinesiophobia treated with the Silbernagel protocol: A prospective single cohort analysis.

Autor: Smitheman HP; Department of Physical Therapy, University of Delaware, Newark, DE, USA., Hanlon SL; Department of Kinesiology, California State University Fullerton, Fullerton, CA, USA., Lundberg M; Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden; University of Gothenburg Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Pain in Motion (PAIN) Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium., Pohlig RT; Department of Physical Therapy, University of Delaware, Newark, DE, USA; University of Delaware, Biostatistic Core Faculty, Newark, DE, USA., Silbernagel KG; Department of Physical Therapy, University of Delaware, Newark, DE, USA. Electronic address: kgs@udel.edu.
Jazyk: angličtina
Zdroj: Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine [Phys Ther Sport] 2024 Nov; Vol. 70, pp. 101-109. Date of Electronic Publication: 2024 Oct 17.
DOI: 10.1016/j.ptsp.2024.10.004
Abstrakt: Objective: To assess short term recovery between individuals with Achilles tendinopathy with varying degrees of kinesiophobia when treated with the Silbernagel protocol. Secondarily to investigate short term change in degree of kinesiophobia.
Design: Prospective single cohort analysis.
Setting: University/Clinical.
Participants: 116 participants with midportion Achilles tendinopathy were grouped from their baseline Tampa Scale of Kinesiophobia (TSK) score: Low (≤33), Medium (34-41), and High (≥42).
Main Outcome Measures: Symptom severity, Achilles tendon structure, and function were assessed at baseline and 8-weeks following initiation of the Silbernagel protocol. Differences in recovery between TSK groups were analyzed.
Results: No group by time interactions were observed for symptoms, structure, or function. A significant interaction of group by time was observed for TSK score. The Medium (n = 66) and High (n = 28) TSK groups significantly decreased TSK score after 8 weeks by 2.4 and 4.4 points respectively while the Low TSK group (n = 22) did not change.
Conclusion: There were no differences in short term recovery of symptoms, Achilles tendon structure, and function in individuals with midportion Achilles tendinopathy treated with the Silbernagel protocol regardless of baseline degree of kinesiophobia. Those with moderate and high levels of kinesiophobia at baseline decreased TSK score in the short term.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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