One fifth of patients with Achilles tendinopathy have symptoms after 10 years

Autor: Iris F. Lagas, Johannes L. Tol, Adam Weir, Suzan de Jonge, Peter L.J. van Veldhoven, Sita M.A. Bierma-Zeinstra, Jan A.N. Verhaar, Robert-Jan de Vos
Přispěvatelé: Orthopedic Surgery and Sports Medicine, AMS - Musculoskeletal Health, AMS - Sports, Orthopedics and Sports Medicine, General Practice
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of sports sciences, 40(22), 2475-2483. Routledge
Journal of Sports Sciences, 40(22), 2475-2483. Routledge
ISSN: 1466-447X
0264-0414
DOI: 10.1080/02640414.2022.2163537
Popis: Patients with midportion Achilles tendinopathy (AT) are thought to experience a gradual symptomatic improvement over time. The aim of this study was to prospectively investigate if patients with midportion AT have symptoms at 10-year follow-up. Patients withmidportion AT were invited to complete an online questionnaire 10 years after inclusion in an intervention trial. The primary outcomewas the presence of AT symptoms. Secondary outcomes were: the Victorian Institute of Sports Assessment-Achilles tendinopathy (VISA-A, 0–100) score and sports activity level. Of the 54 patientsincluded, 43 (80%) completed the questionnaire at an average follow-up of 10.4 years. Persisting symptoms were reported by 19%. The mean (standard deviation-SD) VISA-A score improved from 52 (17) at baseline to 79 (21) at 10-years follow-up with a mean change of 27 points (95% confidence interval: 21; 35, p < 0.001). Of the 38 active patients, 16 (42%) returned to their pre-injury level sports,of whom 14 (37%) performed them pain free. One-fifth of patients with conservatively treated midportion AT still have symptoms after 10years. One-third of patients were able to perform sports pain-free atpre-injury level. Patients should be adequately counselled to giverealistic expectations. Trial registration number: clinicaltrials.gov (identifier: NCT00761423).
Databáze: OpenAIRE
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