The Tendinopathy Blog
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Does your individual Achilles tendon structure influence Achilles tendon load?
The 3D geometry of the Achilles tendon is complex (essentially made up of tendons from the three calf muscles that are twisted together) and influences the strain that occurs in different components of the tendon. This is enabled by sliding that occurs between these subtendons. They can act independently to some extent. This team aimed to develop a mathematical model to test whether the geometry of the Achilles and different rehab exercises influence Achilles strain.
Exercise dose: Is it important for tendinopathy rehabilitation?
Exercise dose: Is it important for tendinopathy rehabilitation?
Monitoring Physical Activity Using Wearable Technology in People With Achilles Tendinopathy Undergoing Physiotherapy Treatment: A Feasibility Prospective Cohort Study
Monitoring Physical Activity Using Wearable Technology in People With Achilles Tendinopathy Undergoing Physiotherapy Treatment: A Feasibility Prospective Cohort Study
Adherence to exercise in musculoskeletal trials: current problems and how we can improve.
Exercise is a recommended treatment for many pain and musculoskeletal conditions, including tendinopathy. It is really clear in other areas such as exercise for general health (e.g., heart health) that the more exercise you do, the better. Things don’t really work in this linear way for pain. Pain is complex. Maybe doing more exercise will make our pain and musculoskeletal patients stronger and more functional, but why should it improve their pain?
Do psychological, cognitive, and contextual factors influence rehab outcomes in Achilles tendinopathy?
This week I talk about a feasibility cohort study which sought to determine whether a larger cohort study addressing this question would be feasible. Listen to hear some interesting preliminary findings.
Does high load and high strain exercise have any benefit for Achilles tendinopathy?
We have known for a while that type of exercise intervention (e.g. intensity, frequency, etc) does not seem to influence self reported outcomes such as pain. Maybe all the benefits from exercise are explained by non-specific effects, or maybe exercise has benefits that do not depend on the type of exercise.
Proximal Hamstring Tendinopathy - the forgotten tendinopathy
This week, I had an engaging conversation with Anthony Nasser, an up-and-coming researcher on tendinopathy who recently completed his PhD on proximal hamstring tendinopathy. Our discussion covered the reasons for the lack of research attention towards this condition, the current state of evidence, and insights from his doctoral studies. You can find the full conversation here.
How useful is palpation for diagnosis and assessment?
Palpation can be useful for the diagnosis and assessment of tendinopathy, but there are limits. This is because non-painful tendons can be tender, and tenderness in painful tendons seems to be very slow to get better.
Muscle and tendon tuning and implications for tendon rehabilitation
Interesting perspective paper from Arampatzis et al talking about how we should consider tuning of muscle tendon unit in terms of muscle strength and tendon stiffness when considering training for specific groups.
Assessing Achilles forces during common rehab exercises and habitual activities
This talking tendons episode will discuss a study by Igor Sancho, PhD, assessing Achilles forces during common rehab exercises and habitual activities and how this relates to reported pain among runners. Some interesting implications for practice.
Graded exposure in tendinopathy rehabilitation
In this episode, I am discussing kinesiophobia in the context of tendon rehab and how rehab can be conceptualised as graded exposure for some people.
Load test pain and kinesiophobia and how they interact in tendinopathy assessment
In this episode I talk about how load test pain assessment and how this can also be used to assess kinesiophobia and movement apprehension.
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