Pain and Function in the Runner a Ten (din) uous Link.

Clicks: 282
ID: 89726
2020
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #19 of 64 articles by views in Medicina (Kaunas, Lithuania)

Most read Least read

Bar heights use a square-root scale.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
A male runner (30 years old; 10-km time: 33 min, 46 sec) had been running with suspected insertional Achilles tendinopathy (AT) for ~2 years when the pain reached a threshold that prevented running. Diagnostic ultrasound (US), prior to a high-volume stripping injection, confirmed right-sided medial insertional AT. The athlete failed to respond to injection therapy and ceased running for a period of 5 weeks. At the beginning of this period, the runner completed the Victoria institute of sports assessment-Achilles questionnaire (VISA-A), the foot and ankle disability index (FADI), and FADI sport prior to undergoing an assessment of bi-lateral gastrocnemius medialis (GM) muscle architecture (muscle thickness (MT) and pennation angle (PA); US), muscle contractile properties (maximal muscle displacement (Dm) and contraction time (Tc); Tensiomyography (TMG)) and calf endurance (40 raises/min). VISA-A and FADI scores were 59%/100% and 102/136 respectively. Compared to the left leg, the right GM had a lower MT (1.60 cm vs. 1.74 cm), a similar PA (22.0° vs 21.0°), a lower Dm (1.2 mm vs 2.0 mm) and Tc (16.5 ms vs 17.7 ms). Calf endurance was higher in the right leg compared to the left (48 vs 43 raises). The athlete began a metronome-guided (15 BPM), 12-week progressive eccentric training protocol using a weighted vest (1.5 kg increments per week), while receiving six sessions of shockwave therapy concurrently (within 5 weeks). On returning to running, the athlete kept daily pain (Numeric Rating Scale; NRS) and running scores (miles*rate of perceived exertion (RPE)). Foot and ankle function improved according to scores recorded on the VISA-A (59% vs 97%) and FADI (102 vs 127/136). Improvements in MT (1.60 cm vs 1.76 cm) and PA (22.0° vs 24.8°) were recorded via US. Improvements in Dm (1.15 mm vs 1.69 mm) and Tc (16.5 ms vs 15.4 ms) were recorded via TMG. Calf endurance was lower in both legs and the asymmetry between legs remained (L: 31, R: 34). Pain intensity (mean weekly NRS scores) decreased between week 1 and week 12 (6.6 vs 2.9), while running scores increased (20 vs 38) during the same period. The program was maintained up to week 16 at which point mean weekly NRS was 2.2 and running score was 47.
Reference Key
francis2020painmedicina Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Francis, Peter;Thornley, Isobel;Jones, Ashley;Johnson, Mark I;
Journal Medicina (Kaunas, Lithuania)
Year 2020
DOI
E21
URL
https://www.mdpi.com/1010-660X/56/1/21
Keywords
pain management chronic pain tendon running achilles

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.