Tendon structure's lack of relation to clinical outcome after eccentric exercises in chronic midportion Achilles tendinopathy

Journal of Sport Rehabilitation

Volumn 21, Issue 1, 2012, Pages 34-43

  de Vos, Robert J ^a   Heijboer, Marinus P ^a   Weinans, Harrie ^a   Verhaar, Jan A N ^a   van Schie, Hans T M ^a  

^a ERASMUS MEDICAL CENTER   (Netherlands)

Author keywords

Tendon degeneration; Ultrasonographic tissue characterization; Ultrasonography

Indexed keywords

EID: 84857473513     PISSN: 10566716     EISSN: 15433072     Source Type: Journal    
DOI: 10.1123/jsr.21.1.34     Document Type: Article

References (31)

1. Maffulli N, Wong J, Almekinders LC. Types and epidemiology of tendinopathy. Clin Sports Med. 2003;22(4):675-692.
2. Alfredson H. Chronic midportion Achilles tendinopathy: an update on research and treatment. Clin Sports Med. 2003;22(4):727-741.
3. Bleakney RR, White LM. Imaging of the Achilles tendon. Foot Ankle Clin. 2005;10(2):239-254.
4. van Schie HT, de Vos RJ, de Jonge S, et al. Ultrasonographic tissue characterisation of human Achilles tendons: quantification of tendon structure through a novel noninvasive approach. Br J Sports Med. 2010;44:1153-1159. PMID: 19666626.
5. van Schie HT, Bakker EM, Jonker AM, van Weeren PR. Computerized ultrasonographic tissue characterization of equine superficial digital flexor tendons by means of stability quantification of echo patterns in contiguous transverse ultrasonographic images. Am J Vet Res. 2003;64(3):366-375.
6. Alfredson H, Pietila T, Jonsson P, Lorentzon R. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med. 1998;26(3):360-366.
7. Mafi N, Lorentzon R, Alfredson H. Superior short-term results with eccentric calf muscle training compared to concentric training in a randomized prospective multicentre study on patients with chronic Achilles tendinosis. Knee Surg Sports Traumatol Arthrosc. 2001;9(1):42-47.
8. Fahlström M, Jonsson P, Lorentzon R, Alfredson H. Chronic Achilles tendon pain treated with eccentric calfmuscle training. Knee Surg Sports Traumatol Arthrosc. 2003;11(5):327-333.
9. Roos EM, Engstrom M, Lagerquist A, Söderberg B. Clinical improvement after 6 weeks of eccentric exercise in patients with mid-portion Achilles tendinopathy-a randomised trial with 1-year follow-up. Scand J Med Sci Sports. 2004;14(5):286-295.
10. de Vos RJ, Weir A, Visser RJ, de Winter TC, Tol JL. The additional value of a night splint to eccentric exercises in chronic midportion Achilles tendinopathy: a randomised controlled trial. Br J Sports Med. 2007;41(7):e5.
11. Sayana MK, Maffulli N. Eccentric calf muscle training in non-athletic patients with Achilles tendinopathy. J Sci Med Sport. 2007;10(1):52-58.
12. Langberg H, Rosendal L, Kjaer M. Training-induced changes in peritendinous type I collagen turnover determined by microdialysis in humans. J Physiol. 2001;534(Pt 1):297-302.
13. Archambault JM, Wiley JP, Bray RC, Verhoef M, Wiseman DA, Elliott PD. Can sonography predict the outcome in patients with achillodynia? J Clin Ultrasound. 1998;26(7):335-339.
14. Khan KM, Forster BB, Robinson J, et al. Are ultrasound and magnetic resonance imaging of value in assessment of Achilles tendon disorders? a two year prospective study. Br J Sports Med. 2003;37(2):149-153.
15. Halasi T, Kynsburg A, Tállay A, Berkes I. Development of a new activity score for the evaluation of ankle instability. Am J Sports Med. 2004;32(4):899-908.
16. Robinson JM, Cook JL, Purdam C, et al. The VISA-A questionnaire: a valid and reliable index of the clinical severity of Achilles tendinopathy. Br J Sports Med. 2001;35(5):335-341.
17. Khan KM, Cook JL, Kiss ZS, et al. Patellar tendon ultrasonography and jumper's knee in elite female basketball players: a longitudinal study. Clin J Sport Med. 1997;7(3):199-206.
18. Cook JL, Khan KM, Kiss ZS, Purdam CR, Griffiths L. Prospective imaging study of asymptomatic patellar tendinopathy in elite junior basketball players. J Ultrasound Med. 2000;19(7):473-479.
19. Cook JL, Khan KM, Kiss ZS, Coleman BD, Griffiths L. Asymptomatic hypoechoic regions on patellar tendon ultrasound: a 4-year clinical and ultrasound follow-up of 46 tendons. Scand J Med Sci Sports. 2001;11(6):321-327.
20. Öhberg L, Lorentzon R, Alfredson H. Eccentric training in patients with chronic Achilles tendinosis: normalised tendon structure and decreased thickness at follow up. Br J Sports Med. 2004;38(1):8-11.
21. Khan KM, Cook JL, Maffulli N, Kannus P. Where is the pain coming from in tendinopathy? it may be biochemical, not only structural, in origin. Br J Sports Med. 2000;34(2):81-83.
22. Fredberg U, Stengaard-Pedersen K. Chronic tendinopathy tissue pathology, pain mechanisms, and aetiology with a special focus on inflammation. Scand J Med Sci Sports. 2008;18(1):3-15.
23. Fredberg U, Bolvig L. Significance of ultrasonographically detected asymptomatic tendinosis in the patellar and Achilles tendons of elite soccer players: a longitudinal study. Am J Sports Med. 2002;30(4):488-491.
24. van Schie HT, Bakker EM, Cherdchutham W, Jonker AM, van de Lest CH, van Weeren PR. Monitoring of the repair process of surgically created partial lesions in equine superficial digital flexor tendons by means of computerized ultrasonography. Am J Vet Res. 2009;70(1):37-48.
25. van Schie HT. Ultrasonographic Tissue Characterisation of Equine Superficial Digital Flexor Tendons; Development and Applications of Computer-Aided Image Analysis [thesis]. Utrecht, the Netherlands, Utrecht University, 2004.
26. Öhberg L, Alfredson H. Effects on neovascularization behind the good results with eccentric training in chronic mid-portion Achilles tendinosis? Knee Surg Sports Traumatol Arthrosc. 2004;12(5):465-470.
27. Langberg H, Ellingsgaard H, Madsen T, et al. Eccentric rehabilitation exercise increases peritendinous type I collagen synthesis in humans with Achilles tendinosis. Scand J Med Sci Sports. 2007;17(1):61-66.
28. de Jonge S, de Vos RJ, van Schie HT, Verhaar JA, Weir A, Tol JL. One-year follow-up of a randomised controlled trial on added splinting to eccentric exercises in chronic midportion Achilles tendinopathy. Br J Sports Med. 2010;44(9):673-677.
29. Brown R, Orchard J, Kinchington M, Hooper A, Nalder G. Aprotinin in the management of Achilles tendinopathy: a randomised controlled trial. Br J Sports Med. 2006;40:275-279.
30. Gibbon WW, Cooper JR, Radcliffe GS. Distribution of sonographically detected tendon abnormalities in patients with a clinical diagnosis of chronic Achilles tendinosis. J Clin Ultrasound. 2000;28(2):61-66.
31. O'Brien M. The anatomy of the Achilles tendon. Foot Ankle Clin. 2005;10(2):225-238.