Do physical tests have a prognostic value in chronic midportion Achilles tendinopathy?

Review written by Dr Seth O’Neill info

Key Points

  1. People with high levels of pain on hopping x10 had worse clinical outcomes at follow up compared to people with low levels of pain on hopping x 10.
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BACKGROUND & OBJECTIVE

Lots of clinical tests are used to assess Achilles tendinopathy but the relationship to the patient’s trajectory (prognosis) has not really been examined. This area seems to have become a bit more interesting, and this is one of 2/3 recent studies on the subject.

The aim of this paper was to ascertain whether baseline physical tests have prognostic value on patient reported outcomes in patients with Achilles tendinopathy.

Lots of clinical tests are used to assess Achilles tendinopathy but the relationship to the patient’s prognosis has not really been examined.
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Pain on palpation and pain on 10 hops were useful prognostically.

METHODS

The study was a secondary analysis of 80 patients in a randomized controlled trial (1). In the main RCT there were two groups with an intervention, this was a high volume injection(10ml) (single timepoint) and the control intervention was a

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