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Patients with acute Achilles tendon rupture will be tested for eligibility at the Karolinska University Hospital and Sjukhuset, Stockholm. The patients will be randomized to receive either plaster cast or direct post-operative functional mobilization with a weight-bearing orthosis with adjustable range of motion of the ankle. Tendon healing has been quantified by microdialysis at 2 weeks, and tendon repair estimates have been published at 2 weeks in the first portion of the study. When alpha was equal to 5%, it was determined that a sample size of 25 patients per group would be required to determine the glutamate difference with 80% power. In comparison to treatment-as-usual, i. e. , the primary objective of this short-term follow-up to this random, controlled trial was to determine the safety of EFM to reduce the DVT incidence after ATR surgery. The secondary aim of this study was to investigate the effect of patient intrinsic causes and patient extrinsic causes on the risk of developing a DVT. The second aim is to see if the occurrence of DVT postoperatively influences functional outcomes in the long-term following ATR's surgical repair. During the first six weeks post-surgical ATR reconstruction, the primary aim of the second part of this study was to determine the number of steps and the amount of loading in a weight bearing orthosis.
Source link: https://clinicaltrials.gov/ct2/show/NCT02318472
Short T2 is present in the human body and is present in a number of tissues with short T2 that are not or only poorly present on traditional T2-weighted MR sequences. This review will demonstrate that this sequence allows for the detection of SpA enthesopathy prior to conventional sequences and allows disease surveillance. For those reasons, ZTE 2 and UTE will be added to a routine macrocyclic gadolinium-injected MRI of 3 groups of patients.
Source link: https://clinicaltrials.gov/ct2/show/NCT03287596
Achilles tendinopathy is a debilitating condition that is common among athletes, particularly those involved in competitive sports. About 30% of all runners suffer Achilles tendinopathy with an annual incidence of 7-9%. About one-third of these patients will suffer with insertional Achilles tendinopathy. However, during ankle dorsiflexion, the Achilles tendon will also be exposed to compressive forces at the time of the insert. This RCT investigates whether a therapy in which tendon compression is restricted during a progressive tendon-loading rehabilitation program has improved results in terms of pain scores, availability, and structure of the Achilles tendon tendinopathy in athletes with inserting insertional Achilles tendinopathy. Patient education, heel inserts, and a modified exercise program will all contribute to tendon compression on the Achilles tendon insertion.
Source link: https://clinicaltrials.gov/ct2/show/NCT05456620
Home-based resistance training is just as effective as structured resistance training for treating chronic achilles tendinopathy.
Source link: https://clinicaltrials.gov/ct2/show/NCT04210999
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