Achilles stiffness, pain CPG Flashcards
What athletic population appears to be most affected by non-insertional Achilles tendonitis?
Runners
What age group and gender is most affected by non-insertional Achilles tendonitis?
Men > women, aged 30-50 most often
What other plantar flexor may contribute to development of non-insertional Achilles tendonitis?
Plantaris
What are the risk factors for development of non-insertional Achilles tendonitis? (9)
1) foot pronation
2) abnormal df
3) dec pf strength
4) male > female gender
5) age
6) obesity
7) HTN
8) hyperlipidemia
9) DM
What has greater evidence to support outcomes with non-insertional Achilles tendonitis: shock absorbing or rigid insoles?
Shock absorbing
Five factors are specific to the diagnosis of non-insertional Achilles tendonitis:
1) gradual onset of pain, inc mechanical stressor
2) pain 2-6 cm proximal to insertion
3) pain with palpation in midsubstance/mid portion tendon
4) + Royal London Hospital test
5) + arc sign
Does imaging of thickness, altered composition and neovascularization correlate with severity of sxs in non-insertional Achilles tendonitis?
No - conflicting evidence with imaged sxs and severity
What outcome measure is specific to non-insertional Achilles tendonitis, identifying pain and stiffness?
Victorian Institute of Sport Assessment - Achilles (VISA-A)
What two functional outcome measures are most reliable and responsive for non-insertional Achilles tendonitis?
LEFS
FAAM
List two functional outcomes when looking at non-insertional Achilles tendonitis:
1) single limb hop tests
2) heel raise endurance test
What are three components which are important in identifying physical impairments for non-insertional Achilles tendonitis?
1) df ROM
2) static arch hiehgt
3) pf strength (heel raises)
Are eccentric exercises found to be better for acute or chronic cases of non-insertional Achilles tendonitis?
Chronic - no research regarding acute at this time
Does stretching have any outcome on non-insertional Achilles tendonitis?
Yes - but weak evidence for positive outcome
Should those diagnosed with non-insertional Achilles tendonitis be advised to stop all recreational activities?
No - can continue recreational activities, but within pain tolerance (<5/10)
Are heel lifts recommended for non-insertional Achilles tendonitis?
No - not recommended by CPG
