Article Text

other Versions

PDF
One-year follow-up of a randomised controlled trial on added splinting to eccentric exercises in chronic midportion Achilles tendinopathy
  1. S de Jonge1,
  2. R J de Vos2,
  3. H T M Van Schie2,
  4. J A N Verhaar2,
  5. A Weir1,
  6. J L Tol1
  1. 1Sports Medicine Department, The Hague Medical Centre, Leidschendam, The Netherlands
  2. 2Department of Orthopaedics, Erasmus Medical Centre, Rotterdam, The Netherlands
  1. Correspondence to Dr J L Tol, The Hague Medical Centre Antoniushove, Sports Medicine Department, PO Box 411, Burgemeester Banninglaan 1, 2260 AK Leidschendam, The Netherlands; h.tol{at}mchaaglanden.nl

Abstract

Objective The study examined whether the addition of a night splint to eccentric exercises is beneficial for functional outcome in chronic midportion Achilles tendinopathy.

Design One-year follow-up of a randomised controlled single blinded clinical trial.

Setting Sports medicine department in a general hospital.

Patients 58 patients (70 tendons) were included.

Interventions All patients completed a 12-week heavy load eccentric training programme. One group received a night splint in addition to eccentric exercises.

Main outcome measurements Outcome scores were: Victorian Institute of Sport Assessment—Achilles (VISAA) score, subjective patient satisfaction and neovascularisation score measured with power Doppler ultrasonography (PDU).

Results For both groups the VISA-A score increased significantly (from 50 to 76 (p<0.01) in the eccentric group and from 49 to 78 (p<0.01) in the night splint group). No significant differences in the VISA-A score were found between the groups from baseline to one year (p = 0.32). The presence of neovessels at baseline did not predict a change in the VISA-A score after one year in the whole group (p = 0.71).

Conclusion Eccentric exercises with or without a night splint improved functional outcome at one year follow-up. At follow-up there was no significant difference in clinical outcome when a night splint was used in addition to an eccentric exercise programme. Between 3 months and one year follow-up, a continuing increase in the VISA-A score was found. Assessment of the neovascularisation score with PDU at baseline has no prognostic value on long-term clinical outcome.

Statistics from Altmetric.com

Footnotes

  • Competing interests None.

  • Ethics approval The study protocol was approved by the Medical Ethics Committee of the hospital.

  • Patient consent Obtained.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.