Tendon loading in runners with Achilles tendinopathy: Relations to pain, structure, and function during return-to-sport.
Tendon loading in runners with Achilles tendinopathy: Relations to pain, structure, and function during return-to-sport.
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DOI：
10.1111/sms.14178
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发表时间：
2022-08
影响因子：
4.1
通讯作者：
Silbernagel, Karin Gravare
中科院分区：
文献类型：
--
作者：
Corrigan, Patrick;Hornsby, Samantha;Pohlig, Ryan T.;Willy, Richard W.;Cortes, Daniel H.;Silbernagel, Karin Gravare
我们的目的是（1）比较跟腱病运动员在不同肢体之间跑步时的疼痛、肌腱结构、下肢功能和跟腱负荷，（2）探索跑步时疼痛、肌腱结构和下肢功能与跟腱负荷的关系。二十名患有跟腱病的跑步者参加了这项试点研究。通过问卷调查、定量感觉测试和功能测试评估疼痛。超声成像、连续剪切波弹性成像和超声成像结合测力法评价肌腱形态和力学性能。下肢功能评估与建立测试电池。跟腱负荷是根据跑步过程中获得的生物力学数据估计的。与症状最少的肢体相比，症状最多的肢体在维多利亚体育评估研究所-阿基里斯问卷上的得分较低，并且在下落反向运动跳跃、跳跃和跑步期间疼痛更严重。肌腱的厚度和横截面积较大，杨氏模量，下降反向运动跳跃的高度，并在跳跃过程中的测量商最有症状的肢体较低。侧对侧的下降反向运动跳跃高度的差异显着相关的跟腱峰值力量和平均负荷率在运行过程中的侧对侧的差异。在恢复运动期间，跟腱病跑步者的肢体之间的疼痛、结构和功能的各种测量结果不同。然而，在舒适的跑步过程中，肌腱力在四肢之间没有差异。除了肢体之间不同的措施，措施的性能在下降反向运动跳跃可能有助于临床决策过程中返回到运动，因为它们与肌腱的力量，而运行。
We aimed to (1) compare pain, tendon structure, lower limb function, and Achilles tendon loads while running between limbs in runners with Achilles tendinopathy, and (2) explore the relations of pain, tendon structure, and lower limb function to Achilles tendon loads while running. Twenty runners with Achilles tendinopathy participated in this pilot study. Pain was assessed with questionnaires, quantitative sensory testing, and functional testing. Tendon morphology and mechanical properties were evaluated with ultrasound imaging, continuous shear wave elastography, and ultrasound imaging combined with dynamometry. Lower limb function was assessed with an established test battery. Achilles tendon loads were estimated from biomechanical data acquired during running. Compared to the least symptomatic limb, the most symptomatic limb had lower scores on the Victorian Institute of Sports Assessment – Achilles questionnaire and worse pain during drop countermovement jumping, hopping, and running. Tendon thickness and cross-sectional area were greater, and Young’s modulus, drop countermovement jump height, and plyometric quotient during hopping were lower on the most symptomatic limb. Side-to-side differences in drop countermovement jump height were significantly associated with side-to-side differences in Achilles tendon peak forces and average loading rates during running. Various measures of pain, structure, and function differ between limbs in runners with Achilles tendinopathy during return-to-sport. Tendon forces, however, do not differ between limbs during comfortable running. In addition to measures that differ between limbs, measures of performance during drop countermovement jumping may aid in clinical decision-making during return-to-sport because they are associated with tendon forces while running.
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影响因子：
4
作者：
Docking, Sean. I.;Rosengarten, Samuel D.;Cook, Jill
通讯作者：
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影响因子：
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影响因子：
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影响因子：
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