目的:在一项足够有力的研究中,确认跟腱病(AT)的跑步者存在哪些损伤,并探讨AT严重程度的差异。
方法:病例对照研究。
方法:澳大利亚和西班牙的两家私人理疗诊所。
方法:44名休闲男性跑步者,AT和44名健康对照者按年龄匹配,高度,和重量。
方法:人口统计,活动(IPAQ-SF),疼痛和功能(VISA-A)跳跃过程中的疼痛(跳跃疼痛VAS),跳跃持续时间,心理因素(TSK-11,PASS20),以及有关下肢最大力量和耐力的物理测试。
结果:体重指数(BMI),活动,VISA-A,疼痛,和跳跃的持续时间,TSK-11,PASS20,站立鞋跟上升到失效,座椅后跟凸起和腿部延伸部6RM,不同的效应大小(V=0.22,d范围=0.05-4.18),组间髋关节伸展和外展等距扭矩差异显著(P<0.05)。46%的AT严重程度差异是由较高的BMI(β=-0.41;p=0.001)解释的,腿部卷曲较弱6RM(β=0.32;p=0.009),跳跃过程中疼痛更高(β=-0.43;p=0.001)。
结论:患有AT的跑步者的活动水平较低,较低的比目鱼力量,而且不那么高。BMI,跳跃时疼痛,和腿部卷曲力量解释了病情的严重程度。这些信息,用临床适用的工具确定,可以指导临床评估,并为干预发展提供信息。
OBJECTIVE: To confirm what impairments are present in runners with Achilles tendinopathy (AT) and explore the variance of AT severity in an adequately powered study.
METHODS: Case-control study.
METHODS: Two private physiotherapy clinics in Australia and Spain.
METHODS: Forty-four recreational male runners with AT and 44 healthy controls matched by age, height, and weight.
METHODS: Demographics, activity (IPAQ-SF), pain and function (VISA-A), pain during hopping (Hop pain VAS), hopping duration, psychological factors (TSK-11, PASS20), and physical tests regarding lower-limb maximal strength and endurance.
RESULTS: Body mass index (BMI), activity, VISA-A, pain, and duration of hopping, TSK-11, PASS20, standing heel raise to failure, seated heel raise and leg extension 6RM, hip extension and abduction isometric torque were significantly different between groups (P < 0.05) with varied effect sizes (V = 0.22, d range = 0.05-4.18). 46% of AT severity variance was explained by higher BMI (β = -0.41; p = 0.001), weaker leg curl 6RM (β = 0.32; p = 0.009), and higher pain during hopping (β = -0.43; p = 0.001).
CONCLUSIONS: Runners with AT had lower activity levels, lower soleus strength, and were less tall. BMI, pain during hopping, and leg curl strength explained condition severity. This information, identified with clinically applicable tools, may guide clinical assessment, and inform intervention development.