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Influencing Factors of Acute Achilles Tendinopathy in Runners

NCT ID: NCT05677204

Last Updated: 2023-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

95 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-06-01

Study Completion Date

2023-12-31

Brief Summary

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Achilles tendinopathy is highly prevalent in runners, but its evolution is not easily predictable. The aim of this study is to evaluate the impact of clinical and social factors on the prognosis of acute (less than 3 months) Achilles tendinopathy in runners. Runners will be evaluated in person twice. At their first visit, data related to their training (frequency, intensity, …), their running pattern (cadence, foot contact angle) and shoes (minimalist index) will be collected. Moreover, an ultrasound evaluation of Achilles tendon will be performed. At one, two and three months after their initial evaluation, participants will receive a link to complete an online survey about their pain. Three months after their initial evaluation, a second ultrasound of Achilles tendon will be performed.

Detailed Description

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At their first visit, participants will read and sign the consent form. They will then fill self-report questionnaires about their pain (using the Victorian Institute of Sport Assessment for Achilles tendinopathy score and visual analog scale) and its impact on their activities, and they will be questioned on their training habits. Then, participants will be asked to run on a treadmill for five minutes at a comfortable speed. During the run, video will be recorded to evaluate to cadence and the foot contact angle. Finally, an ultrasound of Achilles tendon will be performed to evaluate thickness, area, echogenicity and inflammation of the tendon. All the images will be revised by a physician qualified in diagnostic ultrasound and the tendinopathy will be graded according to Matthew and al. model.

One, two and three months after their initial visit, participants will receive a questionnaire by email to quantify their pain. Moreover, three months after their initial visit, participants will come back in person to the laboratory. Information about their pain, training and treatment will be collected and a second ultrasound analysis will be performed.

Statistical analysis: Baseline data will be compared using independent t-test or a Mann-Whitney U test. Significant variables in the univariate analysis will be considered as potential predictor variables. Logistic analysis regression will then be performed to identify predictive factors for pain chronicity.

Conditions

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Achilles Tendinopathy

Keywords

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Runners Acute Prognosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Acute Achilles tendinopathy

No intervention will be given

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Have Achilles tendon pain for less than three months
* Run at least five kilometers per week
* Have a score on the Victorian Institute of Sports Assessment of Achilles tendinopathy of 80 or less
* Consent to the study

Exclusion Criteria

* History of Achilles tendon surgery or rupture
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Laval University

OTHER

Sponsor Role lead

Responsible Party

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Jean-Sébastien Roy

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS)

Québec, Quebec, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Jean-Sebastien Roy, PT,PhD

Role: CONTACT

Phone: 1-418-529-9141

Email: [email protected]

Marie-Helene Lavallee-Bourget

Role: CONTACT

Phone: 1-418 265-1721

Email: [email protected]

Facility Contacts

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Jean-Sébastien Roy, PT, PhD

Role: primary

References

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Altman AR, Davis IS. A kinematic method for footstrike pattern detection in barefoot and shod runners. Gait Posture. 2012 Feb;35(2):298-300. doi: 10.1016/j.gaitpost.2011.09.104. Epub 2011 Nov 8.

Reference Type BACKGROUND
PMID: 22075193 (View on PubMed)

Esculier JF, Dubois B, Dionne CE, Leblond J, Roy JS. A consensus definition and rating scale for minimalist shoes. J Foot Ankle Res. 2015 Aug 19;8:42. doi: 10.1186/s13047-015-0094-5. eCollection 2015.

Reference Type BACKGROUND
PMID: 26300981 (View on PubMed)

Matthews W, Ellis R, Furness JW, Rathbone E, Hing W. Staging achilles tendinopathy using ultrasound imaging: the development and investigation of a new ultrasound imaging criteria based on the continuum model of tendon pathology. BMJ Open Sport Exerc Med. 2020 Mar 25;6(1):e000699. doi: 10.1136/bmjsem-2019-000699. eCollection 2020.

Reference Type BACKGROUND
PMID: 32341798 (View on PubMed)

Other Identifiers

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2021-2162, _RIS

Identifier Type: -

Identifier Source: org_study_id