The purpose of this randomized controlled trial is to use Shear Wave Elastography (SWE) to assess Achilles tendinopathy and the effectiveness of Blood Flow Restriction (BFR) training in patients with Achilles tendinopathy as measured by Numeric Pain Rating Scale, functional self-report, and objective functional measures. SWE will be utilized to objectively quantify tendon properties and BFR training and eccentric exercise will be utilized to treat Achilles tendinopathy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
16
Delfi Personalized Tourniquet System occludes 80% venous pressure during lower extremity exercise.
Delfi Personalized Tourniquet System occlude 20 mmHG venous pressure during lower extremity exercise as a sham treatment.
Subjects perform eccentric calf lowering off a step for 90 repetitions twice daily.
Womack Army Medical Center
Fort Bragg, North Carolina, United States
Shear Wave Elastography velocity
Difference between involved and uninvolved Achilles tendon
Time frame: At baseline.
VISA-A
Change in subjective self-report of Achilles function
Time frame: From baseline to 24 weeks
Triple hop test
Distance in length of 3 consecutive hops on one foot
Time frame: At baseline, then at 3 weeks, 6 weeks, 9 weeks, and 12 weeks.
SL Calf Raise Endurance
Number of single leg calf raises to failure
Time frame: At baseline, then at 3 weeks, 6 weeks, 9 weeks, and 12 weeks.
SL Jump Height
Distance in height of single leg jump
Time frame: At baseline, then at 3 weeks, 6 weeks, 9 weeks, and 12 weeks.
Thigh Circumference
circumferential measurement of thigh
Time frame: At baseline, then at 3 weeks, 6 weeks, 9 weeks, and 12 weeks.
Calf Circumference
circumferential measurement of calf
Time frame: At baseline, then at 3 weeks, 6 weeks, 9 weeks, and 12 weeks.
Numerical Pain Rating Scale
Pain level on a 0 to 10 scale
Time frame: At baseline, then at 3 weeks, 6 weeks, 9 weeks, 12 weeks and 24 weeks.
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Global Rating of Change
15 point Likert scale from -7 to +7
Time frame: At 3 weeks, 6 weeks, 9 weeks, 12 weeks and 24 weeks.
Shear Wave Elastography velocity
Change in shear wave elastography of symptomatic Achilles tendon over time.
Time frame: Baseline, at 3 weeks, 6 weeks, 9 weeks, 12 weeks.