This project will assess the clinical outcomes of individuals completing rehabilitation for their Achilles tendon rupture at the University Hospitals of Leicester. Patients attending the Achilles tendon rupture clinic or rehabilitation classes will be asked to complete ultrasound imaging, strength testing and questionnaires. This will provide an insight into the rehabilitation outcomes of a broad range of patients at each rehabilitation timepoint.
This study will measure the recovery of participants following Achilles tendon rupture. Measurements will capture individual participants at each rehabilitation time point following Achilles tendon rupture. These time points include following rupture (week 0), after 8 weeks, 10 weeks, 4 months, 6 months and 1 year. The measurements include an ultrasound tissue characterisation scan, isometric (static) strength test and heel raise test. In addition questionnaires will be completed by participants at each time point. Questionnaires include the Achilles Tendon Rupture Score, Hospital Anxiety and Depression Scale, EQ5D (a health related quality of life measure), International Physical Activity Questionnaire, Tampa Scale for Kinesiophobia and the Pain Catastrophising Scale.
Study Type
OBSERVATIONAL
Enrollment
90
All participants attending the Achilles Tendon Rupture clinic will receive usual clinical care
University Hosptial of Leicester NHS Trust
Leicester, Leicester, United Kingdom
Ultrasound Tissue Characterisation
Imaging of the Achilles Tendon
Time frame: Week 0
Ultrasound Tissue Characterisation
Imaging of the Achilles Tendon
Time frame: week 8
Ultrasound Tissue Characterisation
Imaging of the Achilles Tendon
Time frame: week 10
Ultrasound Tissue Characterisation
Imaging of the Achilles Tendon
Time frame: 4 months
Ultrasound Tissue Characterisation
Imaging of the Achilles Tendon
Time frame: 6 months
Ultrasound Tissue Characterisation
Imaging of the Achilles Tendon
Time frame: 12 months
Isometric plantarflexor strength testing
Isometric plantarflexor strength will be tested in plantargrade (neutral position) using the fysiometer.
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
Heel Raise Test
The heel raise test will measure the amount of heel raises and the work completed by the participant in joules.
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
Achilles Tendon Rupture Score (ATRS)
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Scores are between 0-100 with a higher score indicating less severe limitations
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
EuroQol- 5 Dimension - 5 Level (EQ-5D-5L)
An index score is produced which is calculated using the UK index score reference. The thermometer score is between 0-100 with a higher score indicating better perceived health
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
Tampa Scale of Kinesiophobia (TSK)
The total score of the scale range from 17- 68, where 17 means no kinesiophobia, 68 means severe kinesiophobia
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
Hospital Anxiety and Depression Scale (HADS)
The two domains (anxiety and depression) provide scores between 0-21 with a higher score indicating higher severity
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
International Physical Activity Questionnaire - Short Form (IPAQ-SF)
Results can be reported in categories (low activity levels, moderate activity levels or high activity levels) or MET minutes representing the amount of energy expended carrying out
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
Pain Catastrophizing Scale (PCS)
A total score is calculated from 0-54 with a higher score indicating higher pain catastrophising
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
36-Item Short Form Survey (SF-36)
SF-36 measures eight domains of health status: physical functioning (10 items); physical role limitations (four items); bodily pain (two items); general health perceptions (five items); energy/vitality (four items); social functioning (two items); emotional role limitations (three items) and mental health (five items). Higher scores indicate higher quality of life
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
Accelerometer
GENEactiv wrist based accelerometer measuring total steps, activity intensity. 24 hours data capture for 7 days
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
Accelerometer
GENEactiv wrist based accelerometer measuring sleep duration for 7 days
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months