The aim of this study is to measure the recovery following Achilles tendon rupture. The investigators will use an ultrasound scan to look at the Achilles tendon, they will complete calf strength tests and use questionnaires to measure how individuals are managing in everyday life. The investigators will take these measurements when participants first arrive to the Achilles tendon rupture clinic, after 8 weeks, 10 weeks, 4 months, 6 months and 1 year.
This study will measure the recovery of participants following Achilles tendon rupture. Measurements will be completed following Achilles tendon rupture, 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
60
Participants completing the research study will receive routine clinical care
University Hosptial of Leicester NHS Trust
Leicester, Leicester, United Kingdom
Change in Ultrasound Tissue Characterisation
Imaging of the Achilles Tendon
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
Change in Achilles Tendon Rupture Score
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
Change in Hospital Anxiety and Depression Scale
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
Change in EuroQol- 5 Dimension -5 Level (EQ5D)
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
Change in International Physical Activity Questionnaire
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 physical activity. Higher METs indicate higher levels of physical activity
Time frame: Week 0, week 8, week 10, 4 months, 6 months and 12 months
Change in Tampa Scale for Kinesiophobia
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
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Change in Pain Catastrophising Scale
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
Change in 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
Change in 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, week8, week 10, 4 months, 6 months and 12 months
Change in 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, week8, week 10, 4 months, 6 months and 12 months
Change in Activity Level
GENEactiv wrist based accelerometer measuring total steps, activity intensity 24 hours data capture for 7 days
Time frame: Week 0, week8, week 10, 4 months, 6 months and 12 months
Change in Sleep Duration
GENEactiv wrist based accelerometer measuring sleep duration for 7 days
Time frame: Week 0, week8, week 10, 4 months, 6 months and 12 months
Achilles Tendon Resting Angle
Measuring the resting angle of the achilles tendon
Time frame: 12 month