Comparison of short term recovery in patients with midportion Achilles tendinopathy with varying degrees of kinesiophobia treated with the Silbernagel protocol: A prospective single cohort analysis

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2024-10-17 DOI:10.1016/j.ptsp.2024.10.004

Hayley Powell Smitheman , Shawn L. Hanlon , Mari Lundberg , Ryan T. Pohlig , Karin Grävare Silbernagel

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Abstract

Objective

To assess short term recovery between individuals with Achilles tendinopathy with varying degrees of kinesiophobia when treated with the Silbernagel protocol. Secondarily to investigate short term change in degree of kinesiophobia.

Design

Prospective single cohort analysis.

Setting

University/Clinical.

Participants

116 participants with midportion Achilles tendinopathy were grouped from their baseline Tampa Scale of Kinesiophobia (TSK) score: Low (≤33), Medium (34–41), and High (≥42).

Main outcome measures

Symptom severity, Achilles tendon structure, and function were assessed at baseline and 8-weeks following initiation of the Silbernagel protocol. Differences in recovery between TSK groups were analyzed.

Results

No group by time interactions were observed for symptoms, structure, or function. A significant interaction of group by time was observed for TSK score. The Medium (n = 66) and High (n = 28) TSK groups significantly decreased TSK score after 8 weeks by 2.4 and 4.4 points respectively while the Low TSK group (n = 22) did not change.

Conclusion

There were no differences in short term recovery of symptoms, Achilles tendon structure, and function in individuals with midportion Achilles tendinopathy treated with the Silbernagel protocol regardless of baseline degree of kinesiophobia. Those with moderate and high levels of kinesiophobia at baseline decreased TSK score in the short term.

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采用西尔伯纳格尔方案治疗患有不同程度运动障碍的跟腱中段病变患者的短期恢复情况比较：前瞻性单一队列分析。

目的评估不同程度的跟腱病变患者在接受西尔伯纳格尔方案治疗后的短期恢复情况。其次，研究运动恐惧程度的短期变化：设计：前瞻性单一队列分析：参与者116名患有跟腱中段病变的参与者根据他们的基线运动恐惧坦帕量表（TSK）得分进行分组：主要结果指标：症状严重程度、跟腱损伤程度、跟腱损伤程度、跟腱损伤程度、跟腱损伤程度、跟腱损伤程度、跟腱损伤程度、跟腱损伤程度、跟腱损伤程度、跟腱损伤程度、跟腱损伤程度：主要结果测量：症状严重程度、跟腱结构和功能分别在基线和开始实施西尔伯纳格尔方案 8 周后进行评估。对 TSK 组之间的恢复差异进行分析：结果：在症状、结构或功能方面没有观察到组间时间的交互作用。在 TSK 评分方面，观察到组别与时间之间存在明显的交互作用。8 周后，TSK 中度组（n = 66）和高度组（n = 28）的 TSK 得分分别显著下降了 2.4 分和 4.4 分，而 TSK 低度组（n = 22）则没有变化：结论：无论基线运动恐惧程度如何，采用西尔伯纳盖尔方案治疗中段跟腱病变的患者在症状、跟腱结构和功能的短期恢复方面没有差异。基线运动恐惧程度为中度和高度的患者，其 TSK 评分在短期内有所下降。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.