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recruitment difficulties (few patients meeting inclusion criteria, refusal of patients to stop sport activities during 6 weeks,...)
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The purpose of the study is to compare the treatment by wearing shoes inclined at kinesitherapy because it is the first treatment offered by primary care physicians in chronic Achilles tendinopathy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 8° incline shoe | Experimental | The shoe is inclined from front to back and from top to bottom of 8 °. This causes a controlled and an eccentric contraction during the passage. During the walk we will have: In support tardigrade : an ankle dorsiflexion with a stretching the Achilles tendon (eccentric contractions). In support digitigrade: plantar flexion of ankle with a muscle contraction of triceps surae (concentric contraction). |
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| kinesitherapy | Active Comparator | The patient performs its home therapy and consults his physiotherapist once a week according to the protocol Stanish |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 8° incline shoe | Device | Wearing inclined shoes for 6 weeks, walking 15 minutes (2 times/day). The shoe is inclined from front to back and from top to bottom of 8 °. This causes a controlled and an eccentric contraction during the passage. During the walk we will have: In support tardigrade : an ankle dorsiflexion with a stretching the Achilles tendon (eccentric contractions). In support digitigrade: plantar flexion of ankle with a muscle contraction of triceps surae (concentric contraction). |
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of the American Orthopaedic Foot and Ankle Score (AOFAS) | at Day 0 and 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of amplitude to the tibio-tarsal | at 12 weeks | |
| Pain Scores on the Visual Analog Scale | at 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bertrand Rousseau | Nantes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nantes | Nantes | France | ||||
| Nouvelles cliniques Nantaises |
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| ID | Term |
|---|---|
| D052256 | Tendinopathy |
| D002908 | Chronic Disease |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D013708 | Tendon Injuries |
| D014947 | Wounds and Injuries |
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| kinesitherapy | Other | Daily eccentric contraction at home and once per week for 6 weeks with the physiotherapist |
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| Nantes |
| France |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |