An interventional study of Rehabilitation (physiotheraphy) in Achilles Tendon Rupture, sponsored by Bispebjerg Hospital. Completed at 1 site in Denmark. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2023-02-10.
Sponsored by Bispebjerg Hospital · Not applicable, Interventional, and Treatment
The purpose of the study is to investigate if delayed loading following surgical treated Achilles tendon rupture influence the clinical outcome and muscle and tendon structure after one year.
The investigators hypothesize that delaying the gradual introduction of loading in the initial 26 weeks may reduce the heel-rise deficit (primary outcome) and thus improve the clinical outcome one year after surgery (primary endpoint).
557 studies on the registry are indexed under Rupture; 97 are open to participants now.
This study's enrollment of 48 is below the median of 72 across 334 interventional studies indexed under Rupture.
Browse Rupture studies →Bispebjerg Hospital is the lead sponsor of 281 studies on the registry; 29 are open to participants now.
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Exclusion Criteria:
This constitutes the currently accepted regime and is therefore considered the control group. Cast/orthopedic boot for 6 weeks No weight bearing: week 0-2 Partiel weightbearing from week 3 Full weightbearing from week 7 ROM exercises 5 times a day from week 3
Other: Rehabilitation (physiotheraphy)
Loading of the Achilles tendon is delayed for 6 weeks. Cast/orthopedic boot for 12 weeks No weight bearing: week 0-6 Partiel weightbearing from week 7 Full weightbearing from week 13 ROM exercises 5 times a day from week 3
Other: Rehabilitation (physiotheraphy)
Time of loading, range of motion exercises, strength training
Heel-rise test
Heel-rise height deficit on the injured side relative to the uninjured side
Time frame: One-year follow-up
Tendon length and cross-sectional area
MRI will be used to measure free tendon length, tendon cross-sectional area and tendon length up to the gastrocnemius insertion.
Time frame: 1 week, 3 months, 6 months and 1 year
The Achilles tendon rupture score (ATRS)
The Achilles tendon rupture score questionnaire is a patient-reported outcome with a possible score from 1-100, where higher scores mean a better outcome.
Time frame: Recall before injury and 1 year
Muscle fascicle length and doppler activity in the tendon
Muscle fascicle length and doppler activity in the tendon will be measured with ultrasonography
Time frame: 2 weeks, 3 months, 6 months and 1 year
Isokinetic plantar flexion muscle strength
The Biodex is used to obtain isokinetic plantar flexion muscle strength during maximal contractions.
Time frame: 1 year
Physical activity level
A questionnaire is used to measure the physical activity level (including type of activity) of the participants.
Time frame: Recall before injury and 1 year
Heel-rise work
An instrumented heel-rise test will be conducted to measure work capacity
Time frame: 6 months and 1 year
The Achilles tendon resting angle (ATRA)
Achilles tendon resting angle will be measured using a standard goniometer. Measurements will be obtained with the knee flexed and extended.
Time frame: 2 weeks, 3 months, 6 months and 1 year
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Plan to share: No
This study is completed, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.
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Bispebjerg Hospital