Achilles Tendon Rupture Clinical Trial
Official title:
The Achilles Tendon Length Measure (ATLM) - Development and Validation
The purpose of this study is 1) to develop and validate a new measurement to assess the length of the Achilles tendon after rupture, and 2) to examine if goniometer measurement of the ankle joint is a better method.
It has been shown that an Achilles tendon elongation compared to the un-injured leg is
negatively associated with the clinical outcome and strength of the gastrocnemius muscle.
Despite this knowledge, there is a lack of a valid score system that can measure the length
of the Achilles tendon in daily clinical practice. Patients, who follow a rehabilitation
program at the Department of Physiotherapy, also have their Achilles tendon examined for
lengthening by physiotherapists, to evaluate if the heeling progresses as planned. Of
concern, this examination is based on measures, which have not been thoroughly validated.
The ATLM test use the same test position of the lower limb as being used in Matles test.
Besides observing the foot's position, we will measure the distance from a point of reference
on the foot to the examination coach. Reproducibility and responsiveness of the ATLM will be
examined, while concurrent validity will be examined against ultrasound and a goniometry
measure. The ultrasound is considered the most precise, secure and objective measure.
The ATLM and goniometer measures will be conducted at 8 and 16 weeks after the injury. At 8
weeks there will be two physiotherapists conducting these measures (to investigate
inter-tester reliability). The ruler and goniometer will have the numbers hidden. A third
physiotherapist will read the results at 8 and 16 weeks, so that the physiotherapists will be
blinded towards the results. A person blinded to these results will conduct the ultrasound.
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