The Effect of Foot Positioning During a 12-week Supervised Training Program on Achilles Tendon Mechanics and Function in Individuals With Mid-portion Achilles Tendinopathy.
This study will investigate whether a 12-week load-based exercise program performed with an externally rotated foot position (toes-out) leads to different changes in intra-tendinous sliding, symptoms, and function compared to a standard exercise program performed with a neutral foot position in individuals with mid-portion Achilles tendinopathy. In addition, physical activity will be monitored during and after the intervention to examine how daily loading patterns relate to symptoms and functional recovery over a 6-month period.
⁃ PATIENTS WITH ACHILLES TENDINOPATHY:
• Voluntary written Informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures.
• Age between 18 and 65 years old
• BMI between 18.5-30
• Showing history of intermittent episodes of Achilles tendon pain lasting more than 3 consecutive weeks within the past 6 months.
• Presenting palpable focal thickening of the Achilles tendon.
• Having pain originating from the Achilles tendon on palpation of thickened tendon and on loading activities (such as running, jumping).
• Showing sonographic evidence of tendinopathy, i.e. focal thickening and hypoechocity, consistent with previously reported sonographic characteristics diagnosed of tendinopathy.