Examinando por Autor "Malliaras, Peter"

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    Exercise parameters to consider for Achilles tendinopathy: a modified Delphi study with international experts
    (BMJ Publishing Group, 2025-08-28) Demangeot, Yoann; O'Neill, Seth; Degache, Francis; Rapin, Amandine; Asgher, Umer; Alfredson, Hakan; Chester, Rachel; Chimenti, Ruth L.; Vos, Robert-Jan de; Escriche Escuder, Adrián ; Farnqvist, Kenneth; Habets, Bas; Maffulli, Nicola; Magnusson, Stig Peter; Malliaras, Peter; Murphy, Myles C.; Purdam, Craig R.; Rees, Jonathan D.; Rio, Ebonie K.; Sancho Amundarain, Igor; Scott, Alex; Grävare Silbernagel, Karin; Gremeaux, Vincent; Boyer, François C.; Taiar, Redha
    To assess the level of agreement among experts on the heel raise exercise parameters that influence midportion and insertional Achilles tendinopathy (AT) rehabilitation outcomes. An international expert panel in AT rehabilitation was invited to complete a three-round Delphi survey. In the first two rounds, experts were asked to review a pregenerated list of exercise parameters (based on the heel raise exercise) and rate their perceived influence on rehabilitation outcome, using a 5-point Likert scale. For each parameter, consensus criteria for major influence on rehabilitation were (a) median≥4, (b) ≥75% of scoring 4 or 5 and (c) IQR≤1. The third round aimed to rank the exercise parameters according to importance (from most to least important) during rehabilitation. 17 experts participated in the entire Delphi process. A total of 16 exercise parameters were assessed, of which 4 (intensity of contraction, total time under tension, number of repetitions and sets, type of contraction) reached consensus as having a major influence on rehabilitation for midportion AT and 3 reached consensus for insertional AT (range of ankle dorsiflexion during the exercise, intensity of contraction, number of repetitions and sets). The rankings of parameters that reached consensus showed that contraction intensity was perceived as the most important variable for midportion AT rehabilitation, while range of ankle dorsiflexion was deemed the most important variable for insertional AT rehabilitation. This study identified key exercise parameters for mid-portion and insertional AT rehabilitation based on expert opinion. This information should assist practitioners in optimising their approach to deliver more effective, patient-specific exercises for AT rehabilitation.
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    Exploring the digital landscape: a scoping review of Achilles tendinopathy education on public websites and in randomised controlled trials
    (SAGE Publications Ltd, 2026-04) Malliaras, Peter; Mallows, Adrian; McAullife, Sean; Chimenti, Ruth.L.; Chen, Wenbo; Deng, Jie; Jiang, Jinjian; Sharma, Shivam; Potter, Morgan; Smitheman, Hayley; Sancho Amundarain, Igor ; Tavakkoli Oskouei, Sanam; Nicklen, Peter; Bourke, Jaryd ; Fleagle, Timothy; Ruffino, Diego; Silbernagel, Karin; de Vos, Robert-Jan
    Objectives: The aims of this scoping review were to (i) map education from randomised controlled trials and public websites for Achilles tendinopathy to pre-defined categories and (ii) appraise the quality of education available. Data sources: Sources were extracted via a search of multiple databases and from the first three pages of targeted Google searches in English, Chinese, and Spanish (websites). Review methods: The frequency of sources that reported on each pre-defined category (n = 15) was reported, and the content within each category was summarised descriptively. Quality and reliability were assessed with the DISCERN tool (1–5 points, higher score means higher quality and trustworthiness). Understandability and actionability of education was assessed using Patient Education Materials Assessment tool (0–100%, higher scores indicate more comprehensible information with clearer messages and more identifiable actions). Alignment with current international guidelines was reported. Results: 119 randomised controlled trials and 385 websites were included. Education coverage was better in websites compared to trials, particularly related to pathology and management. Conflicting advice was found on websites (e.g. when treatment should be sought). Quality (1.6 ± 0.5) and reliability (2.1 ± 0.7) of education were poor, with low scores for treatment risks and shared decision-making. Understandability was moderate (59%) and actionability was poor (28%). Alignment with clinical guidelines was low, with key information commonly omitted. Conclusion: Educational sources found in randomised controlled trials and public websites on Achilles tendinopathy are poorly aligned with clinical guidelines. The information gaps in these sources mean that they are unhelpful to patients and may steer them towards inappropriate decisions. The review highlights the need for the development of accurate, meaningful, and evidence-based educational resources for individuals with Achilles tendinopathy.
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    Ítem
    Recreational runners with Achilles tendinopathy have clinically detectable impairments: A case-control study
    (Churchill Livingstone, 2022-05-01) Sancho Amundarain, Igor ; Morrissey, Dylan ; Willy, Richard W.; Tayfur, Abdulhamit ; Lascurain-Aguirrebeña, Ion ; Barton, Christian; Malliaras, Peter
    Objectives: To confirm what impairments are present in runners with Achilles tendinopathy (AT) and explore the variance of AT severity in an adequately powered study. Design: Case-control study. Setting: Two private physiotherapy clinics in Australia and Spain. Participants: Forty-four recreational male runners with AT and 44 healthy controls matched by age, height, and weight. Main outcome measures: Demographics, activity (IPAQ-SF), pain and function (VISA-A), pain during hopping (Hop pain VAS), hopping duration, psychological factors (TSK-11, PASS20), and physical tests regarding lower-limb maximal strength and endurance. Results: Body mass index (BMI), activity, VISA-A, pain, and duration of hopping, TSK-11, PASS20, standing heel raise to failure, seated heel raise and leg extension 6RM, hip extension and abduction isometric torque were significantly different between groups (P < 0.05) with varied effect sizes (V = 0.22, d range = 0.05–4.18). 46% of AT severity variance was explained by higher BMI (β = −0.41; p = 0.001), weaker leg curl 6RM (β = 0.32; p = 0.009), and higher pain during hopping (β = −0.43; p = 0.001). Conclusion: Runners with AT had lower activity levels, lower soleus strength, and were less tall. BMI, pain during hopping, and leg curl strength explained condition severity. This information, identified with clinically applicable tools, may guide clinical assessment, and inform intervention development.