Examinando por Autor "Rio, Ebonie K."

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    Ítem
    Are we asking the right questions to people with Achilles tendinopathy?: the best questions to distinguish mild versus severe disability to improve your clinical management
    (Churchill Livingstone, 2024-05) Murphy, Myles C.; Green, Brady; Sancho Amundarain, Igor; Vos, Robert-Jan de; Rio, Ebonie K.
    Objective: Determine the capacity of individual items on the Tendinopathy Severity Assessment – Achilles (TENDINS-A), Foot and Ankle Outcome Score (FAOS), and Victorian Institute of Sports Assessment – Achilles (VISA-A) to differentiate patients with mild and severe tendon-related disability in order to provide clinicians the best questions when they are consulting patients with Achilles tendinopathy. Design: Cross-sectional. Participants: Seventy participants with Achilles tendinopathy (61.4% mid-portion only, 31.4% insertional only, 7.2% both). Outcome measures: The discrimination index was determined for each TENDINS-A, FAOS, and VISA-A item to determine if items could discriminate between mild and severe disability. A Guttman analysis for polytomous items was conducted. Results: All 62 tems from the TENDINS-A, FAOS, and VISA-A were ranked with the best items relating to pain with physical tendon loading, time for pain to settle following aggravating activities and time for the tendon to ‘warm-up’ following inactivity. Conclusions: Pain with loading the Achilles tendon, time for pain to settle following aggravating activity, as well as time taken for the tendon symptoms to subside after prolonged sitting or sleeping are the best questions indicative of the severity of disability in patients with Achilles tendinopathy. These questions can assist clinicians with assessing baseline severity and monitoring treatment response.
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    Ítem
    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.