Category: Foot & Ankle Pain/Injuries
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High Resistance / Weights Needed for Tendon Adaptation
Adaptational responses of the human Achilles tendon by modulation of the applied cyclic strain magnitude. Arampatzis A1, Karamanidis K, Albracht K. J Exp Biol. 2007 Aug;210(Pt 15):2743-53. [FREE FULL TEXT] AbstractTendons are able to remodel their mechanical and morphological properties in response to mechanical loading. However, there is little information about the effects of controlled…
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Short Foot Exercise for Flat Feet
Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. Jung DY1, Koh EK, Kwon OY. J Back Musculoskelet Rehabil. 2011;24(4):225-31. Abstract OBJECTIVE:To prevent overuse injuries related to excessively pronated feet, the strengthening of the foot intrinsic muscles has been recommended. The…
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Plantar Fasciitis Stretches? Why My Patients Skip Them
Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain. A prospective, randomized study. J Bone Joint Surg Am. 2003 Jul;85-A(7):1270-7. DiGiovanni BF, Nawoczenski DA, Lintal ME, Moore EA, Murray JC, Wilding GE, Baumhauer JF. AbstractBACKGROUND:Approximately 10% of patients with plantar fasciitis have development of persistent and often disabling symptoms. A poor response…
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Electric Stimulation and Plantar Fasciitis
Use of low-frequency electrical stimulation for the treatment of plantar fasciitis. J Am Podiatr Med Assoc. 2009 Nov-Dec;99(6):481-8. Stratton M1, McPoil TG, Cornwall MW, Patrick K. AbstractBACKGROUND:Recent research has discussed the use of low-frequency electrical stimulation to increase blood flow by eliciting muscular contraction in soft tissues. This randomized clinical trial examined the efficacy of…
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Resistance Training Improves Running Biomechanics
Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clin Biomech (Bristol, Avon). 2009 Jan;24(1):26-34. Snyder KR, Earl JE, O’Connor KM, Ebersole KT. AbstractBACKGROUND:Movement and muscle activity of the hip have been shown to affect movement of the lower extremity, and been related to injury. The purpose…
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Posterior Tibial Tendon Dysfunction & Muscle Weakness
Women with posterior tibial tendon dysfunction have diminished ankle and hip muscle performance. J Orthop Sports Physical Therapy. 2011 Sep;41(9):687-94. Kulig K, Popovich JM Jr, Noceti-Dewit LM, Reischl SF, Kim D. Abstract STUDY DESIGN: Controlled laboratory study using a cross-sectional design. OBJECTIVES: To characterize ankle and hip muscle performance in women with posterior tibial tendon…
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Tibial Stress Fractures in Runners: It’s All the Same Problem
Distinct hip and rearfoot kinematics in female runners with a history of tibial stress fracture. Journal of Orthopaedic & Sports Physical Therapy. 2010 Feb;40(2):59-66. Milner CE1, Hamill J, Davis IS. STUDY DESIGN: Cross-sectional controlled laboratory study. OBJECTIVES: To investigate the kinematics of the hip, knee, and rearfoot in the frontal and transverse planes in female…
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Kinesio Tape Smells Like Placebo
Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review. J Physiother. 2014 Mar;60(1):31-9. Parreira Pdo C, Costa Lda C, Hespanhol Junior LC, Lopes AD, Costa LO. AbstractQuestions: Is Kinesio Taping more effective than a sham taping/placebo, no treatment or other interventions in people with musculoskeletal conditions? Is the addition…
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Strength Better than Stretch for Plantar Fasciitis
High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up. Scand J Med Sci Sports. 2014 Aug 21. Rathleff MS1, Mølgaard CM, Fredberg U, Kaalund S, Andersen KB, Jensen TT, Aaskov S, Olesen JL. AbstractThe aim of this study was to investigate the effectiveness of shoe inserts and…
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Plantar Fasciitis: One Cortisone Shot = 19X Risk of Rupture
Risk factors affecting chronic rupture of the plantar fascia. Foot Ankle Int. 2014 Mar;35(3):258-63. Lee HS1, Choi YR, Kim SW, Lee JY, Seo JH, Jeong JJ. AbstractBACKGROUND:Prior to 1994, plantar fascia ruptures were considered as an acute injury that occurred primarily in athletes. However, plantar fascia ruptures have recently been reported in the setting of preexisting plantar…
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Foot Muscle Fatigue Causes Loss of Foot Arch
Fatigue of the plantar intrinsic foot muscles increases navicular drop. J Electromyogr Kinesiol. 2008 Jun;18(3):420-5. Headlee DL, Leonard JL, Hart JM, Ingersoll CD, Hertel J. AbstractOur purpose was to assess the effect of foot intrinsic muscle fatigue on pronation, as assessed with navicular drop, during static stance. Twenty-one healthy young adults participated. Navicular drop was…
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Foot Intrinsic Muscles Important for Foot Arch
Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study. J Foot Ankle Surg. 2003 Nov-Dec;42(6):327-33. Fiolkowski P, Brunt D, Bishop M, Woo R, Horodyski M. Abstract Much of the work describing support of the medial longitudinal arch has focused on the plantar fascia and the extrinsic muscles. There is little research concerning…
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Running Volume Increase Effects on Injury
Can GPS be used to detect deleterious progression in training volume among runners? J Strength Cond Res. 2013 Jun;27(6):1471-8. Nielsen RO1, Cederholm P, Buist I, Sørensen H, Lind M, Rasmussen S. AbstractThere is a need to ascertain if an association exists between excessive progression in weekly volume and development of running-related injuries (RRI). The purpose…
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Marathon Runners, Running >30 Km/Wk Decreases Risk of Injury
Weekly running volume and risk of running-related injuries among marathon runners. International Journal of Sports Physical Therapy. 2013 Apr;8(2):111-20. Rasmussen CH, Nielsen RO, Juul MS, Rasmussen S. AbstractPURPOSEBACKGROUND: The purpose of this study was to investigate if the risk of injury declines with increasing weekly running volume before a marathon race.METHODS:The study was a retrospective…
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Runners with Plantar Fasciitis Have Weak, Tight Calf Muscles
Functional biomechanical deficits in running athletes with plantar fasciitis. Am J Sports Med. 1991 Jan-Feb;19(1):66-71. Kibler WB1, Goldberg C, Chandler TJ. Abstract Plantar fasciitis is a relatively common injury that occurs in running athletes. The disease entity is a good example of an overloaded process of the plantar fascia at its calcaneal insertion. This study…
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Plantar Fasciitis Sufferers Have Weaker Foot Muscles
Toe flexors strength and passive extension range of motion of the first metatarsophalangeal joint in individuals with plantar fasciitis. J Orthop Sports Physical Therapy. 2003 Aug;33(8):468-78. Allen RH, Gross MT. Abstract STUDY DESIGN: Cross-sectional study. OBJECTIVE: To determine if a difference exists in toe flexors strength and passive extension range of motion of the first…
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Plantar Fasciitis Associated with Foot Muscle Atrophy
Use of MRI for volume estimation of tibialis posterior and plantar intrinsic foot muscles in healthy and chronic plantar fasciitis limbs. Chang R, Kent-Braun JA, Hamill J. Clin Biomech (Bristol, Avon). 2012 Jun;27(5):500-5. Abstract BACKGROUND: Due to complexity of the plantar intrinsic foot muscles, little is known about their muscle architecture in vivo. Chronic plantar fasciitis…
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Plantar Fasciitis: Orthotics Don’t Help Much
Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Arch Intern Med. 2006 Jun 26;166(12):1305-10. Landorf KB, Keenan AM, Herbert RD. AbstractBACKGROUND:Plantar fasciitis is one of the most common foot complaints. It is often treated with foot orthoses; however, studies of the effects of orthoses are generally of poor quality, and to our…
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Alfredson’s exercise program in Achilles tendinopathy 5 years later
A 5-year follow-up study of Alfredson’s heel-drop exercise programme in chronic midportion Achilles tendinopathy. van der Plas A, de Jonge S, de Vos RJ, van der Heide HJ, Verhaar JA, Weir A, Tol JL. Br J Sports Med. 2011 Nov 10. [Epub ahead of print] AbstractBACKGROUND: Eccentric exercises have the most evidence in conservative treatment…
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Eccentric vs Eccentric Plus Shock-Wave Treatment for Achilles Tendinopathy
Eccentric loading versus eccentric loading plus shock-wave treatment for midportion Achilles tendinopathy: a randomized controlled trial. Rompe JD, Furia J, Maffulli N. Am J Sports Med. 2009 Mar;37(3):463-70. Epub 2008 Dec 15. AbstractBACKGROUND: Results of a previous randomized controlled trial have shown comparable effectiveness of a standardized eccentric loading training and of repetitive low-energy shock-wave…
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Eccentric Exercise and Heel Brace for Achilles Tendinopathy
Eccentric exercises for the management of tendinopathy of the main body of the Achilles tendon with or without the AirHeel Brace. A randomized controlled trial. A: effects on pain and microcirculation. Knobloch K, Schreibmueller L, Longo UG, Vogt PM. Disabil Rehabil. 2008;30(20-22):1685-91. AbstractPURPOSE: To compare eccentric training and the combination of eccentric training with the…
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Eccentric Exercise vs. Ultrasound for Achilles Tendo Pain
Eccentric calf muscle training compared with therapeutic ultrasound for chronic Achilles tendon pain–a pilot study. Chester R, Costa ML, Shepstone L, Cooper A, Donell ST. Man Ther. 2008 Dec;13(6):484-91. Epub 2007 Jul 26. Abstract A number of studies have indicated that eccentric calf muscle training has beneficial effects in the management of Achilles tendon pain…
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Eccentric calf muscle training in athletic patients with Achilles tendinopathy
Eccentric calf muscle training in athletic patients with Achilles tendinopathy. Maffulli N, Walley G, Sayana MK, Longo UG, Denaro V. Disabil Rehabil. 2008;30(20-22):1677-84. AbstractPURPOSE: To evaluate the effects of eccentric strengthening exercises (ESE) in athletic patients with Achilles tendinopathy.METHODS: Forty-five athletic patients (29 men, average age 26 years +/- 12.8, range 18 – 42; 16…
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No Rest Necessary for Achilles Tendinopathy
Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled study. Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Am J Sports Med. 2007 Jun;35(6):897-906. AbstractBACKGROUND: Achilles tendinopathy is a common overuse injury, especially among athletes involved in activities that include running and jumping. Often an initial period…
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Eccentric exercise in treatment of Achilles tendinopathy
Eccentric exercise in treatment of Achilles tendinopathy. Nørregaard J, Larsen CC, Bieler T, Langberg H. Scand J Med Sci Sports. 2007 Apr;17(2):133-8. AbstractAIM: Prognosis and treatment of Achilles tendon pain (achillodynia) has been insufficiently studied. The purpose of the present study was to examine the long-term effect of eccentric exercises compared with stretching exercises on…
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Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy
Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy of the main body of tendo Achilles: a randomized controlled trial. Rompe JD, Nafe B, Furia JP, Maffulli N. Am J Sports Med. 2007 Mar;35(3):374-83. Epub 2007 Jan 23. AbstractBACKGROUND: Few randomized controlled trials compare different methods of management in chronic tendinopathy of the main…
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Achilles Tendinopathy, Symptom Recovery Does Not Ensure Functional Recovery
Full symptomatic recovery does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy. Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Br J Sports Med. 2007 Apr;41(4):276-80; discussion 280. Epub 2007 Jan 29. AbstractOBJECTIVE: To assess the relationship between muscle-tendon function and symptoms in patients with Achilles tendinopathy using a validated test…
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Eccentric Training and Neovascularisation in Achilles Tendinosis
Effects on neovascularisation behind the good results with eccentric training in chronic mid-portion Achilles tendinosis? Ohberg L, Alfredson H. Knee Surg Sports Traumatol Arthrosc. 2004 Sep;12(5):465-70. Epub 2004 Apr 2. Abstract The background to the good clinical results reported using painful eccentric calf-muscle training as treatment for chronic painful mid-portion Achilles tendinosis is not known.…
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Eccentric Calf Muscle Training for Achilles Tendinitis
Chronic Achilles tendon pain treated with eccentric calf-muscle training. Fahlström M, Jonsson P, Lorentzon R, Alfredson H. Knee Surg Sports Traumatol Arthrosc. 2003 Sep;11(5):327-33. Epub 2003 Aug 26. Abstract Injuries involving the Achilles tendon and manifested as chronic tendon pain are common, especially among recreational athletes. In a pilot study on a small group of…
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Eccentric vs. Concentric Training in Achilles Tendinitis
Superior short-term results with eccentric calf muscle training compared to concentric training in a randomized prospective multicenter study on patients with chronic Achilles tendinosis. Mafi N, Lorentzon R, Alfredson H. Knee Surg Sports Traumatol Arthrosc. 2001;9(1):42-47. Abstract In a previous uncontrolled pilot study we demonstrated very good clinical results with eccentric calf muscle training on…
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Eccentric Overload Training and Chronic Achilles Tendinitis
Eccentric overload training for patients with chronic Achilles tendon pain–a randomised controlled study with reliability testing of the evaluation methods. Silbernagel KG, Thomeé R, Thomeé P, Karlsson J. Scand J Med Sci Sports. 2001 Aug;11(4):197-206. Abstract The purpose was to examine the reliability of measurement techniques and evaluate the effect of a treatment protocol including…
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Isokinetic Eccentric Exercise for Recurrent Tendinitis
Treatment of recurrent tendinitis by isokinetic eccentric exercise. Croisier J-L, Forthomme B, Foidart-Dessalle M, Godon B, Crielaard J-M. Isokinetics and Exercise Science. 2001;9:133-141. Diagnosis: 9 Achilles, 10 patellar, and 15 lateral epicondyllar Outcome: 15/34 patients had complete relief of symptoms, 10/34 had marked decrease in symptoms, 5/34 had moderate decrease in symptoms, and 4/34 had…
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Heavy Load Eccentric Training for Achilles Tendinosis
Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Alfredson H, Pietila T, Jonsson P, R. L. Am J Sports Med. 1998;26(3):360-366. Abstract We prospectively studied the effect of heavy-load eccentric calf muscle training in 15 recreational athletes (12 men and 3 women; mean age, 44.3 +/- 7.0 years) who had the…