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Incidence of microtrauma in the Achilles tendon compared in athletic runners and swimmers using diagnostic ultrasonography
Novotný, Aleš ; Routner, Petr (advisor) ; Katolický, Jakub (referee)
9 ABSTRACT INTRODUCTION: The Achilles tendon is the tendon with the most volume in the human body. It is capable of handling enormous loads, though it can be damaged with overuse. Overloading the Achilles tendon can lead to microtrauma, which can cause the development of Achilles tendinopathy. Diagnostic ultrasonography is used to investigate the incidence of microtrauma of the Achilles Tendon in runners and swimmers and whether there is any kind of correlation between their occurrence and training intensity. OBJECTIVE: This study aims to determine the presence of microtrauma in the Achilles tendon in a group of runners and swimmers using diagnostic ultrasonography. In addition to the observation of microtrauma, this study focuses on finding other Achilles tendon pathologies from overuse in runners and swimmers. This study seeks to increase awareness of the potential of using diagnostic ultrasonography in physiotherapy practice. METHODS: A total of 20 subjects (13 women and 7 men, mean age 22.6 ± 1.16 years) participated in this study. The subjects were divided into two groups of 10 swimmers and 10 runners each. Data collection was carried out at a private outpatient clinic at ALAFIA- RHB s.r.o. located in Parník Policlinic in Černý Most, Prague. The methodology for obtaining the personal data and sports...
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ESWT in Achilles tendinopathy
Hojková, Lýdie ; Demeková, Júlia (advisor) ; Havlíčková, Michaela (referee)
Achilles tendinopathy is a painful condition formed by chronic overuse. Conservative treatement requires activity modification, heel lifts, arch supports, even immobilisation. There are often unsatisfactory results with it. The use of ESWT has recently been introduced in soft-tissue disorders including epicondylitis, plantar fasciitis, calcifitation of the shloulder and, as well, Achilles tendinopathy. The aim of the work was to introduce the effects of ESWT on soft tissues, types of generation and new posibilities in ESWT therapy in Achilles tendinopathy. Powered by TCPDF (www.tcpdf.org)
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The Effects of Extracorporeal Shock Wave Therapy in Treatment of Achilles Tendinopathy
Katolický, Jakub ; Machač, Stanislav (advisor) ; Novák, Jakub (referee)
Diplomová práce Účinky rázové vlny v léčbě tendinopatie Achillovy šlachy 1 Abstract This thesis focuses on the observation of the effects of low-energetic focused extracorporeal shock wave therapy (ESWT) in the treatment of Achilles tendinopathy. The theoretical part summarizes the current knowledge of anatomical, histological, kinesiological and biomechanical aspects of Achilles tendon (AT), as well as pathological processes, which can be described as Achilles tendinopathy, their differential diagnosis and treatment options. Last but not least, we present up-to-date information on the physical principles and biological effects of ESWT, not only in the treatment of AT diseases. The main goal of our research was to determine the effectiveness of low-energetic focused ESWT in the treatment of Achilles tendinopathy in comparison to the placebo group. The subject of observation was not only changes in clinical manifestations, but also possible changes in the morphology of AT using ultrasonography (USG). Methods: A total of 20 patients with symptomatic Achilles tendinopathy was included in the study, while only 18 of them completed the entire program, and therefore only the results of these patients were evaluated. They were randomly divided into two groups in 1:1 ratio. Group A was treated by ESWT with...
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Analysis of risk factors for development of tendinopathies in runners - literature review
Voleský, Kryštof ; Pavlů, Dagmar (advisor) ; Pánek, David (referee)
Title: The analysis of risk factors for tendinopathy in runners Objectives: The aim of this thesis is to find out the most important risk factor for development of Achilles tendinopathy, detect the most relevant diagnostic approach with preventive monitoring for Achilles tendinopathy and evaluate the best treatment for Achilles tendinopathy in runners. Methods: The diploma thesis is in form of literary review. The Scopus, PubMed and Web of science databases were used to search for studie using a combination of keywords. A total of 1084 titles were identified. Due to duplicates 402 titles were excluded. On the basis of the name of the article 51 titles were included. On the basis of the availability 50 titles were included. On the basis of the abstract 46 titles were included. Finally 29 titles were included in this review. Results: The most important risk factor for development of Achilles tendinopathy was training intensity for distances 1500-3000 m, week running volume >65 km or being new to running. The most relevant diagnostic approach for Achilles tendinopaty was clinical examination assessing pain (Achilles tendon pain, positive palpation test) and function (pain during physical aktivity) of Achilles tendon. This approach serves as indication for sonographic assessment of Achilles tendon...
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ESWT in Achilles tendinopathy
Hojková, Lýdie ; Demeková, Júlia (advisor) ; Havlíčková, Michaela (referee)
Achilles tendinopathy is a painful condition formed by chronic overuse. Conservative treatement requires activity modification, heel lifts, arch supports, even immobilisation. There are often unsatisfactory results with it. The use of ESWT has recently been introduced in soft-tissue disorders including epicondylitis, plantar fasciitis, calcifitation of the shloulder and, as well, Achilles tendinopathy. The aim of the work was to introduce the effects of ESWT on soft tissues, types of generation and new posibilities in ESWT therapy in Achilles tendinopathy. Powered by TCPDF (www.tcpdf.org)
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Tendinopathy of the Achilles' heel as effect of functional disorder of thelocomotive system
Mostecká, Dagmar ; Smékal, David (advisor) ; Čakrt, Ondřej (referee)
This diploma thesis deals with the Achilles tendinopathy, and particularly with its etiopatogenetics. The theoretical part includes information about the Achilles tendon, tendinopathy of Achilles tendon and a summary of dysfunctions of the locomotor system. We assumed that the dysfunction of the locomotor system is the main etiopatogenetic factor of the Achilles tendinopathy, and that it results in changes of its position and loading. In the practical part we tried to reveal these dysfunctions by examination of seven patients, and to prove its main etiopatogenetic influence by a successfull therapy. The aim of the thesis was to point out the importance of the examination as well as the therapy of the locomotor systems function. Powered by TCPDF (www.tcpdf.org)
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