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المؤلفMcAuliffe, Seán
المؤلفTabuena, Ariane
المؤلفMcCreesh, Karen
المؤلفO’Keeffe, Mary
المؤلفHurley, John
المؤلفComyns, Tom
المؤلفPurtill, Helen
المؤلفO’Neill, Seth
المؤلفO’Sullivan, Kieran
تاريخ الإتاحة2023-10-26T06:27:34Z
تاريخ النشر2019-01-01
اسم المنشورJournal of Athletic Training
المعرّفhttp://dx.doi.org/10.4085/1062-6050-43-18
الاقتباسTabuena, A., McCreesh, K., O'Keeffe, M., Hurley, J., Comyns, T., Purtill, H., ... & O'Sullivan, K. (2019). Altered Strength Profile in Achilles Tendinopathy: A Systematic Review and Meta-Analysis. Journal of Athletic Training (Allen Press), 54(8).‏
الرقم المعياري الدولي للكتاب10626050
معرّف المصادر الموحدhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85072509331&origin=inward
معرّف المصادر الموحدhttp://hdl.handle.net/10576/48825
الملخصBackground: Persistent strength deficits secondary to Achilles tendinopathy (AT) have been postulated to account for difficulty engaging in tendon-loading movements, such as running and jumping, and may contribute to the increased risk of recurrence. To date, little consensus exists on the presence of strength deficits in AT. Consequently, researchers are uncertain about the appropriate methods of assessment that may inform rehabilitation in clinical practice. Objective: To evaluate and synthesize the literature investigating plantar-flexion (PF) strength in individuals with AT. Study Selection: Two independent reviewers searched 9 electronic databases using an agreed-upon set of key words. Data Extraction: Data were extracted from studies comparing strength measures (maximal, reactive, and explosive strength) between individuals with AT and healthy control participants or between the injured and uninjured sides of people with AT. The Critical Appraisal Skills Programme Case-Control Study Checklist was used to assess the risk of bias for the included studies. Data Synthesis: A total of 19 studies were eligible. Pooled meta-analyses for isokinetic dynamometry demonstrated reductions in maximal strength (concentric PF peak torque [PT] slow [Hedges g ¼ 0.52, 44% deficit], concentric PF PT fast [Hedges g ¼ 0.61, 38% deficit], and eccentric PF PT slow [Hedges g ¼ 0.26, 18% deficit]). Reactive strength, particularly during hopping, was also reduced (Hedges g range ¼ 0.32–2.61, 16%–35% deficit). For explosive strength, reductions in the rate of force development (Hedges g range ¼ 0.31–1.73, 10%–21% deficit) were observed, whereas the findings for ground reaction force varied but were not consistently altered. Conclusions: Individuals with AT demonstrated strength deficits compared with the uninjured side or with asymptomatic control participants. Deficits were reported across the strength spectrum for maximal, reactive, and explosive strength. Clinicians and researchers may need to adapt their assessment of Achilles tendon function, which may ultimately help to optimize rehabilitation outcomes.
اللغةen
الموضوعAssessment
Strength spectrum
Tendon
العنوانAltered strength profile in Achilles tendinopathy: A systematic review and meta-analysis
النوعArticle
رقم العدد8
رقم المجلد54
dc.accessType Abstract Only


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