Sayana Murali K, Maffulli Nicola
Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, North Staffordshire Hospital, Staffordshire ST4 7QB, UK.
J Sci Med Sport. 2007 Feb;10(1):52-8. doi: 10.1016/j.jsams.2006.05.008. Epub 2006 Jul 7.
Achilles tendinopathy is prevalent in athletes, but can also affect sedentary patients. We studied the effects of eccentric exercises in sedentary non-athletic patients with Achilles tendinopathy.
Thirty-four sedentary patients (18 males, average age 44 years, range 23-67; 16 females, average age 51 years, range 20-76; average BMI: 28.6+/-4.7, range 22.1-35.4) with a clinical diagnosis of unilateral tendinopathy of the main body of the Achilles tendon completed the VISA-A questionnaire at first attendance (39+/-S.D. 22.8) and at their subsequent visits. The patients underwent a graded progressive eccentric calf strengthening exercises programme for 12 weeks.
Fifteen patients (44%) did not improve with eccentric exercise regimen. Three patients improved after perintendinous injections aprotinin and local anaesthetic. Surgery was performed in seven patients as 6 months of conservative management failed to produce improvements. The overall average VISA-A scores at latest follow up was 50 (S.D. 26.5).
Eccentric exercises, though effective in nearly 60% of our patients, may not benefit sedentary patients to the same extent reported in athletes.
跟腱病在运动员中很常见，但也会影响久坐不动的患者。我们研究了离心运动对久坐不动的非运动员跟腱病患者的影响。
34名久坐不动的患者（18名男性，平均年龄44岁，范围23 - 67岁；16名女性，平均年龄51岁，范围20 - 76岁；平均体重指数：28.6±4.7，范围22.1 - 35.4），临床诊断为单侧跟腱主体腱病，在首次就诊时（39±标准差22.8）及随后的随访中完成了VISA - A问卷。患者接受了为期12周的分级渐进式离心小腿强化运动计划。
15名患者（44%）在离心运动方案下没有改善。3名患者在进行腱周抑肽酶和局部麻醉剂注射后有所改善。7名患者因6个月的保守治疗未能改善而接受了手术。最新随访时的总体平均VISA - A评分为50（标准差26.5）。
离心运动虽然在近60%的患者中有效，但对久坐不动的患者可能不像在运动员中报道的那样有同等程度的益处。
