Department of Physical Therapy, University of Delaware, Newark.
J Athl Train. 2020 May;55(5):438-447. doi: 10.4085/1062-6050-356-19. Epub 2020 Apr 8.
Achilles tendinopathy is a painful overuse injury that is extremely common in athletes, especially those who participate in running and jumping sports. In addition to pain, Achilles tendinopathy is accompanied by alterations in the tendon's structure and mechanical properties, altered lower extremity function, and fear of movement. Cumulatively, these impairments limit sport participation and performance. A thorough evaluation and comprehensive treatment plan, centered on progressive tendon loading, is required to ensure full recovery of tendon health and to minimize the risk of reinjury. In this review, we will provide an update on the evidence-based evaluation, outcome assessment, treatment, and return-to-sport planning for Achilles tendinopathy. Furthermore, we will provide the strength of evidence for these recommendations using the Strength of Recommendation Taxonomy system.
跟腱病是一种常见的过度使用性损伤，在运动员中尤为多见，尤其是那些从事跑步和跳跃运动的运动员。除了疼痛之外，跟腱病还伴有跟腱结构和力学特性的改变、下肢功能的改变以及对运动的恐惧。这些损伤累积起来，限制了运动参与和表现。为了确保跟腱健康的全面恢复，最大限度地降低再受伤的风险，需要进行彻底的评估和综合的治疗计划，以循序渐进地加载跟腱。在这篇综述中，我们将提供跟腱病的基于循证的评估、结果评估、治疗和重返运动的最新信息。此外，我们还将使用推荐强度分类系统为这些建议提供证据强度。
