56th Medical Group, Luke Air Force Base, United States Air Force, Phoenix, AZ, United States of America.
Department of Physiotherapy, School of Primary and Allied Health, Monash University, Melbourne, Australia.
PLoS One. 2020 May 29;15(5):e0233459. doi: 10.1371/journal.pone.0233459. eCollection 2020.
Achilles tendinopathy (AT) is a common and often persistent musculoskeletal disorder affecting both athletic and non-athletic populations. Despite the relatively high incidence there is little insight into the impact and perceptions of tendinopathy from the individual's perspective. Increased awareness of the impact and perceptions around individuals' experiences with Achilles tendinopathy may provide crucial insights for the management of what is often a complex, persistent, and disabling MSK disorder.
To qualitatively explore the lived experiences of individuals with AT.
A qualitative, interpretive description design was performed using semi-structured telephone interviews.
Semi-structured interviews were conducted on 15 participants (8 male and 7 female) with AT. Thematic analysis was performed using the guidelines laid out by Braun and Clarke. The study has been reported in accordance with the consolidated criteria for reporting qualitative research (COREQ) checklist.
Four main themes were identified from the data: 1) beliefs and perceptions surrounding AT: "If I'm over training or something, I don't really know", 2) the biopsychosocial impact of AT: "I think it restricts me in a lot of things that I would be able to do", 3) individuals' experiences with the management process: "You want it to happen now. You're doing all this stuff and it's just very slow progress", and 4) future prognosis and outlook in individuals with AT: "I see myself better".
This study offers a unique insight into the profound impact and consequences of Achilles tendinopathy in a mixed sample of both athletic and non-athletic individuals. The findings of this study have important clinical implications. Specifically, it highlights the need for clinicians to recognize and adopt treatment approaches to embrace a more biopsychosocial approach for the management of tendinopathy.
跟腱病（AT）是一种常见且常持续存在的肌肉骨骼疾病，影响着运动员和非运动员群体。尽管发病率相对较高，但从个体角度来看，对跟腱病的影响和认知知之甚少。增加对个体跟腱病经历的影响和认知的认识，可能为管理这种通常复杂、持续和致残的肌肉骨骼疾病提供重要的见解。
定性探讨跟腱病患者的生活体验。
采用半结构式电话访谈进行定性、解释性描述设计。
对 15 名跟腱病患者（8 名男性和 7 名女性）进行了半结构式访谈。采用 Braun 和 Clarke 提出的准则进行主题分析。本研究按照定性研究报告的统一标准（COREQ）清单进行了报告。
从数据中确定了四个主要主题：1）围绕跟腱病的信念和认知：“如果我过度训练或其他什么原因，我真的不知道”；2）跟腱病的生物心理社会影响：“我认为它限制了我很多我能够做的事情”；3）个体经历管理过程：“你希望它现在发生。你正在做所有这些事情，但进展非常缓慢”；4）跟腱病患者的未来预后和展望：“我觉得自己会更好”。
本研究提供了对混合运动员和非运动员个体跟腱病的深远影响和后果的独特见解。本研究的结果具有重要的临床意义。具体来说，它强调了临床医生需要认识到并采用治疗方法，采用更生物心理社会的方法来管理跟腱病。
