Non-operative treatment of Achilles tendon Rupture in Central Finland: a prospective cohort study – NoARC
Non-operatiivinen Akillesjännerepeämän hoito Keski-Suomessa: Prospektiivinen seurantatutkimus – NoARK
Juutinen, Taija; Khair, Raad; Sukanen, Maria; Reito, Aleksi; Paloneva, Juha; Ponkilainen, Ville. Non-operative treatment of Achilles tendon Rupture in Central Finland: a prospective cohort study – NoARC. V. 11.10.2024. University of Jyväskylä. 10.17011/jyx/dataset/97848
Authors
Contributors
CSC-Tieteen tietotekniikan keskus Oy; CSC-IT Center for Science LtdDate
2024Access restrictions
Access to the dataset is restricted due to personal data content. You can still contact the author(s) regarding possible use of the material.
Copyright
University of Jyväskylä and Wellbeing services county of Central Finland
Project context:
Achilles tendon rupture (ATR) is a disabling condition with growing incidence in recent years. This is a prospective, non-randomised, observational study to investigate the clinical and biomechanical outcomes and prevalence of reruptures after operative or nonoperative treatment of acute Achilles tendon rupture. ClinicalTrials.gov ID NCT03704532. The prospective study was designed to recruit 200 non-surgically treated ATR patients. For the biomechanical substudy, a sample of 52 was targeted. Assessments were done in clinic at 2, 4 and 8 weeks, 6 months and 12 months after rupture, and in the biomechanics laboratory 8 weeks, 6 months and 12 months after rupture. Overall goal of this study was to identify factors that explain good recovery from ATR in a 1-year follow-up design.
Data included in the dataset:
Non-operatively treated patients total N= 74. Operatively treated patients total N=7. Re-ruptures N=6. Lower number of participants for biomechanical variables, missing data from different assessment points exists.
Variables:
Demographics, ankle joint range of motion, Achilles tendon and triceps surae muscle ultrasonography in relaxed condition (tendon thickness, medial gastrocnemius (MG) muscle fascicle length and pennation angle, MG and lateral gastrocnemius (LG) cross-sectional area, ultrasound shear wave elastography of Achilles tendon and MG and soleus muscles) and during dynamic contraction (tendon non-uniform movement, tendon stiffness, MG fascicle function during heel rise and gait), plantarflexion strength of both limbs (6 and 12 months), electromyography during isometric force production, heel rise and gait. Patient-reported outcomes using UCLA, Tegner, Leppilahti Score, RAND-36 and ATRS questionnaires, complemented by questions about compliance to rehabilitation. Accelerometer-measured physical activity for 7 days during normal daily life (8 weeks, 6 months, 12 months).
...
Akillesjänteen repeämä (ATR) aiheuttaa pitkäaikaista haittaa liikkumiselle ja sen esiintyvyys on kasvanut viime vuosina. NoARK on prospektiivinen, ei-satunnaistettu havainnointitutkimus, jossa tutkitaan akuutin akillesjänteen repeämän kliinisiä ja biomekaanisia muuttujia akillesjänteen repeämän operatiivisen tai ei-operatiivisen hoidon jälkeen Tutkimus on rekisteröity: ClinicalTrials.gov ID NCT03704532. Prospektiivinen tutkimus suunniteltiin rekrytoimaan 200 ei-operatiivisesti hoidettua ATR-potilasta. Biomekaanista osatutkimusta varten tavoiteltiin 52 henkilön otosta. Mittaukset tehtiin klinikalla 2, 4 ja 8 viikon, 6 kuukauden ja 12 kuukauden kuluttua repeämästä sekä biomekaniikan laboratoriossa 8 viikon, 6 kuukauden ja 12 kuukauden kuluttua repeämästä. Tutkimuksen yleisenä tavoitteena oli tunnistaa tekijöitä, jotka selittävät hyvää toipumista akillesjännerepeämästä.
Aineistoon sisältyvät tiedot:
Leikkaamattomia potilaita yhteensä N= 74. Leikkaushoitoa saaneita potilaita yhteensä N=7. Uudelleen puhjenneet potilaat N=6. Biomekaanisten muuttujien osalta osallistujien määrä on pienempi, eri arviointipisteistä puuttuu tietoja.
Muuttujat:
Demografiset tiedot, nilkkanivelen lepokulma, akillesjänteen ja triceps surae -lihaksen ultraäänitutkimus rentona (jänteen paksuus, mediaalisen gastrocnemius-lihaksen (MG) lihassäikeen pituus ja pennaatiokulma, MG:n ja lateraalisen gastrocnemius-lihaksen (LG:n) poikkipinta-ala sekä akillesjänteen, MG:n ja soleus-lihaksen elastisuus ultraäänielastografialla mitattuna) ja lihassupistuksen aikana (jänteen epäyhtenäinen liike, jänteen jäykkyys, MG:n lihastoiminta kantapään nousun ja kävelyn aikana), molempien raajojen plantaarifleksion voima (6 ja 12 kuukauden kohdalla), elektromyografia isometrisen voimantuoton, päkiällenousun ja kävelyn aikana. Potilaan raportoimat tulokset UCLA-, Tegner-, Leppilahti Score-, RAND-36- ja ATRS-kyselylomakkeilla, joita täydennetään kuntoutuksen noudattamista koskevilla kysymyksillä. Kiihtyvyysmittarilla mitattu fyysinen aktiivisuus 7 päivän ajan normaalin arkielämän aikana (8 viikkoa, 6 kuukautta, 12 kuukautta).
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Publisher
University of JyväskyläKeywords
Publication(s) related to the dataset
- Khair, R. M., Sukanen, M., & Finni, T. (2024). Achilles Tendon Stiffness : Influence of Measurement Methodology. Ultrasound in Medicine and Biology, 50(10), 1522-1529. https://doi.org/10.1016/j.ultrasmedbio.2024.06.005 https://jyx.jyu.fi/handle/123456789/97095
- Khair, R., Stenroth, L., Cronin, N., Ponkilainen, V., Reito, A., & Finni, T. (2023). 51 Factors associated with good recovery from Achilles tendon rupture at 1 year post rupture. BMJ Open Sport & Exercise Medicine, 9(Suppl 1), Article A8.1. https://doi.org/10.1136/bmjsem-2023-sportskongres2023.21
- Khair, R. M., Stenroth, L., Cronin, N. J., Reito, A., Paloneva, J., & Finni, T. (2022). In vivo localized gastrocnemius subtendon representation within the healthy and ruptured human Achilles tendon. Journal of Applied Physiology, 133(1), 11-19. https://doi.org/10.1152/japplphysiol.00084.2022 https://jyx.jyu.fi/handle/123456789/81163
- Finni, T., Peter, A., Khair, R., & Cronin, N. J. (2022). Tendon length estimates are influenced by tracking location. European Journal of Applied Physiology, 122(8), 1857-1862. https://doi.org/10.1007/s00421-022-04958-8 https://jyx.jyu.fi/handle/123456789/82340
- Finni, T., & Vanwanseele, B. (2023). Towards modern understanding of the Achilles tendon properties in human movement research. Journal of Biomechanics, 152, Article 111583. https://doi.org/10.1016/j.jbiomech.2023.111583 https://jyx.jyu.fi/handle/123456789/86537
- Khair, R. M., Stenroth, L., Cronin, N. J., Ponkilainen, V., Reito, A., & Finni, T. (2023). Exploration of muscle–tendon biomechanics one year after Achilles tendon rupture and the compensatory role of flexor hallucis longus. Journal of Biomechanics, 152, Article 111586. https://doi.org/10.1016/j.jbiomech.2023.111586 https://jyx.jyu.fi/handle/123456789/86546
- Khair, R. M., Stenroth, L., Cronin, N. J., Reito, A., Paloneva, J., & Finni, T. (2022). Muscle-tendon morphomechanical properties of non-surgically treated Achilles tendon 1-year post-rupture. Clinical Biomechanics, 92, Article 105568. https://doi.org/10.1016/j.clinbiomech.2021.105568 https://jyx.jyu.fi/handle/123456789/79546
- Khair, R. M. (2023). Biomechanical recovery factors in non-surgically treated ruptured achilles tendons [Doctoral dissertation]. University of Jyväskylä. JYU dissertations, 678. http://urn.fi/URN:ISBN:978-951-39-9693-2
- Khair, R. M., Stenroth, L., Péter, A., Cronin, N. J., Reito, A., Paloneva, J., & Finni, T. (2021). Non‐uniform displacement within ruptured Achilles tendon during isometric contraction. Scandinavian Journal of Medicine and Science in Sports, 31(5), 1069-1077. https://doi.org/10.1111/sms.13925 https://jyx.jyu.fi/handle/123456789/74201
Dataset in research information system
https://converis.jyu.fi/converis/portal/detail/ResearchDataset/68770060
Metadata
Show full item recordCollections
- Tutkimusdata [274]
Related funder(s)
Suomen Akatemia; Research Council of FinlandFunding program(s)
Akatemiahanke, SA; Academy Project, AoFLicense
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Exploration of muscle–tendon biomechanics one year after Achilles tendon rupture and the compensatory role of flexor hallucis longus
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Early Predictors of Recovery From Nonoperatively Treated Achilles Tendon Rupture : 1 Year Follow‐Up Study
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