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Självskattad smärta och funktion hos individer som tidigare diagnosticerats med tendinopati i hälsenans mittportion – en långtidsuppföljning
Dalarna University, School of Education, Health and Social Studies, Medical Science.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Self-reported pain and function in patients with mid-portion achilles tendinopathy – a long-term follow-up (English)
Abstract [sv]

INTRODUKTION Akillestendinopati (AT) i hälsenans mittportion är vanligt hos både idrottande och icke-idrottande individer och innebär ofta långvariga besvär med smärta och nedsatt prestationsförmåga. Tillståndet är många gånger en utmaning för både patienter och vårdgivare. Syftet med denna studie var att undersöka självskattad smärta och funktion hos patienter med AT, fem år efter behandling i form av excentrisk träning, ultraljudsvägledd sklerosering eller ultraljudsvägledd kirurgi i en randomiserad kontrollerad pilotstudie. METOD 32 individer, som under perioden 2012–2015 deltog i en randomiserad kontrollerad pilotstudie, tillfrågades om deltagande. Via frågeformulär ombads de att skatta nuvarande smärta i vila och vid aktivitet på en visuell analog skala (100 mm) samt funktion enligt Victorian Institute of Sports Assessment-Achilles (VISA-A). I tillägg ombads de besvara om de behövt söka ytterligare vård under uppföljningstiden. RESULTAT 27 deltagare (84 %) besvarade formulären, i genomsnitt 5,2 år efter behandlingsstart. De skattade sin nuvarande smärta i vila och vid aktivitet till ett medianvärde av 1 (IQR 0–3) mm respektive 3 (IQR 0–10) mm, samt sin funktion enligt VISA-A till ett medianvärde av 94 (IQR 88–98). Endast fyra deltagare (15 %) angav att de hade behövt söka ytterligare vård. KONKLUSION Denna studie visade att självskattad smärta och funktion hade förbättrats väsentligt hos individer med tidigare diagnosticerad AT, fem år efter genomförd behandling, samt att endast en liten andel hade behövt söka ytterligare vård under uppföljningstiden.

Abstract [en]

INTRODUCTION Mid-portion achilles tendinopathy (AT) is common within both the active and the less active population and often leads to persistent pain and loss of performance. The condition remains a challenge for both patients and clinicians alike. This study aimed to evaluate self-reported pain and function in patients with AT, five years after being treated with eccentric exercise, ultrasound-guided sclerosing injections or ultrasound-guided surgery in a randomized controlled pilot study. METHODS 32 individuals participating in a randomized controlled pilot study between 2012–2015 were contacted. Through questionnaires they were asked to rate their present pain during rest and activity on a visual analogue scale (100 mm). Self-reported function was evaluated using the Victorian Institute of Sports Assessment-Achilles (VISA-A). In addition, they were asked if they, during the follow-up period, had had additional treatment. RESULTS 27 participants (84 %) answered the questionnaires. Mean follow-up duration was 5,2 years. At follow-up, the participants rated their pain during rest and activity to a median of 1 (IQR 0–3) mm and 3 (IQR 0–10) mm, respectively. Median VISA-A score for self-reported function was 94 (88–98). Four participants (15 %) had additional treatments during the follow-up period. 3 CONCLUSION This study showed that self-reported pain and function was vastly improved among individuals previously diagnosed with AT, five years after treatment, and that only a minor part had had additional treatment during the follow-up period.

Place, publisher, year, edition, pages
2019.
Keywords [en]
Achilles tendinopathy, eccentric exercise, sclerosing injections, surgery, long-term follow-up
Keywords [sv]
Akillestendinopati, Excentrisk träning, Sklerosering, Kirurgi, Långtidsuppföljning
National Category
Other Medical Sciences
Identifiers
URN: urn:nbn:se:du-30781OAI: oai:DiVA.org:du-30781DiVA, id: diva2:1354963
Available from: 2019-09-26 Created: 2019-09-26

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CiteExportLink to record
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Citation style
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