TY - JOUR
T1 - The recovery after Achilles tendon rupture
T2 - a protocol for a multicenter prospective cohort study
AU - Dams, Olivier C.
AU - van den Akker-Scheek, Inge
AU - Diercks, Ron L.
AU - Wendt, Klaus W.
AU - Bosma, Eelke
AU - van Raaij, Tom M.
AU - Munzebrock, Arvid V.
AU - Zijlstra, Wierd P.
AU - Zwerver, Johannes
AU - Reininga, Inge H. F.
PY - 2019/2/11
Y1 - 2019/2/11
N2 - BackgroundAchilles tendon rupture (ATR) is a common sports injury, with a rising incidence and significant impairments. Due to the lack of treatment guidelines, there is no consensus about diagnostic methods, primary treatment (non-surgical or surgical) and rehabilitation. It is hypothesized that this lack of consensus and guidelines leads to sub-optimal recovery and higher societal costs.The primary aim of this study is to give a broad insight into the recovery after ATR. Secondarily this study aims to explore factors contributing to recovery and gain insight into the cost-effectiveness of ATR management.MethodsThis multicenter prospective cohort study will include all adult ( 18years) patients with an ATR treated at the three main hospitals in the Northern Netherlands: University Medical Center Groningen, Martini Hospital Groningen and Medical Center Leeuwarden. All subjects will be invited for three visits at 3, 6 and 12months post-injury. The following data will be collected: patient-reported outcome measures (PROMs), physical tests, imaging and economic questionnaires. At 3months post-injury personal, injury, and treatment data will be collected through a baseline questionnaire and assessment of the medical file. The PROMs concern the Dutch version of the Achilles Tendon Total Rupture Score, EQ-5D-5L, Oslo Sport Trauma Research Center Overuse Injury Questionnaire, Injury Psychological Readiness Return to Sport Scale, Tampa Scale of Kinesiophobia, Expectations, Motivation and Satisfaction questionnaire and a ranking of reasons for not returning to sport. The administered physical tests are the heel-rise test, standing dorsiflexion range of motion, resting tendon length and single leg hop for distance. Ultrasound Tissue Characterization will be used for imaging. Finally, economic data will be collected using the Productivity Cost Questionnaire and Medical Consumption Questionnaire.DiscussionThis prospective cohort study will contribute to optimal decision making in the primary treatment and rehabilitation of ATRs by providing insight into (1) ATR recovery (2) novel imaging for monitoring recovery (3) (barriers to) return to sport and (4) cost-effectiveness of management. The analysis of these data strives to give a broad insight into the recovery after ATR as well as provide data on novel imaging and costs, contributing to individualized ATR management.Trial registrationTrialregister.nl. NTR6484. 20/06/2017. 20/07/2017.
AB - BackgroundAchilles tendon rupture (ATR) is a common sports injury, with a rising incidence and significant impairments. Due to the lack of treatment guidelines, there is no consensus about diagnostic methods, primary treatment (non-surgical or surgical) and rehabilitation. It is hypothesized that this lack of consensus and guidelines leads to sub-optimal recovery and higher societal costs.The primary aim of this study is to give a broad insight into the recovery after ATR. Secondarily this study aims to explore factors contributing to recovery and gain insight into the cost-effectiveness of ATR management.MethodsThis multicenter prospective cohort study will include all adult ( 18years) patients with an ATR treated at the three main hospitals in the Northern Netherlands: University Medical Center Groningen, Martini Hospital Groningen and Medical Center Leeuwarden. All subjects will be invited for three visits at 3, 6 and 12months post-injury. The following data will be collected: patient-reported outcome measures (PROMs), physical tests, imaging and economic questionnaires. At 3months post-injury personal, injury, and treatment data will be collected through a baseline questionnaire and assessment of the medical file. The PROMs concern the Dutch version of the Achilles Tendon Total Rupture Score, EQ-5D-5L, Oslo Sport Trauma Research Center Overuse Injury Questionnaire, Injury Psychological Readiness Return to Sport Scale, Tampa Scale of Kinesiophobia, Expectations, Motivation and Satisfaction questionnaire and a ranking of reasons for not returning to sport. The administered physical tests are the heel-rise test, standing dorsiflexion range of motion, resting tendon length and single leg hop for distance. Ultrasound Tissue Characterization will be used for imaging. Finally, economic data will be collected using the Productivity Cost Questionnaire and Medical Consumption Questionnaire.DiscussionThis prospective cohort study will contribute to optimal decision making in the primary treatment and rehabilitation of ATRs by providing insight into (1) ATR recovery (2) novel imaging for monitoring recovery (3) (barriers to) return to sport and (4) cost-effectiveness of management. The analysis of these data strives to give a broad insight into the recovery after ATR as well as provide data on novel imaging and costs, contributing to individualized ATR management.Trial registrationTrialregister.nl. NTR6484. 20/06/2017. 20/07/2017.
KW - Achilles tendon rupture
KW - PROM
KW - Ultrasound tissue characterization
KW - Prospective cohort
KW - Multicenter
KW - Rehabilitation
KW - Economic
KW - Shared-decision making
KW - SURGICAL REPAIR
KW - PSYCHOLOGICAL READINESS
KW - INCREASING INCIDENCE
KW - RETURN
KW - REHABILITATION
KW - MANAGEMENT
KW - INJURIES
KW - COMPLICATIONS
KW - EPIDEMIOLOGY
KW - METAANALYSIS
U2 - 10.1186/s12891-019-2437-z
DO - 10.1186/s12891-019-2437-z
M3 - Article
C2 - 30744626
SN - 1471-2474
VL - 20
JO - Bmc Musculoskeletal Disorders
JF - Bmc Musculoskeletal Disorders
IS - 1
M1 - 69
ER -