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Achilles Tendinopathy

This lecture described the fundamental principles of Achilles tendinopathy assessment. This is achieved through the perspective of Achilles tendon structure and function relationships and current understanding of pain and pathophysiology. The exercise evidence base is succinctly synthesised prior to step-by-step discussion of key characteristics of a successful rehabilitation and education program for this condition. Read more ↓
5 Episodes 1h 16m
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Episodes
01
Achilles Tendinopathy Load Tolerance, Diagnosis and Differentials

How to assess load tolerance in Achilles tendinopathy with graded clinic load tests, what level of pain is acceptable during loading, and how to tell midportion tendinopathy apart from paratenon, plantaris, sural nerve and other differentials.

16:52
02
How the Achilles Tendon Stores Energy and Adapts to Load

Why the Achilles is the body's main energy storage tendon, how its structure and the muscle working near isometrically make movement efficient, and why heavy slow loading adapts the tendon while hopping mainly builds power.

17:32
03
Clinical Testing of Calf Strength and Hopping

Clinical tests of calf capacity in Achilles tendinopathy: standing single-leg calf raise endurance with age norms, the seated calf raise eight-repetition maximum, and hopping assessed through contact time, flight time and force plate data.

12:04
04
Staged Rehab From Isometrics to Maximal Strength and Speed

A staged exercise plan for Achilles tendinopathy that moves from isometrics through strength-endurance and maximal strength to strength-speed, with sets, repetitions, rest ratios, load targets and the OMNI scale for each phase.

15:03
05
Plyometric Hopping Progressions, Load Management and Education

When and how to add a graded hopping program to Achilles rehab, how to reduce stretch-shortening cycle load during a flare, and what education helps build working alliance, self-efficacy and realistic expectations.

15:26

This lecture described the fundamental principles of Achilles tendinopathy assessment. This is achieved through the perspective of Achilles tendon structure and function relationships and current understanding of pain and pathophysiology. The exercise evidence base is succinctly synthesised prior to step-by-step discussion of key characteristics of a successful rehabilitation and education program for this condition.

 

-Learning points

  • Develop a process for assessing load tolerance for Achilles tendinopathy
  • Define the key steps in diagnosing Achilles tendinopathy
  • Discuss the structure and function of the Achilles tendon
  • Discuss appropriate physical function tests to utilise in Achilles tendinopathy
  • Summarise the exercise evidence base for Achilles tendinopathy
  • Plan and implement a staged and criteria based approach to rehabilitation
  • Discuss how education and load management may be implemented for people with Achilles tendinopathy
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