Improving clinical evaluation and decision-making in military personnel with mid-portion Achilles tendinopathy: Focusing on Ultrasound Tissue Characterization

Marc Paantjens

doi:10.33540/2161

Improving clinical evaluation and decision-making in military personnel with mid-portion Achilles tendinopathy: Focusing on Ultrasound Tissue Characterization

Marc Paantjens

Revalidatiegeneeskunde Onderzoek

Research output: Thesis › Doctoral thesis 1 (Research UU / Graduation UU)

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Abstract

Chapter 1: Introduction
We aimed to improve the clinical evaluation and decision-making process in military healthcare aimed at personnel with Achilles tendinopathy (AT), primarily focusing on mid-portion Achilles tendinopathy (mid-AT). Six studies were undertaken, with three core themes being the subject of research:
I. ultrasonographical assessment of mid-portion tendon structure;
II. clinical effectiveness of extracorporeal shockwave therapy (ESWT);
III. thresholds on the Victorian Institute of Sport Assessment – Achilles (VISA-A) questionnaire.
The primary objective was to evaluate ultrasound tissue characterization (UTC) as an outcome measure for mid-AT.

Chapter 2: Inter-rater reliability of ultrasonography for Achilles tendon structure.
In asymptomatic subjects, conventional ultrasonography showed:
1. almost perfect agreement in grading mid-portion tendon structure (kw 0.87, 95% CI: 0.79, 0.95);
2. a very high inter-observer correlation in measuring mid-portion diameter in short-axis plane

Original language	English
Awarding Institution	University Medical Center (UMC) Utrecht
Supervisors/Advisors	Backx, Frank, Primary supervisor Helmhout, P.H., Co-supervisor Bakker, E.W.P., Co-supervisor
Award date	2 Apr 2024
Publisher	Utrecht University
Print ISBNs	978-90-393-7636-2
DOIs	https://doi.org/10.33540/2161
Publication status	Published - 2 Apr 2024

Keywords

Achilles tendinopathy
ultrasonography
ultrasound tissue charactarization
patient-reported outcome
reliability
validity
prognosis

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10.33540/2161

proefschrift ma paantjens - 65e0888a8e35eFinal published version, 1.81 MB

https://dspace.library.uu.nl/handle/1874/436697

Cite this

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title = "Improving clinical evaluation and decision-making in military personnel with mid-portion Achilles tendinopathy: Focusing on Ultrasound Tissue Characterization",

abstract = "Chapter 1: Introduction We aimed to improve the clinical evaluation and decision-making process in military healthcare aimed at personnel with Achilles tendinopathy (AT), primarily focusing on mid-portion Achilles tendinopathy (mid-AT). Six studies were undertaken, with three core themes being the subject of research: I. ultrasonographical assessment of mid-portion tendon structure; II. clinical effectiveness of extracorporeal shockwave therapy (ESWT); III. thresholds on the Victorian Institute of Sport Assessment – Achilles (VISA-A) questionnaire. The primary objective was to evaluate ultrasound tissue characterization (UTC) as an outcome measure for mid-AT. Chapter 2: Inter-rater reliability of ultrasonography for Achilles tendon structure. In asymptomatic subjects, conventional ultrasonography showed: 1. almost perfect agreement in grading mid-portion tendon structure (kw 0.87, 95\% CI: 0.79, 0.95); 2. a very high inter-observer correlation in measuring mid-portion diameter in short-axis plane",

keywords = "Achilles tendinopathy, ultrasonography, ultrasound tissue charactarization, patient-reported outcome, reliability, validity, prognosis",

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T1 - Improving clinical evaluation and decision-making in military personnel with mid-portion Achilles tendinopathy

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N2 - Chapter 1: Introduction We aimed to improve the clinical evaluation and decision-making process in military healthcare aimed at personnel with Achilles tendinopathy (AT), primarily focusing on mid-portion Achilles tendinopathy (mid-AT). Six studies were undertaken, with three core themes being the subject of research: I. ultrasonographical assessment of mid-portion tendon structure; II. clinical effectiveness of extracorporeal shockwave therapy (ESWT); III. thresholds on the Victorian Institute of Sport Assessment – Achilles (VISA-A) questionnaire. The primary objective was to evaluate ultrasound tissue characterization (UTC) as an outcome measure for mid-AT. Chapter 2: Inter-rater reliability of ultrasonography for Achilles tendon structure. In asymptomatic subjects, conventional ultrasonography showed: 1. almost perfect agreement in grading mid-portion tendon structure (kw 0.87, 95% CI: 0.79, 0.95); 2. a very high inter-observer correlation in measuring mid-portion diameter in short-axis plane

AB - Chapter 1: Introduction We aimed to improve the clinical evaluation and decision-making process in military healthcare aimed at personnel with Achilles tendinopathy (AT), primarily focusing on mid-portion Achilles tendinopathy (mid-AT). Six studies were undertaken, with three core themes being the subject of research: I. ultrasonographical assessment of mid-portion tendon structure; II. clinical effectiveness of extracorporeal shockwave therapy (ESWT); III. thresholds on the Victorian Institute of Sport Assessment – Achilles (VISA-A) questionnaire. The primary objective was to evaluate ultrasound tissue characterization (UTC) as an outcome measure for mid-AT. Chapter 2: Inter-rater reliability of ultrasonography for Achilles tendon structure. In asymptomatic subjects, conventional ultrasonography showed: 1. almost perfect agreement in grading mid-portion tendon structure (kw 0.87, 95% CI: 0.79, 0.95); 2. a very high inter-observer correlation in measuring mid-portion diameter in short-axis plane

KW - Achilles tendinopathy

KW - ultrasonography

KW - ultrasound tissue charactarization

KW - patient-reported outcome

KW - reliability

KW - validity

KW - prognosis

U2 - 10.33540/2161

DO - 10.33540/2161

M3 - Doctoral thesis 1 (Research UU / Graduation UU)

SN - 978-90-393-7636-2

PB - Utrecht University

ER -

Improving clinical evaluation and decision-making in military personnel with mid-portion Achilles tendinopathy: Focusing on Ultrasound Tissue Characterization

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Keywords

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