Factors related to intra-tendinous morphology of Achilles tendon in runners.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2019
Historique:
received: 13 05 2019
accepted: 31 07 2019
entrez: 15 8 2019
pubmed: 15 8 2019
medline: 4 3 2020
Statut: epublish

Résumé

The purpose of this study was to determine and explore factors (age, sex, anthropometry, running and injury/pain history, tendon gross morphology, neovascularization, ankle range of motion, and ankle plantarflexor muscle endurance) related to intra-tendinous morphological alterations of the Achilles tendon in runners. An intra-tendinous morphological change was defined as collagen fiber disorganization detected by a low peak spatial frequency radius (PSFR) obtained from spatial frequency analysis (SFA) techniques in sonography. Ninety-one runners (53 males and 38 females; 37.9 ± 11.6 years) with 8.8 ± 7.3 years of running experience participated. Height, weight, and waist and hip circumferences were recorded. Participants completed a survey about running and injury/pain history and the Victorian Institute of Sport Assessment-Achilles (VISA-A) survey. Heel raise endurance and knee-to-wall composite dorsiflexion were assessed. Brightness-mode (B-mode) sonographic images were captured longitudinally and transversely on the Achilles tendon bilaterally. Sonographic images were analyzed for gross morphology (i.e., cross-sectional area [CSA]), neovascularization, and intra-tendinous morphology (i.e., PSFR) for each participant. The factors associated with altered intra-tendinous morphology of the Achilles tendon were analyzed using a generalized linear mixed model. Multivariate analyses revealed that male sex was significantly associated with a decreased PSFR. Additionally, male sex and the presence of current Achilles tendon pain were found to be significantly related to decreased PSFR using a univariate analysis. Our findings suggested that male sex and presence of current Achilles tendon pain were related to intra-tendinous morphological alterations in the Achilles tendon of runners.

Identifiants

pubmed: 31412086
doi: 10.1371/journal.pone.0221183
pii: PONE-D-19-13550
pmc: PMC6693759
doi:

Banques de données

figshare
['10.6084/m9.figshare.8313386']

Types de publication

Clinical Trial Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0221183

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Kai-Yu Ho (KY)

Department of Physical Therapy, University of Nevada, Las Vegas, Las Vegas, Nevada, United States of America.

Ari Baquet (A)

Division of Biokinesiology & Physical Therapy, University of Southern California, Los Angeles, California, United States of America.

Yu-Jen Chang (YJ)

Division of Physical Therapy, West Virginia University, Morgantown, West Virginia, United States of America.

Lung-Chang Chien (LC)

Epidemology and Biostatistics, Department of Environmental and Occupational Health, School of Public Health, University of Nevada, Las Vegas, Nevada, United States of America.

Michelle Harty (M)

Department of Physical Therapy, University of Nevada, Las Vegas, Las Vegas, Nevada, United States of America.

Gregory Bashford (G)

Department of Biological Systems Engineering, University of Nebraska-Lincoln, Lincoln, Nebraska, United States of America.

Kornelia Kulig (K)

Division of Biokinesiology & Physical Therapy, University of Southern California, Los Angeles, California, United States of America.

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Classifications MeSH