Clinical Impact of Metabolic Syndrome on Eccentric Exercises for Chronic Insertional Achilles Tendinopathy
- Authors
- Park, Young Hwan; Kim, Woon; Kim, Jae Young; Choi, Gi Won; Kim, Hak Jun
- Issue Date
- 7월-2022
- Publisher
- ELSEVIER SCIENCE INC
- Keywords
- Achilles tendon; calf-muscle exercise; diabetes; hyperlipidemia; obesity
- Citation
- JOURNAL OF FOOT & ANKLE SURGERY, v.61, no.4, pp.726 - 729
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF FOOT & ANKLE SURGERY
- Volume
- 61
- Number
- 4
- Start Page
- 726
- End Page
- 729
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/143379
- DOI
- 10.1053/j.jfas.2021.03.020
- ISSN
- 1067-2516
- Abstract
- Metabolic syndrome is one factor known to contribute to the development of tendinopathies. The aim of this study was to compare the clinical outcomes of eccentric calf-muscle exercise for treatment of chronic insertional Achilles tendinopathy in patients with or without metabolic syndrome. Twenty-eight patients with chronic insertional Achilles tendinopathy and metabolic syndrome who performed eccentric calf-muscle exercise were retrospectively compared with 28 age- and sex-matched controls without metabolic syndrome. Comparisons between the 2 groups were made by evaluating the Visual Analog Scale for pain, patient satisfaction, and amount of pain medications needed during 3 months of follow-up. Two-way analysis of variance with repeated measures showed that the pain scales in the metabolic syndrome group were higher than those in the control group during the follow-up period (F[1,54] = 24.45, p <.001). The patient satisfaction ratings were lower and the amount of required pain medication was higher in the metabolic syndrome group (p <.001 and p <.001, respectively). Eccentric calf-muscle exercises for chronic insertional Achilles tendinopathy were less effective in patients with metabolic syndrome. Therefore, these patients should be managed with a combination of other treatment modalities rather than eccentric exercise alone. (C) 2021 by the American College of Foot and Ankle Surgeons. All rights reserved.
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