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. 2019 Feb 11;20(1):69.
doi: 10.1186/s12891-019-2437-z.

The recovery after Achilles tendon rupture: a protocol for a multicenter prospective cohort study

Olivier C Dams  1   2 , Inge van den Akker-Scheek  3 , Ron L Diercks  3 , Klaus W Wendt  4 , Eelke Bosma  5 , Tom M van Raaij  6 , Arvid V Munzebrock  7 , Wierd P Zijlstra  8 , Johannes Zwerver  9 , Inge H F Reininga  4
Affiliations

The recovery after Achilles tendon rupture: a protocol for a multicenter prospective cohort study

Olivier C Dams et al. BMC Musculoskelet Disord. .

Abstract

Background: Achilles 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.

Methods: This multicenter prospective cohort study will include all adult (≥ 18 years) 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 12 months post-injury. The following data will be collected: patient-reported outcome measures (PROMs), physical tests, imaging and economic questionnaires. At 3 months 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-5 L, 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.

Discussion: This 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 registration: Trialregister.nl. NTR6484 . 20/06/2017. 20/07/2017.

Keywords: Achilles tendon rupture; Economic; Multicenter; PROM; Prospective cohort; Rehabilitation; Shared-decision making; Ultrasound tissue characterization.

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Conflict of interest statement

Ethics approval and consent to participate

The study has been approved by the Medical Ethics Committee of the University Medical Center Groningen (METc 2017/126) and locally approved by the ethical committees of the Martini Hospital Groningen (MEC 2017–087) and Medical Center Leeuwarden (COV 274(a)) Participants are included after receiving written and oral information and providing signed informed consent.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Heel-rise test
Fig. 2
Fig. 2
UTC device (probe and tracker) [59]
See this image and copyright information in PMC

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