Lower-Extremity Kinetic Chain Exercise Program for Achilles Tendinopathy

Condition(s) studied

Investigational drug(s) / intervention(s)

Lower-Extremity Kinetic Chain Exercise Program: The program includes progressive exercises targeting the foot, ankle, knee, hip, and trunk while addressing movement patterns throughout the lower-extremity kinetic chain

Conventional Exercise Program: A standard rehabilitation program consisting of conventional therapeutic exercises commonly prescribed for chronic Achilles tendinopathy, including tendon-loading and lowe

Study summary

Achilles tendinopathy is a common condition that causes pain, stiffness, and reduced function of the Achilles tendon. It can affect both physically active individuals and the general adult population, often making everyday activities and exercise more difficult. Exercise therapy is widely used as the primary conservative treatment; however, rehabilitation programs that focus only on the Achilles tendon may not address movement impairments involving the entire lower extremity.

This randomized controlled trial will evaluate a rehabilitation program based on the lower-extremity kinetic chain in adults with chronic mid-portion Achilles tendinopathy. Fifty participants will be randomly assigned to receive either a kinetic chain-based exercise program or a conventional rehabilitation program. Assessments will be completed before the intervention begins and again after it is finished.

The study will measure postural stability using the Biodex Balance System, foot and ankle function using the Foot and Ankle Outcome Score (FAOS), pain intensity using the Visual Analog Scale (VAS), and ankle range of motion using a goniometer.

The results will provide information on the effects of a rehabilitation approach that addresses the coordinated function of the lower extremity in people with chronic Achilles tendinopathy.

Eligibility

Primary outcome measure(s)

• overall stability index — Baseline and immediately after completion of the 8-week intervention
  The Overall Stability Index (OSI) will be measured using the Biodex Balance System to assess dynamic postural stability. The OSI quantifies the variance of platform displacement from level in all directions during dynamic balance testing. Lower OSI values indicate better postural stability, whereas higher values indicate greater postural instability.

Trial sites (1)

More May University in Cairo trials in Egypt

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