Das Fallbeispiel: Der begeisterte Läufer

Zusammenfassung

Ausdauernd: Während seines intensiven Marathontrainings läuft der 43-jährige Bankkaufmann Jürgen M. bis zu 90 Kilometer pro Woche. Jedes Jahr absolviert er zwei Wettkämpfe. Doch seit einigen Wochen macht seine rechte Ferse nicht mehr mit. Jetzt will der Marathon-Mann vor allen Dingen eins: laufen!

• Literatur

• 1 Al-Abbad H, Simon JV. The effectiveness of extracorporeal shock wave therapy on chronic achilles tendinopathy: A systematic review. Foot Ankle Int 2013; 34 (1) 33-41
• 2 Alfredson H, Cook J. A treatment algorithm for managing Achilles tendinopathy: New treatment options. Br J Sports Med 2007; 41 (4) 211-216
• 3 Alfredson H, Pietilä T, Johnsson P et al. Heavy-load eccentric calf muscle training for the treatment of chronic achilles tendinosis. Am J Sports Med 1998; 26: 360-366
• 4 Alfredson H. Chronic midportion Achilles tendinopathy: An update on research and treatment. Clin Sports Med 2003; 22: 727-741
• 5 Alfredson H. Eccentric calf muscle training – the story. Sportverletz Sportschaden 2010; 24 (4) 188-189
• 6 Amlang MH, Zwipp H. Tendinose und Ruptur der Achillessehne. Orthopädie und Unfallchirurgie up2date 2011; 6 (4) 259-282
• 7 Cassel M, Müller S, Carlsohn A et al. Intra- und interobserver Variabilität sonografischer Untersuchungen an Patella- und Achillessehnen. Sportverletz Sportschaden 2012; 26 (1) 21-26
• 8 Chester R, Costa ML, Shepstone L et al. Eccentric calf muscle training compared with therapeutic ultrasound for chronic Achilles tendon pain: A pilot study. Man Ther 2008; 13 (6) 484-491
• 9 Childress MA, Beutler A. Management of chronic tendon injuries. Am Fam Physician 2013; 87 (7) 486-490
• 10 Chuter VH, Janse de Jonge XA. Proximal and distal contributions to lower extremity injury: A review of the literature. Gait Posture 2012; 36 (1) 7-15
• 11 de Jonge S, de Vos RJ, Van Schie HT et al. One-year follow-up of a randomised controlled trial on added splinting to eccentric exercises in chronic midportion Achilles tendinopathy. Br J Sports Med 2010; 44 (9) 673-677
• 12 de Vos RJ, Weir A, Visser RJ et al. The additional value of a night splint to eccentric exercises in chronic midportion Achilles tendinopathy: A randomised controlled trial. Br J Sports Med 2007; 41 (7) e5
• 13 Divani K, Chan O, Padhiar N et al. Site of maximum neovascularisation correlates with the site of pain in recalcitrant mid-tendon Achilles tendinopathy. Man Ther 2010; 15 (5) 463-468
• 14 Gärdin A, Movin T, Svensson L et al. The long-term clinical and MRI results following eccentric calf muscle training in chronic Achilles tendinosis. Skeletal Radiol 2010; 39 (5) 435-442
• 15 Hirschmüller A, Frey V, Deibert P et al. Powerdopplersonografische Befunde der Achillessehnen von 953 Langstreckenläufern – eine Querschnittsstudie. Ultraschall Med 2010; 31 (4) 387-393
• 16 Hirschmüller A, Frey V, Konstantinidis L et al. Prognostic value of Achilles tendon Doppler sonography in asymptomatic runners. Med Sci Sports Exerc 2012; 44 (2) 199-205
• 17 Jonsson P, Alfredson H, Sunding K et al. New regimen for eccentric calf-muscle training in patients with chronic insertional Achilles tendinopathy: Results of a pilot study. Br J Sports Med 2008; 42 (9) 746-749
• 18 Joseph MF, Taft K, Moskwa M et al. Deep friction massage to treat tendinopathy: A systematic review of a classic treatment in the face of a new paradigm of understanding. J Sport Rehabil 2012; 21 (4) 343-353
• 19 Knobloch K, Grasemann R, Spies M et al. Intermittent KoldBlue cryotherapy of 3x10 min changes mid-portion Achilles tendon microcirculation. Br J Sports Med 2007; 41: e4
• 20 Knobloch K, Schreibmueller L, Longo UG et al. Eccentric exercises for the management of tendinopathy of the main body of the Achilles tendon with or without an AirHeel Brace. A randomized controlled trial. B: Effects of compliance Disabil Rehabil 2008; 30 (20–22) 1692-1696
• 21 Kvist M. Achilles tendon injuries in athletes. Ann Chir Gynaecol 1991; 80 (2) 188-120
• 22 Langberg H, Ellingsgaard H, Madsen T et al. Eccentric rehabilitation exercise increases peritendinous type I collagen synthesis in humans with Achilles tendinosis. Scand J Med Sci Sports 2007; 17 (1) 61-66
• 23 Lohrer H, Nauck T. Cross-cultural adaptation and validation of the VISA-A questionnaire for German-speaking Achilles tendinopathy patients. BMC Musculoskelet Disord 2009; 10: 134
• 24 Maffulli N, Kenward MG, Testa V et al. Clinical diagnosis of Achilles tendinopathy with tendinosis. Clin J Sport Med 2003; 13 (1) 11-15
• 25 Maffulli N, Khan KM, Puddu G. Overuse tendon conditions: Time to change a confusing terminology. Arthroscopy 1998; 14 (8) 840-843
• 26 Mafi N, Lorentzon R, Alfredson H. Superior short-term results with eccentric calf muscle training compared to concentric training in a randomized prospective multicenter study on patients with chronic Achilles tendinosis. Knee Surg Sports Traumatol Arthrosc 2001; 9: 42-47
• 27 Magnussen RA, Dunn WR, Thomson AB. Nonoperative treatment of midportion Achilles tendinopathy: A systematic review. Clin J Sport Med 2009; 19 (1) 54-64
• 28 Mayer F, Hirschmüller A, Müller S et al. Effects of short-term treatment strategies over 4 weeks in Achilles tendinopathy. Br J Sports Med 2007; 41 (7) e6
• 29 Milgrom C, Finestone A, Zin D et al. Cold weather training: A risk factor for Achilles paratendinitis among recruits. Foot Ankle Int 2003; 24 (5) 398-401
• 30 Miners AL, Bougie TL. Chronic Achilles tendinopathy: A case study of treatment incorporating active and passive tissue warm-up, Graston Technique, ART, eccentric exercise, and cryotherapy. J Can Chiropr Assoc 2011; 55 (4) 269-279
• 31 Nehrer S, Breitenseher M, Brodner W et al. Clinical and sonographic evaluation of the risk of rupture in the Achilles tendon. Arch Orthop Trauma Surg 1997; 116 (1–2) 14-18
• 32 Nichols AW. Achilles tendinitis in running athletes. J Am Board Fam Pract 1989; 2 (3) 196-203
• 33 Niemuth PE, Johnson RJ, Myers MJ et al. Hip muscle weakness and overuse injuries in recreational runners. Clin J Sport Med 2005; 15 (1) 14-21
• 34 Öhberg L, Lorentzon R, Alfredson H. Eccentric training in patients with chronic Achilles tendinosis: Normalised tendon structure and decreased thickness at follow up. Br J Sports Med 2004; 38: 8-11
• 35 Perugia L, Ippolitio E, Postacchini F. A new approach to the pathology, clinical features and treatment of stress tendinopathy of the Achilles tendon. Ital J Orthop Traumatol 1976; 2 (1) 5-21
• 36 Petersen W, Welp R, Rosenbaum D. Chronic Achilles Tendinopathy: A prospective randomized study comparing the therapeutic effect of eccentric training, the AirHeel brace, and a combination of both. Am J Sports Med 2007; 35 (10) 1659-1667
• 37 Richards PJ, Win T, Jones PW. The distribution of microvascular response in Achilles tendinopathy assessed by colour and power Doppler. Skeletal Radiol 2005; 34 (6) 336-342
• 38 Rixe JA, Gallo RA, Silvis ML. The barefoot debate: Can minimalist shoes reduce running-related injuries?. Curr Sports Med Rep 2012; 11 (3) 160-165
• 39 Scattone Silva R, Veronese LM, Granado Ferreira AL et al. The influence of forefoot varus on eccentric hip torque in adolescents. Man Ther 2013; 18 (6) 487-491
• 40 Silbernagel KG, Brorsson A, Lundberg M. The majority of patients with Achilles tendinopathy recover fully when treated with exercise alone: A 5-year follow-up. Am J Sports Med 2011; 39 (3) 607-613
• 41 Silbernagel KG, Thomé R, Eriksson BI et al. Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: A randomized controlled study. Am J Sports Med 2007; 35: 897-906
• 42 Silbernagel KG, Thomé R, Thomé P et al. Eccentric overload training for patients with chronic Achilles tendon pain: A randomized controlled study with reliability testing of the evaluation methods. Scand J Med Sci Sports 2001; 11: 197-206
• 43 Stacoff A, Kälin X, Stüssi E. The effects of shoes on the torsion and rearfoot motion in running. Med Sci Sports Exerc 1991; 23 (4) 482-490
• 44 Stanish WD, Rubinovich RM, Curwin S. Eccentric exercise in chronic tendinitis. Clin Orthop Relat Res 1986; (208) 65-68
• 45 Stevens M, Tan CW. Effectiveness of the Alfredson‘s protocol compared with a lower repetition volume protocol for mid-portion Achilles tendinopathy: A randomized controlled trial. J Orthop Sports Phys Ther 2014; 44 (2) 59-67
• 46 van Dijk CN, van Sterkenburg MN, Wiegerinck JI et al. Terminology for Achilles tendon related disorders. Knee Surg Sports Traumatol Arthrosc 2011; 19 (5) 835-841
• 47 van Snellenberg W, Wiley JP, Brunet G. Achilles tendon pain intensity and level of neovascularization in athletes as determined by color Doppler ultrasound. Scand J Med Sci Sports 2007; 17 (5) 530-534
• 48 Verrall G, Schofield S, Brustad T. Chronic Achilles tendinopathy treated with eccentric stretching program. Foot Ankle Int 2011; 32 (9) 843-849