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Patti Syvertson, Emily Dietz, Monica Matocha, Janet McMurray, Russell Baker, Alan Nasypany, Don Reordan and Michael Paddack

Context:

Achilles tendinopathy is relatively common in both the general and athletic populations. The current gold standard for the treatment of Achilles tendinopathy is eccentric exercise, which can be painful and time consuming. While there is limited research on indirect treatment approaches, it has been proposed that tendinopathy patients do respond to indirect approaches in fewer treatments without provoking pain.

Objective:

To determine the effectiveness of using a treatment-based-classification (TBC) algorithm as a strategy for classifying and treating patients diagnosed with Achilles tendinopathy.

Participants:

11 subjects (mean age 28.0 ±15.37 y) diagnosed with Achilles tendinopathy.

Design:

Case series.

Setting:

Participants were evaluated, diagnosed, and treated at multiple clinics.

Main Outcome Measures:

Numeric Rating Scale (NRS), Disablement in the Physically Active Scale (DPA Scale), Victorian Institute of Sport Assessment–Achilles (VISA-A), Global Rating of Change (GRC), and Nirschl Phase Rating Scale were recorded to establish baseline scores and evaluate participant progress.

Results:

A repeated-measures ANOVA was conducted to analyze NRS scores from initial exam to discharge and at 1-mo follow-up. Paired t tests were analyzed to determine the effectiveness of using a TBC algorithm from initial exam to discharge on the DPA Scale and VISA-A. Descriptive statistics were evaluated to determine outcomes as reported on the GRC.

Conclusion:

The results of this case series provide evidence that using a TBC algorithm can improve function while decreasing pain and disability in Achilles tendinopathy participants.

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Kaitlyn C. Jones, Evelyn C. Tocco, Ashley N. Marshall, Tamara C. Valovich McLeod and Cailee E. Welch Bacon

-LBP, such as the treatment-based classification system, do not necessarily translate to chronic pain and notably do not take psychosocial factors into consideration. 9 Therapeutic exercise is a low-risk and effective treatment option for chronic pain, which can be utilized by all rehabilitation clinicians

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Michelle A. Sandrey

, Erhard RE , Bowling RW . A treatment based classification approach to low back syndrome: identifying and staging patients for conservative treatment . Phys Ther . 1995 ; 75 : 470 – 485 . PubMed ID: 7770494 doi:10.1093/ptj/75.6.470 7770494 10.1093/ptj/75.6.470 16. Kasai Y , Morishita K

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Daniel Viggiani and Jack P. Callaghan

nonspecific LBP population tends to be older, less active, and have more comorbidities than PDs. 1 , 14 , 15 While PDs share fewer characteristics with LBP patients in general, they are similar to a subset of patients. The treatment-based classification method of subgrouping nonspecific LBP patients

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Mark A. Sutherlin, L. Colby Mangum, Jay Hertel, Susan A. Saliba and Joseph M. Hart

select trunk muscle thickness change between subjects with low back pain classified in the treatment-based classification system and asymptomatic controls . J Orthop Sports Phys Ther . 2007 ; 37 ( 10 ): 596 – 607 . PubMed ID: 17970406 doi:10.2519/jospt.2007.2574 17970406 10.2519/jospt.2007.2574 18