Reeducation of Chronic Achilles Tendinopathy by Wearing Shoes Inclined Versus Reeducation by Kinesitherapy

Study Overview
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Brief Summary
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The purpose of the study is to compare the treatment by wearing shoes inclined at kinesitherapy because it is the first treatment offered by primary care physicians in chronic Achilles tendinopathy.

Official Title
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Reeducation of Chronic Achilles Tendinopathy by Wearing Shoes Inclined Versus Reeducation by Kinesitherapy

Conditions
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Tendinopathy, Rupture of Achilles Tendon, Chronic Disease

Intervention / Treatment
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* Device: 8° incline shoe
* Other: kinesitherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age: 18-75 years Disease: chronic Achilles tendinopathy de novo or recurrent confirmed by ultrasound Patients having signed the informed consent for the study participation Patients covered by medical insurance Patients having no behavioral disorders Exclusion Criteria: History of rupture of the Achilles tendon (= stage 4) Antibiotic treatment tendinotoxique (Quinolones, ...) Inability to walk more than 30 minutes per day. Haglund Syndrome Treatment of tendinopathy or being older than six months Minors Major trust

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 8° incline shoe<br>The shoe is inclined from front to back and from top to bottom of 8 °. This causes a controlled and an eccentric contraction during the passage. During the walk we will have: In support tardigrade : an ankle dorsiflexion with a stretching the Achilles tendon (eccentric contractions). In support digitigrade: plantar flexion of ankle with a muscle contraction of triceps surae (concentric contraction). | Device: 8° incline shoe<br>* Wearing inclined shoes for 6 weeks, walking 15 minutes (2 times/day). The shoe is inclined from front to back and from top to bottom of 8 °. This causes a controlled and an eccentric contraction during the passage. During the walk we will have: In support tardigrade : an ankle dorsiflexion with a stretching the Achilles tendon (eccentric contractions). In support digitigrade: plantar flexion of ankle with a muscle contraction of triceps surae (concentric contraction).<br>* Other names: Wearing inclined shoes;|
| Active Comparator: kinesitherapy<br>The patient performs its home therapy and consults his physiotherapist once a week according to the protocol Stanish | Other: kinesitherapy<br>* Daily eccentric contraction at home and once per week for 6 weeks with the physiotherapist<br>* Other names: The kinesitherapy for the treatment of tendinopathy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evolution of the American Orthopaedic Foot and Ankle Score (AOFAS) |  | at Day 0 and 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evolution of amplitude to the tibio-tarsal |  | at 12 weeks | 
| Pain Scores on the Visual Analog Scale |  | at 12 weeks |