Document ID: chunk:federal_register_of_legislation:F2024L01338:front:0:p2
Version: federal_register_of_legislation:F2024L01338
Segment Type: other
Provision Reference: 
Character Range: 3082–6218

is defined in the Schedule 1 – Dictionary.
 1.                Basis for determining the factors
On the sound medical‑scientific evidence available, the Repatriation Medical Authority is of the view that it is more probable than not that Achilles tendinopathy and death from Achilles tendinopathy can be related to relevant service rendered by veterans or members of the Forces under the VEA, or members under the MRCA.
Note: MRCA, relevant service and VEA are defined in the Schedule 1 – Dictionary.
 1.                Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, Achilles tendinopathy or death from Achilles tendinopathy is connected with the circumstances of a person's relevant service:
 1.           running or jogging an average of at least 60 kilometres per week for the 4 weeks before clinical onset or clinical worsening;
 2.           undertaking weight bearing exercise involving repeated activity of the ankle joint on the affected side for:
         1.           a minimum intensity of 5 METS; and
         2.           for at least 6 hours per week; and
         3.           for at least the 4 weeks before clinical onset or clinical worsening;
Note 1: Examples of weight bearing exercise involving repeated activity of the ankle joint at a minimum intensity of 5 METS include marching, playing basketball, football, volleyball, and track and field (especially those activities that involve jumping).
Note 2: MET (metabolic equivalent) is a unit of measure of the level of physical capability of the cardiorespiratory system. For example, 1 MET = cardiorespiratory effort associated with a person sitting, 3-4 METs = cardiorespiratory effort associated with a person walking at average walking pace (5 km/h) or light gardening.
 1.           increasing the frequency, duration or intensity of activity involving the ankle joint on the affected side:
         1.           by at least 100 percent; and
         2.           to a minimum intensity of 5 METs; and
         3.           for at least 4 hours per day;
within the 1 week before the clinical onset or clinical worsening;
Note: MET (metabolic equivalent) is a unit of measure of the level of physical capability of the cardiorespiratory system. For example, 1 MET = cardiorespiratory effort associated with a person sitting, 3-4 METs = cardiorespiratory effort associated with a person walking at average walking pace (5 km/h) or light gardening.
 1.           having one or more of the following conditions involving the affected lower limb at the time of clinical onset or clinical worsening:
         1.           decreased ankle or forefoot flexibility;
         2.           forefoot varus;
 2.           having one of the following systemic arthritic diseases at the time of clinical onset or clinical worsening:
         1.           ankylosing spondylitis;
         2.           Behcet syndrome;
         3.           enteropathic spondyloarthropathy (arthritis associated with inflammatory bowel disease);
         4.           gout;
         5.           pseudogout