Document ID: chunk:federal_register_of_legislation:F2024L01337:front:0:p2
Version: federal_register_of_legislation:F2024L01337
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the Schedule 1 – Dictionary.
 1.                Basis for determining the factors
The Repatriation Medical Authority is of the view that there is sound medical‑scientific evidence that indicates that Achilles tendinopathy and death from Achilles tendinopathy can be related to relevant service rendered by veterans, members of Peacekeeping Forces, 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 as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting Achilles tendinopathy or death from Achilles tendinopathy with the circumstances of a person's relevant service:
 1.           running or jogging an average of at least 30 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 4 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 2 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.           pes planus;
         2.           pes cavus;
         3.           decreased ankle or forefoot flexibility;
         4.           forefoot varus;
         5.           lateral ankle joint instability;
 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