Related Experiment Video
Updated: Jun 19, 2026
02:15
Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
Published on: March 1, 2024
467
Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision - 2024
The Journal of Orthopaedic and Sports Physical Therapy
|November 29, 2024
Summary
The updated 2024 clinical practice guideline provides evidence-based recommendations for managing midportion Achilles tendinopathy. It covers diagnosis, risk factors, and physical therapy interventions for Achilles pain and stiffness.
Area of Science:
- Orthopaedic Physical Therapy
- Musculoskeletal Impairments
Background:
- The Academy of Orthopaedic Physical Therapy (AOPT) develops evidence-based clinical practice guidelines (CPG) for musculoskeletal impairments.
- This guideline revises the 2018 CPG for midportion Achilles tendinopathy, representing the third AOPT CPG on this condition.
Purpose of the Study:
- To provide a concise summary of current evidence regarding midportion Achilles tendinopathy.
- To develop new or revise existing recommendations for evidence-based physical therapy practice.
Main Methods:
- Systematic review and synthesis of contemporary evidence.
- Development of updated clinical recommendations based on the evidence.
Main Results:
- The guideline addresses prevalence, pathoanatomy, risk factors, clinical course, diagnosis, examination, and imaging for midportion Achilles tendinopathy.
- New or revised recommendations support physical therapy interventions for this condition.
Conclusions:
- The 2024 CPG offers updated, evidence-based guidance for the management of midportion Achilles tendinopathy.
- This resource aids clinicians in providing optimal orthopaedic physical therapy for patients with Achilles tendinopathy.
Related Concept Videos
01:28Disorders of the Skeletal Muscle
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
01:14Myocarditis III: Medical Management
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
01:24Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
01:22Myasthenia Gravis ll: Pathophysiology
The disease process of myasthenia gravis begins at the neuromuscular junction, where antibodies attack key proteins needed for muscle activation. This immune reaction weakens signal transmission, leading to the characteristic muscle fatigue and weakness that define the condition.Immune-Mediated DamageIn most individuals, antibodies target acetylcholine receptors (AChRs) on the postsynaptic membrane of muscle cells. By blocking acetylcholine binding, these antibodies prevent the nerve signal...
01:12Alterations in Muscle Tone ll
Alterations in muscle tone are common manifestations of neurological disorders and reflect dysfunction within different nervous system regions. Spasticity, paratonia, and dystonia represent distinct forms of hypertonia, each with unique mechanisms, clinical features, and diagnostic importance.CharacteristicsSpasticity happens from upper motor neuron lesions and is characterized by velocity-dependent resistance to passive movement. Clinical features include:Exaggerated deep tendon reflexesClonus...
01:11Alterations in Muscle Tone lll
Rigidity and myotonia are distinct abnormalities of muscle tone that affect resistance and relaxation during movement. Although both involve altered muscle contraction, they arise from different neurological and muscular mechanisms.CharacteristicsRigidity is characterized by uniform resistance to passive movement across the entire range, independent of speed, affecting flexors and extensors equally. It may appear as lead-pipe rigidity (smooth, constant resistance) or cogwheel rigidity...