What question did this study set out to answer?

To evaluate clinical practice patterns among physical therapists treating Achilles tendinopathy and identify perceived barriers and facilitators to therapeutic exercise for both clinicians and patients.

February 1, 2024BMJ Open Sport & Exercise MedicineOpen Access

Current practice, guideline adherence, and barriers to implementation for Achilles tendinopathy rehabilitation: a survey of physical therapists and people with Achilles tendinopathy

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To evaluate clinical practice patterns among physical therapists treating Achilles tendinopathy and identify perceived barriers and facilitators to therapeutic exercise for both clinicians and patients.
Distributed two electronic cross-sectional surveys between November 2021 and May 2022 to physical therapists and individuals with Achilles tendinopathy.
Assessed therapist training and current practice, patient injury and management history, and perceived exercise barriers and facilitators across both cohorts.
Over 94% of surveyed physical therapists (97% having advanced musculoskeletal training) prioritized therapeutic exercise and patient education, aligning with clinical practice guidelines (N=341).
Therapists identified patient compliance, limited patient knowledge, and the slow pace of tendon recovery as primary barriers to prescribing exercise.
Individuals with Achilles tendinopathy (N=74) identified lack of time, limited physical resources, and perceived absence of short-term treatment effectiveness as major exercise barriers.

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Implication

Cross-sectional surveys reveal high guideline adherence alongside distinct rehabilitation barriers in Achilles tendinopathy, suggesting key targets to improve exercise adherence.

Cite This Study

Merry et al. (2024) studied this question.

synapsesocial.com/papers/6a9bcdd36a404a3d1a850455 https://doi.org/10.1136/bmjsem-2023-001678

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Implication

Cross-sectional surveys reveal high guideline adherence alongside distinct rehabilitation barriers in Achilles tendinopathy, suggesting key targets to improve exercise adherence.

Current practice, guideline adherence, and barriers to implementation for Achilles tendinopathy rehabilitation: a survey of physical therapists and people with Achilles tendinopathy

Key Points

Discussion

Implication

Cite This Study

Current practice, guideline adherence, and barriers to implementation for Achilles tendinopathy rehabilitation: a survey of physical therapists and people with Achilles tendinopathy

Key Points

Discussion

Implication

Cite This Study

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