Biomechanical outcomes of a molded ankle foot orthosis (MAFO) in patients with Achilles tendinopathy
Brief description of study
This study will investigate the implications of loading on Achilles tendon health. To do this, we will evaluate Achilles tendon structure and function using ultrasound imaging, motion analysis, and wearable sensors.
Detailed description of study
This study will follow for 1 year after you have been prescribed a MAFO as treatment for Achilles tendon pain. This time includes 2 in lab assessments that will last approximately 1-hour, followed by a 1 month activity monitoring period each time. At 6 months and 1 year, we will follow up with surveys to track your outcomes. You will perform functional tasks such as walking. During this time, we will assess your movement with cameras and wearable sensors that measure your muscle activity, limb movement, and foot pressures. Functional tasks will be performed both with and without the MAFO. We will assess your Achilles tendon and calf muscle structure with ultrasound imaging. You will also complete several questionnaires. Activity monitoring sessions will follow each lab visit. You will record your activity for approximately 4 weeks using special wearable sensors attached to each of your legs.
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Achilles tendinopathy, molded ankle foot orthosis, MAFO
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Age: 18 years - 65 years
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Gender: All
Inclusion
- Diagnosed Achilles tendinopathy made using clinical symptoms including pain from palpation
- Use of MAFO for Achilles tendinopathy treatment
- Age between 18-65 years
- Be able to understand and provide written informed consent
Exclusion
- Excessive body weight (BMI of 40 or greater)
- History of Achilles tendon rupture
- Connective tissue disorders such as Elhers-Danlos
- Current or previous use of oral steroids
- Pregnant or breastfeeding in past 12-months
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