2022
DOI: 10.1136/bmjsem-2022-001355
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Assessment and monitoring of Achilles tendinopathy in clinical practice: a qualitative descriptive exploration of the barriers clinicians face

Abstract: Our primary objective was to explore the barriers preventing clinicians from implementing what they think is ideal practice as it relates to using tools to aid diagnosis and monitor progress in mid-portion Achilles tendinopathy. Our secondary objectives were to describe the assessments employed by clinicians in their own practice to aid with (a) diagnosis and (b) monitoring progress in Achilles tendinopathy and explore the outcome measure domains clinicians believe to be the most and least important when manag… Show more

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Cited by 16 publications
(11 citation statements)
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“…Patient compliance, patient knowledge, and the slow nature of recovery were barriers to prescribing therapeutic exercise reported by PTs, while time, physical resources, and a perceived lack of short-term treatment effectiveness were barriers for people with AT. This study is unique in including both PTs and people with AT (though groups were unaffiliated with each other), as previous works have studied patient18 19 30 31 and PT32 experiences in managing AT separately. By analysing both groups simultaneously, and considering the COM-B framework,20 this work has identified similarities and differences between the perception of AT treatment needs across PTs and people with AT.…”
Section: Discussionmentioning
confidence: 99%
“…Patient compliance, patient knowledge, and the slow nature of recovery were barriers to prescribing therapeutic exercise reported by PTs, while time, physical resources, and a perceived lack of short-term treatment effectiveness were barriers for people with AT. This study is unique in including both PTs and people with AT (though groups were unaffiliated with each other), as previous works have studied patient18 19 30 31 and PT32 experiences in managing AT separately. By analysing both groups simultaneously, and considering the COM-B framework,20 this work has identified similarities and differences between the perception of AT treatment needs across PTs and people with AT.…”
Section: Discussionmentioning
confidence: 99%
“…To answer assumption 2, I performed a qualitative study of clinicians 3. I identified substantial differences in the assessments performed between clinicians as well as a number of barriers (financial constraints, time constraints, access to equipment and patient symptom severity) preventing clinicians from adhering to their perceived best practice in the assessment and monitoring of Achilles tendinopathy 3…”
Section: How Did I Do It and What Did I Find?mentioning
confidence: 99%
“…6 However, multiple different measures to quantify tendon-related disability are used across studies, with no existing consensus. 7 8 In clinical practice measures of tendon-related disability are not commonly used, 9 in part due to inadequate content validity. 10 11 Thus, despite a consensus of it being an important aspect of health, 6 there remains no measure of tendon-related disability that is validated for research or clinical use.…”
Section: Introductionmentioning
confidence: 99%