The relationship between psychological, cognitive, and contextual factors and rehabilitation outcomes in Achilles tendinopathy: A prospective feasibility cohort study

Phys Ther Sport. 2023 Mar:60:132-140. doi: 10.1016/j.ptsp.2023.02.002. Epub 2023 Feb 10.


Objectives: This study aimed to investigate the feasibility of conducting a full-scale study investigating the influence of patient-related factors on rehabilitation outcomes in Achilles tendinopathy (AT). A secondary aim was to investigate preliminary relationships between patient-related factors and clinical outcomes at 12- and 26- weeks.

Design: feasibility cohort.

Setting: Australian healthcare settings.

Methods: Participants with AT receiving physiotherapy in Australia were recruited via treating physiotherapists and online. Data were collected online at baseline, 12- and 26-weeks. Progression criteria for a full-scale study were recruitment rate of ≥10 per month, conversion rate ≥20%, and response rate to questionnaires ≥80%. The relationship between patient-related factors and clinical outcomes was investigated using Spearman's rho correlation coefficient.

Results: The average recruitment rate was 5/month, conversion rate was 97%, and response rate to questionnaires was ≥97% at all timepoints. There was a fair to moderate correlation (rho = 0.225 to 0.683) between patient-related factors and clinical outcomes at the 12-week, but no to weak correlation at the 26-week (rho = 0.002 to 0.284).

Conclusions: Feasibility outcomes suggest a future full-scale cohort study is feasible with the caveat of utilizing strategies to improve recruitment rate. Preliminary bivariate correlations at 12-weeks warrant further investigations in larger studies.

Keywords: Achilles tendon; Rehabilitation; Tendinopathy.

MeSH terms

  • Achilles Tendon*
  • Australia
  • Cognition
  • Cohort Studies
  • Feasibility Studies
  • Humans
  • Prospective Studies
  • Tendinopathy* / therapy
  • Treatment Outcome