Abstract
Achilles tendon structure differs between trained distance runners and healthy controls, but the progression of tendon remodeling over the course of a competitive season is poorly understood. Therefore, the purpose of this study was to quantify Achilles tendon structure at the beginning and completion of a cross country season. We hypothesized that athletes who did not develop tendinopathy would not present with changes in tendon structure. Ultrasound assessments of the right Achilles tendon mid-substance were performed to quantify tendon organization, thickness, and echogenicity. Subjective structural measures and reported outcomes were also collected to determine if tendinopathy was present in any of the subjects. None of the subjects developed symptomatic tendinopathy over the course of the competitive season, but one runner did show signs of mild neovascularization. Tendon organization and echogenicity did not change over the course of the season. Tendon thickness increased by 7% (P < 0.001) but the effect size was small (d = 0.36). Runners who do not develop symptomatic tendinopathy have habituated tendon structure that may serve as a protective mechanism against the rigors of distance running. Monitoring tendon structure may serve as a means of detecting signs of structural indicators of tendinopathy prior to the presentation of symptoms.
Footnotes
Ethics Approval and Consent to Participate this study was approved by the Institutional Review Board at the University of Pennsylvania (#827145). Subjects provided written-informed consent
Consent to Publish this submission does not contain any individual data
Conflict of interest: We declare that we have no conflicts of interest in the authorship or publication of this contribution
Funding no funding has been provided for this research