Abstract
Introduction and Aim Several studies associate tendinopathies with structural changes in the Achilles
tendon (AT). However, few studies have demonstrated whether long distance running
training can generate structural changes at the level of the AT. The aim of this study
was to determine whether adaptive changes exist, both structural and functional, in
the AT of asymptomatic endurance runners with no history of lesions to the AT.
Material and Methods A cross-sectional descriptive study. In total, 14 subjects were selected and divided
into two groups of 7 subjects each. The intervention group (IG) comprised all usual
runners, running over 60 km per week, with no previous lesion to the AT. The control
group (CG) included all active subjects but who did not perform competitive sports
nor did they run more than 10 km per week. The ankle dorsal flexion (ADF) of each
subject was measured together with the index of reactive force (IRF), and the width
of the AT body was measured using ultrasound, together with the level of hypervascularization,
the presence of hypoechoic areas and the presence of hyperechoic areas. To measure
ADF, the validated measurement was used with the application (App) Dorsiflex for IPhone.
To calculate IRF, the validated measure of the Drop Jump, test from the App My Jump
2 was used. The ultrasound assessment was always performed by the same examiner. The
ultrasound machine was a General Electric, Logiq V2 model for measuring both feet:
the width of the AT body, the degree of hyper vascularization, the presence of hypoechoic
areas and the presence of calcifications. The subject was placed in prone, with the
foot hanging off the table and the ankle was in 90° flexion. The examiner was placed
on the same side as the lower limb examined.
Results The means of the results obtained and p-values of significance were as follows: ADF = 46°
CG 43.6° IG (p > 0.005). IRF = 0.92 CG 1.07 IG (p > 0.005) Ultrasound = CG 43% presence
of vascularization outside the tendon; IG 83% presence of vascularization outside
the tendon.
Conclusions No significant evidence exists to support that the AT in endurance runners without
a history of injuries, presents functional adaptations. However, it seems that in
endurance runners, there is a greater presence of vessels in Kager's fat pad, although
it is necessary to obtain data from a larger population to confirm and establish the
possible relationships of these changes.
