Esben Kjeldgaard

[Esben Kjeldgaard @EsbenKjeldgaard]

@DrPeteMalliaras Probably not absolute load. But perhaps loading rate (BW/sec) has a closer relationship with pain(?) Tend to see that the speed of loading is more indicative, once we slow it down it seems to be less painful. Just clinical observations though.

[Esben Kjeldgaard @EsbenKjeldgaard]

@DrJN_SportsMed Imo, one of the primary issues are that we lack good mid/latestage rehab protocols and sometimes fail to individualise the rehab accordingly. Further, we lack evidencebased criteria for return to running in these patients (at least to my knowledge)

[Esben Kjeldgaard @EsbenKjeldgaard]

@FootAndAnkleMD @DrJN_SportsMed It might influence the heterogenous strain profile, since it looks like (on speckle tracking) that differential displacement between tendon layers occur in healthy (and tendinopathic) achilles and not in ruptured tendons during plantar flexion.

[Esben Kjeldgaard @EsbenKjeldgaard]

@colingriffin @tomgoom @Seth0Neill @DrPeteMalliaras @tobyrsmith @kgSilbernagel @joshrbaxter @DrJN_SportsMed @PhysioArmstrong @karenlitzyNYC How early would you prescripe BFR Colin? All contraindications taken into consideration, the earliest ive used it is after removal of the Walker. Have you done it earlier? Like it has been used for ACL-reconstructions.

[Esben Kjeldgaard @EsbenKjeldgaard]

@tomgoom @kgSilbernagel @Seth0Neill There is some evidence that tendon elongation occurs until (and maybe beyond?) 6 months in surgically repaired tendons - so elongation might be worth considering in regards to higher intensity plyometrics. What are your thoughts here @Seth0Neill?

[Esben Kjeldgaard @EsbenKjeldgaard]

@tomgoom @kgSilbernagel @Seth0Neill Tend to use @kgSilbernagel loading index as inspiration for exercise prescription/progression in all stages of rehab, especially the later ones.

[Esben Kjeldgaard @EsbenKjeldgaard]

@tomgoom @kgSilbernagel @Seth0Neill From what we found last year there werent any High-quality papers published beyond 16 weeks. Had a hard time finding anything beyond that timeframe at all actually. (Im assuming mid/late is from around 16 weeks/4 months)?