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TITLE: POSE METHOD OF RUNNING FOR THE TREATMENT OF CHRONIC ACHILLES TENDINOSIS
PURPOSE: To study the effect of Pose Method of Running in 20 recreational
runners who have the diagnosis of chronic Achilles tendinosis (degenerative changes of the Achilles tendon)
CONDUCTED BY: Dr.Romanov, Miami, FL, Dr. Frank Weinert, Müllheim, Germany
PLACE: Müllheim, Germany
DATE: Preliminary investigation - April, 2005; The Study - July 2005.
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Study outline, 25.3.2005, Dr. med. Frank Weinert
INTRODUCTION
Overuse injuries mainly localized in the lower extremities seem to be the price you have to pay being a runner.
Knee and shin injuries are more frequent than achilles tendon problems. But there are more serious consequences to be dealt with: Achilles tendon pathology leads earlier and much more often to a reduction of training volume or complete stop of running activity, to visits at the doctors office or to a complete end of the sporting career than any other injury.
The classification of Achilles tendon pathology differentiates insertional (insertional tendinitis, Haglund heel, retrocalcanear bursitis) from non-insertional problems (achilles tendinitis, achilles tendinosis).
The most important achilles tendinosis is a degenerative disorder, not an inflammation, with following clinical features:
- Pain localised 2-6 cm above the insertion of the Achilles tendon
- in the morning when getting up
- every time when starting weight bearing
- Stiffness when starting weight bearing after prolonged pause
- Slow reduction of pain with prolonged weightbearing and aggravation later on
- Localized pain on palpation
- Localized swelling of the tendon
Numerous risk factors are associated with the developement of Achilles tendinosis (training volume, training surface, shoes, biomechanical factors...), and it's management is based more on empirical than scientific principles.
In a recent study for treatment of degenerative Achilles tendinosis a specially designed eccentric calf muscle training program showed excellent results in all participants.
As Pose Method of Running is characterized by less eccentric work at the knee and more eccentric work at the ankle, this leads to the theoretical model, that Pose could have an important role in the treatment of Achilles tendinosis in runners.
In this study we evaluate use of the Pose Method of Running for the treatment of chronic Achilles tendinosis.
Literature
- Puddu G, Ipolito E, Postacchini F: A classification of Achilles tendon disease. Am J Sports Med 4: 145-150; 1976
- F. Mayer, S. Grau, W. Bäuerle, M. Beck, I. Krauss, C. Maiwald, H. Baur: Achillessehnenbeschwerden in Laufsport - eine aktuelle Übersicht. Deutsche Z f Sportmed 51: 161-167; 2000
- Arendse RE, Noakes TD, Azevedo LB, Romanov N, Schwellnus MP, Fletcher G: Reduced eccentric loading of the knee with the Pose running method. Med Sci Sports Exerc 36: 272-277; 2004
- Alfredson H, Pietilä T, Jonsson P, Lorentzon R: Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med 26: 360-366; 1998
- Shalabi A, Kristoffersen-Wilberg M, Svensson L, Aspelin P, Movin T: Eccentric training of the Gastrocnemius-Soleus complex in chronic Achilles tendinopathy results in decreased tendon volume and intratendinous signal as evaluated by MRI. Am J Sports Med 32: 1286-1296; 2004
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 ACHILLES TENDINITIS: what is the problem?
Without disputing the efficiency of any approach to solving the Achilles tendinitis problem, I want to make it clear that it’ll never be really solved unless we address the main cause of the problem, and we’ll be back to this problem again and again, no matter how successful our treatment may be. by Dr. Nicholas Romanov
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 POSE METHOD® OF RUNNING EDUCATIONAL MATERIALS
Quickly becoming a reference book for health professionals and physical education specialists, Pose Method of Running book covers a lot of interesting topics, raises questions and provides answers where there were previously none.
Learn Pose Method theory and concepts, as well as the drills and the exercises with the help of Pose Method Book and DVD. Get both as a package and save $20!
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THE BEST TIME TO LEARN THE POSE METHOD
For most runners, regardless of experience or ability, adopting the Pose Method of Running will represent a major change in running style.
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SWITCH TO POSE
The easiest way to do is to attend the Pose clinic or take some lessons with a Pose Method® Certified Coach. But if you don’t have this possibility, you have to learn it by yourself.
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BEGINNER'S GUIDE TO POSE METHOD
So you have the book and the DVD, but still don’t know how and where to start from. It’s a usual case with newcomers to the Pose Method. Login here to read the Beginner's Guide with detailed instructions on where to begin and what to do. |
POSE RUNNING CLINICS
Find out more about Pose Method Running Clinics. Current schedule of clinics and online registration are available.
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ONLINE LIBRARY
Reading material.
Keyword: Pose Method.
From magazine articles to book chapters.
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READ THE BOOK
We've published a number of chapters out of the book "Pose Method of Running" in our online library. You're welcome to read them. No regisration needed. |
RUNNING SHOES
Find out how to select the right running shoes and what running shoes Dr.Romanov recommends.
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RUNNING TECHNIQUE
Like any other movement, the act of running is a skill that can be refined, trained and improved.
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FAQ
Frequently Asked Questions. |
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