[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100623047":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":20,"centralContacts":24,"locations":33,"responsibleParty":57,"collaborators":10,"id":61,"slug":62,"hasResults":63,"nctId":64,"briefTitle":65,"officialTitle":66,"acronym":67,"eligibilityCriteria":68,"healthyVolunteers":63,"sex":69,"minAge":70,"maxAge":10,"enrollmentInfo":71,"targetDuration":10,"studyType":74,"phases":10,"briefSummary":75,"conditions":76,"keywords":78,"overallStatus":84,"whyStopped":10,"lastUpdateSubmitDate":85,"lastUpdatePostDateStruct":86,"startDateStruct":89,"completionDateStruct":91,"leadSponsor":93,"locationsCount":94},{"fullName":5,"class":6},"Liverpool University Hospitals NHS Foundation Trust","OTHER_GOV",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Non-Surgically Managed Achilles Tendon Rupture Cohort",null,"Adults who sustained an Achilles tendon rupture and were managed non-surgically using the SMART rehabilitation protocol within Liverpool University Hospitals NHS Foundation Trust. All participants are 12-15 months post-injury at the time of assessment.",[13],"Other: Non-Surgical Management Using the SMART Protocol",[15],{"type":16,"name":17,"description":18,"armGroupLabels":19,"otherNames":10},"OTHER","Non-Surgical Management Using the SMART Protocol","Participants previously received standard non-surgical treatment for Achilles tendon rupture following the SMART (Swansea Morriston Achilles Rupture Treatment) functional rehabilitation protocol as part of routine NHS care. No interventions are assigned as part of this study; all data are collected at a single follow-up visit.",[9],[21],{"name":22,"affiliation":5,"role":23},"Jeff Morton, BSc. (Hons) Physiotherapy","STUDY_CHAIR",[25,30],{"name":26,"role":27,"phone":28,"phoneExt":10,"email":29},"Raymond Healy, BSc. (Hons) Physiotherapy","CONTACT","0151 529 3335","raymond.healy@liverpoolft.nhs.uk",{"name":22,"role":27,"phone":31,"phoneExt":10,"email":32},"0151 706 2760","jeff.morton@liverpoolft.nhs.uk",[34,51],{"facility":35,"status":10,"city":36,"state":37,"zip":38,"country":39,"countryCode":40,"cosmosGeoPoint":41,"geoPoint":46,"contacts":47},"Broadgreen Hospital Physiotherapy department","Liverpool","Merseyside","L14 3LB","United Kingdom","UK",{"type":42,"coordinates":43},"Point",[44,45],-2.97794,53.41058,{"lat":45,"lon":44},[48,50],{"name":49,"role":27,"phone":31,"phoneExt":10,"email":32},"Jeff Morton, Bsc. (Hons) Physiotherapy",{"name":26,"role":27,"phone":28,"phoneExt":10,"email":29},{"facility":52,"status":10,"city":36,"state":37,"zip":53,"country":39,"countryCode":40,"cosmosGeoPoint":54,"geoPoint":56,"contacts":10},"Aintree University Hospital Therapies department","L9 7 AL",{"type":42,"coordinates":55},[44,45],{"lat":45,"lon":44},{"type":58,"investigatorFullName":59,"investigatorTitle":60,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"PRINCIPAL_INVESTIGATOR","Raymond Healy","Senior Physiotherapist","100623047","achilles-tendon-rupture-patient-outcomes-at-12-months-100623047",false,"NCT07391553","Achilles Tendon Rupture Patient Outcomes at 12 Months","What Are the Isokinetic Strength Outcomes and Self-reported Functional Outcomes (ATRS) at 12 Months Following Non-surgical Management of Achilles Tendon Rupture Using the SMART Protocol?","ATR-12","Inclusion Criteria:\n\n* Adults aged 18 years or older at the time of recruitment.\n* Confirmed diagnosis of Achilles tendon rupture, diagnosed clinically and recorded within the NHS database.\n* Injury managed non-surgically using the SMART (Swansea Morriston Achilles Rupture Treatment) protocol.\n* 12-15 months post-injury at the time of assessment.\n* Able and willing to provide informed written consent to participate in the study.\n\nExclusion Criteria:\n\n* Unable to provide informed consent.\n* Previous surgical repair of the Achilles tendon or documented re-rupture.\n* Presence of a neuromuscular disorder affecting lower limb strength or function.\n* Did not follow the SMART protocol for non-surgical management.\n* History of Achilles tendinopathy or rupture in the contralateral (uninjured) leg.\n* Unable to tolerate isokinetic strength testing due to pain, discomfort, or other medical reasons.","ALL","18 Years",{"count":72,"type":73},115,"ESTIMATED","OBSERVATIONAL","The Achilles tendon is the strongest and largest tendon in the human body, playing a critical role in plantarflexion and facilitating activities such as walking, running, and jumping. However, it is also the most frequently ruptured tendon. The injury and associated disability have a significant impact on patient quality of life and healthcare services. Achilles tendon ruptures are increasingly common, particularly among middle-aged recreational athletes, with an incidence estimated at 18 per 100,000 person-years.\n\nThe Swansea Morriston Achilles Rupture Treatment (SMART) protocol represents a structured, progressive approach to non-operative rehabilitation. It emphasizes early mobilization, protected weight-bearing, and a gradual return to sport or high-level function through targeted strength and neuromuscular training. While short-term outcomes of non-surgical protocols have demonstrated promising results, there remains limited high-quality data on long-term isokinetic strength and patient-reported functional outcomes beyond six months in this patient group.\n\nThis study aims to evaluate isokinetic plantarflexor strength and self-reported functional outcomes at 12 months following non-surgical management of Achilles tendon ruptures using the SMART rehabilitation protocol. By assessing both objective and subjective recovery metrics, we aim to contribute to the growing evidence base for evidence-informed, conservative Achilles tendon rehabilitation. A secondary aim of the study is to examine the relationship between isokinetic strength scores and self reported functional recovery scores using the ATRS questionnaire.\n\nParticipants will attend one 60-90 minute visit to complete a short questionnaire and perform a safe, clinic-based ankle strength test using an isokinetic machine; the test feels like pushing against a footplate, similar to resisted ankle movements. The results of these tests will be collected and analysed. The study will help to gain further insight into patient recovery from this injury.",[77],"Achilles Tendon Rupture",[79,80,81,82,83],"Achilles tendon rupture","Physiotherapy","orthopaedics","trauma","rehabilitation","NOT_YET_RECRUITING","2026-02-27",{"date":87,"type":88},"2026-03-03","ACTUAL",{"date":90,"type":73},"2026-06-01",{"date":92,"type":73},"2029-01-01",{"name":5,"class":6},2]