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Cold weather training: a risk factor for Achilles paratendinitis among recruits.
Foot Ankle Int. 2003 May; 24(5):398-401.FA

Abstract

In a prospective study of risk factors for Achilles tendinopathy among four induction cycles of infantry recruits, 95 out of 1405 recruits, (6.8%) were found to suffer from Achilles tendinopathy. In more than 94% of the cases, the tendinopathy was considered to be paratendinitis. Training season had a statistically significant effect on the incidence of Achilles paratendinitis with 3.6% suffering in the summer and 9.4% in the winter (p = .001). This increased risk for Achilles paratendinitis in cold weather outdoor training can be explained by a fall in temperature of the Achilles paratenon whose membranes are rich in mucopolysaccharides and serve as a lubricant for gliding of the tendon and epitenon. Decreased temperature may increase the viscosity of the lubricant and thereby increases friction and risk for Achilles paratendinitis. This same relationship illustrates why "warming up" before exercising may be important in lowering the incidence of Achilles paratendinitis.

Authors+Show Affiliations

Department of Orthopaedics, Hadassah University Hospital and Hebrew University Medical School, Ein Kerem, PO Box 12000, Jerusalem, Israel. milgrom@md2.huji.ac.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

12801195

Citation

Milgrom, C, et al. "Cold Weather Training: a Risk Factor for Achilles Paratendinitis Among Recruits." Foot & Ankle International, vol. 24, no. 5, 2003, pp. 398-401.
Milgrom C, Finestone A, Zin D, et al. Cold weather training: a risk factor for Achilles paratendinitis among recruits. Foot Ankle Int. 2003;24(5):398-401.
Milgrom, C., Finestone, A., Zin, D., Mandel, D., & Novack, V. (2003). Cold weather training: a risk factor for Achilles paratendinitis among recruits. Foot & Ankle International, 24(5), 398-401.
Milgrom C, et al. Cold Weather Training: a Risk Factor for Achilles Paratendinitis Among Recruits. Foot Ankle Int. 2003;24(5):398-401. PubMed PMID: 12801195.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cold weather training: a risk factor for Achilles paratendinitis among recruits. AU - Milgrom,C, AU - Finestone,A, AU - Zin,D, AU - Mandel,D, AU - Novack,V, PY - 2003/6/13/pubmed PY - 2003/7/30/medline PY - 2003/6/13/entrez SP - 398 EP - 401 JF - Foot & ankle international JO - Foot Ankle Int VL - 24 IS - 5 N2 - In a prospective study of risk factors for Achilles tendinopathy among four induction cycles of infantry recruits, 95 out of 1405 recruits, (6.8%) were found to suffer from Achilles tendinopathy. In more than 94% of the cases, the tendinopathy was considered to be paratendinitis. Training season had a statistically significant effect on the incidence of Achilles paratendinitis with 3.6% suffering in the summer and 9.4% in the winter (p = .001). This increased risk for Achilles paratendinitis in cold weather outdoor training can be explained by a fall in temperature of the Achilles paratenon whose membranes are rich in mucopolysaccharides and serve as a lubricant for gliding of the tendon and epitenon. Decreased temperature may increase the viscosity of the lubricant and thereby increases friction and risk for Achilles paratendinitis. This same relationship illustrates why "warming up" before exercising may be important in lowering the incidence of Achilles paratendinitis. SN - 1071-1007 UR - https://www.unboundmedicine.com/medline/citation/12801195/Cold_weather_training:_a_risk_factor_for_Achilles_paratendinitis_among_recruits_ L2 - http://journals.sagepub.com/doi/full/10.1177/107110070302400504?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -