Project code: HEC20320 1 From which University or Institute did you obtain your physiotherapy qualification?* must provide value
The University of Melbourne Australian Catholic University Sydney University La Trobe University University of South Australia Queensland Univeristy University of Canberra University of technology Sydney (UTS) Bond University Charles Sturt Monash University University of Newcastle Flinders University Curtin University The University of Western Australia James Cook University Macquarie University University of Adelaide Lincoln Institute Western Sydney University Swinburne University of Technology Griffith University The University of Notre Dame Australia other
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2 Have you completed, or are in the process of completing post graduate studies in physiotherapy Yes
No
2b What is the highest form of physiotherapy qualification you currently hold? Graduate certificate Masters by coursework Masters by research Doctorate
2c Was this qualification in a particular area or field of physiotherapy? Sports Physiotherapy
Musculoskeletal Physiotherapy
Other
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3 In which country do you practice as a physiotherapist?* must provide value
Australia Other
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4 In which state do you practice as a physiotherapist? Queensland New South Wales Australian Capital Territory Tasmania Victoria Western Australia Northern Territory South Australia
5 For how many years have you been a practicing physiotherapist? 0-3 4-6 7-10 10+
6 Where do you spend the majority of your time working as a physiotherapist? Private Practice Hospital Sporting team Community health other
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7 How many patients would you see (not number of sessions) for Achilles tendinopathy per month < 1 month 1 per month 2-5 per month 6-10 per month 11-15 per month 16-20 per month 20+ per month
8 Of these patients, what kind of Achilles tendinopathy presentation do you find most common? Mid Portional Insertional Peritendon Mixed presentation Other
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9 Within your clinical setting, do you feel that there is a gender that present more commonly with Achilles tendinopathy? Male Female Even distribution of male and female
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10 Of the patients you see, what age group present most commonly with Achilles tendinopathy? (Multiple answers can be selected) 10-20
21-30
31-40
41-50
50+
11 Of the patients you see with Achilles tendinopathy, select the categories that best describes the population you see? Elite athlete
Semi elite athlete
Recreational athlete
Sedentary population
Other
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12 Within your clinical population, is there physical activities you find commonly associated with Achilles tendinopathy? Walking
Jogging
Sprinting
Jumping and Landing
Cycling
Other
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13 What are three (or more) common questions you use to help establish a diagnosis or suspicion of Achilles tendinopathy?
14 During subjective examination, what are three (or more) common patient responses you use to help establish a diagnosis or suspicion of Achilles tendinopathy?
15 What objective tests do you utilise to help establish diagnosis of Achilles tendinopathy? (Multiple answers can be selected) London Hospital Test
Stethoscope Auscultation for crepitus
Pain tolerance when palpating the Achilles tendon
Plantar flexor muscle bulk (cm)
Symptom response to a series of progressive Achilles loading tests
Visual comparison the Achilles tendon
Symptom modification in response to isometric exercises
Radiology confirmation
other
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15b If conducting a series of (progressive loading tests) objective measures that can elicit a symptomatic response, using a numerical rating scale (NRS), at what level of symptoms would you cease testing? 1/10 2/10 3/10 4/10 5/10 6/10 7/10 8+/10
16 Using the key objective test(s) previously selected (Question 15), list the key findings of each test that supports your diagnosis of Achilles tendinopathy?
17 What differential tests do you utilize to help support your clinical diagnosis of Achilles tendinopathy? (Multiple answers can be selected) Sural nerve test
Posterior Impingement test
Stethoscope auscultation
Thompsons / simmonds / squeeze test
Compression/squeeze of the calcaneum
Palpation of calcaneal fat pad
Symptoms in maximal ankle plantar flexion
Other
Please list the additional tests you use as well as the anatomical structure they examine
18 What objective measures do you use to quantify change in Achilles tendinopathy population? (Multiple answers can be selected) VISA-A
Palpation tolerance
Stethoscope Auscultation
Plantar flexor muscle diameter (cm)
Symptom response to a series of loading tests
Change perceived average symptom level (VAS)
24-48 hour average symptom response to physical activity involving the ankle plantar flexors
Other
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19 Do you conduct these tests again throughout physiotherapy sessions to guide treatment and direction? Yes
No
19b How often do you conduct these tests?
19c What component of the test(s) influence your clinical decision to progress treatment?
19d What components of the test(s) influence your clinical decision to modify treatment direction?
20 How often would you utilise imaging to assist with your management of Achilles tendinopathy? 100% (every case) 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% (never)
20b What form of imaging do you most commonly refer for? Magnetic Resonance Imaging (MRI) Ultrasound (US) at radiology clinics Ultrasound (US) performed independently X-Ray (XR) UTC Other
20c What key pieces of clinical information are you wanting to obtain from the imaging? (Multiple answers can be selected) Anterior posterior diameter of the Achilles tendon
Effusion of the peritendon
Hypoechoic presentation
Bursal hypertrophy
Plantaris hypertrophy
Haglund's deformity
Vascularisation of the peritendon
Muscle Strain
Rupture of the Achilles tendon
Partial tear of the Achilles tendon
Other
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20d How do these finding influence your clinical reasoning or management?
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