Achilles Tendinopathy Toolkit: Section B - Outcome Measures

Original Editor - User Name

Top Contributors - Kim Jackson, Cindy John-Chu and Rishika Babburu  

Outcome measure[edit | edit source]

The following patient-reported and performance-based outcome measures should be selected and used in the management of Achilles tendinopathy.

Patient-Reported Outcome Measures - PROMS[edit | edit source]

A. Population Specific Outcome Measures
  • Victorian Institute of Sports-Achilles - VISA-A (1)
  • VISA-A (Sedentary) (5)
  • Detailed questionnaire, developed to evaluate response to treatment in a sedentary population.
    • Available here (Click on ‘view questionnaire’)
B. Generic Outcome Measures
They are not designed specifically for Achilles Tendinopathy. Such as:
  • Numeric Pain Reporting Scale - NPRS (0-10)

Used to measure pain intensity only and it has been considered as a useful tool to measure immediate response to functional testing or post treatment response for mid-portion Achilles tendinoapthy.

Available here

  • Lower Extremity Functional Scale - LEFS

Available here


Performance-Based Outcome Measures: (Clinician-Reported)[edit | edit source]

1. Heel-Rise test (10-14)
  • It is suggested as the main impairment measure for Achilles tendinopathy. It measures a combination of load tolerance and calf muscle endurance.
  • Click here to see a video of how to correctly perform the Heel-Rise test.
2. Single Leg Hop Test
  • Assesses energy storage-release function of tendon, and the stretch-storage cycle (SSC) required for cyclic weight bearing activities such as running.
  • Available here

References[edit | edit source]