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University of Groningen

The influence of load on tendons and tendinopathy

Maciel Rabello, Lucas

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from

it. Please check the document version below.

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Publisher's PDF, also known as Version of record

Publication date:

2019

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Maciel Rabello, L. (2019). The influence of load on tendons and tendinopathy: Studying Achilles and

patellar tendons using UTC. Rijksuniversiteit Groningen.

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The influence of load on

tendons and tendinopathy

Studying Achilles and patellar tendons using UTC

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Lucas Maciel Rabello

The influence of load on tendons and tendinopathy

Studying Achilles and patellar tendons using UTC

ISBN

ISBN 978-94-034-1583-3 (printed)

ISBN 978-94-034-1582-6 (PDF without DRM)

Dissertation University of Groningen, the Netherlands

The research in this thesis was fully funded by CNPq – National Council for Scientific and Technological Development, Brazil (grant number 203668/2014-6) awarded to Lucas Maciel Rabello and University Medical Center Groningen (UMCG). The studies presented in this thesis were carried out in the context of research institute SHARE.

Cover & lay-out design

Maaike Disco DISCOO

www.proefschriftopmaak.nl, Groningen

Print

Netzodruk, Groningen

© 2019, Lucas Maciel Rabello, Groningen, the Netherlands.

All rights reserved. No part of this thesis may be reproduced or transmitted in any form or by any means without the prior permission of the copyright owner.

to obtain the degree of PhD at the University of Groningen

on the authority of the Rector Magnificus prof. E. Sterken

and in accordance with the decision by the College of Deans.

This thesis will be defended in public on

Wednesday 24 April 2019 at 9.00 hours

by

Lucas Maciel Rabello

born on 21 February 1986 in Petrópolis, Brazil

The influence of load on tendons

and tendinopathy

Studying Achilles and patellar tendons using UTC

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Supervisors

Prof. J. Zwerver Prof. R.L. Diercks

Co-supervisors

Dr. I. van den Akker-Scheek Dr. M.S. Brink

Assessment Committee

Prof. K.A.P.M. Lemmink Prof. E.E. Witvrouw Prof. P.U. Dijkstra

Paranymphs

Hamed Mousavi Olivier C. Dams

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11 23 47 59 71 83 99 113 137 151 165 171 177 183 187 191 195

CONTENTS

Chapter 1

General introduction

Chapter 2

Substantiating the use of ultrasound tissue characterization in

the analysis of tendon structure - A systematic review

Chapter 3

Inter- and intra-rater reliability of ultrasound tissue

characterization (UTC) in patellar tendons

Chapter 4

The effect of load on Achilles tendon structure in novice runners

Chapter 5

Running a marathon – its influence on Achilles tendon structure

Chapter 6

Patellar tendon structure responds to load over a 7-week

preseason in elite male volleyball players

Chapter 7

Bilateral changes in tendon structure of patients diagnosed

with unilateral insertional or midportion Achilles tendinopathy or patellar tendinopathy

Chapter 8

Association between clinical and imaging outcomes after

therapeutic loading exercise in patients diagnosed with Achilles or patellar tendinopathy at short- and long-term follow-up: A systematic review

Chapter 9

Pain, function and tendon structure – a prospective cohort study

into their association in patients with Achilles or patellar tendinopathy

Chapter 10

General Discussion

Summary Samenvatting Acknowledgements Curriculum Vitae List of publications

List of (inter)national presentations Research Institute SHARE

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