- Sports injuries and prevention
- Tendon Structure and Treatment
- Shoulder Injury and Treatment
- Marine and coastal ecosystems
- Lower Extremity Biomechanics and Pathologies
- Injury Epidemiology and Prevention
- Foot and Ankle Surgery
- Orthopedic Surgery and Rehabilitation
- Cardiovascular Effects of Exercise
- Sports Performance and Training
- Water Quality Monitoring Technologies
- Water Quality Monitoring and Analysis
- Periodontal Regeneration and Treatments
- Musculoskeletal pain and rehabilitation
- Occupational Health and Performance
- Coastal and Marine Dynamics
- Advanced Chemical Physics Studies
- Knee injuries and reconstruction techniques
- Molecular Spectroscopy and Structure
- Exercise and Physiological Responses
- Asphalt Pavement Performance Evaluation
- Myofascial pain diagnosis and treatment
- Aquatic Ecosystems and Phytoplankton Dynamics
- Oil Spill Detection and Mitigation
- Hip disorders and treatments
Erasmus MC
2016-2025
Erasmus University Rotterdam
2014-2025
University of Groningen
1998-2022
University Medical Center Groningen
2022
Portsmouth Hospitals NHS Trust
2021
Qatar Orthopaedic and Sports Medicine Hospital
2019
University College Dublin
2019
La Trobe University
2019
Amsterdam University Medical Centers
2019
University of Amsterdam
2002-2019
Tendon disorders comprise 30% to 50% of all activity-related injuries; chronic degenerative tendon (tendinopathy) occur frequently and are difficult treat. regeneration might be improved by injecting platelet-rich plasma (PRP), an increasingly used treatment for releasing growth factors into the tendon.To examine whether a PRP injection would improve outcome in midportion Achilles tendinopathy.A stratified, block-randomized, double-blind, placebo-controlled trial at single center (The Hague...
Background Heterogeneous taxonomy of groin injuries in athletes adds confusion to this complicated area. Aim The ‘Doha agreement meeting on terminology and definitions pain athletes’ was convened attempt resolve problem. Our aim agree a standard terminology, along with accompanying definitions. Methods A one-day held 4 November 2014. Twenty-four international experts from 14 different countries participated. Systematic reviews were performed give an up-to-date synthesis the current evidence...
Achilles tendon disorders, like tendinopathy, are very common among athletes. In the general population, however, knowledge about incidence of tendinopathy is lacking. Design Cross-sectional study.In a cohort 57.725 persons registered in primary care, number patients visiting practitioner (GP) with diagnosis mid-portion problems was counted using computerised registration networks GPs 2009. Subsequently, authors assessed associations these rates demographic characteristics.The rate 1.85 per...
Background Achilles tendinopathy is a common disease among both athletes and in the general population which use of platelet-rich plasma has recently been increasing. Good evidence for this autologous product limited, data on longer-term results are lacking. Purpose To study effects injection patients with chronic midportion at 1-year follow-up. Study Design Randomized controlled trial; Level evidence, 1. Methods Fifty-four patients, aged 18 to 70 years, 2 7 cm proximal tendon insertion were...
Persistent tendon pain that impairs function has inconsistent medical terms can influence choice of treatment.1 When a person is told they have tendinopathy by clinician A or tendinitis B, might feel confused be alarmed at receiving what perceive as two different diagnoses. This may lead to loss confidence in their health professional and likely adds uncertainty if were search for information about condition. Clear uniform terminology also assists inter-professional communication....
<h3>Importance</h3> Approximately 3.4% of adults have ankle (tibiotalar) osteoarthritis and, among younger patients, is more common than knee and hip osteoarthritis. Few effective nonsurgical interventions exist, but platelet-rich plasma (PRP) injections are widely used, with some evidence efficacy in <h3>Objective</h3> To determine the effect PRP on symptoms function patients <h3>Design, Setting, Participants</h3> A multicenter, block-randomized, double-blinded, placebo-controlled clinical...
To evaluate the construct validity (structural and hypothesis testing), reliability (test-retest reliability, measurement error internal consistency) minimal important change (MIC) of 13-item TENDINopathy Severity assessment-Achilles (TENDINS-A).
Suspended matter in inland waters is related to total primary production and fluxes of heavy metals micropollutants such as PCBs. Synoptic information on suspended cannot be obtained from an situ monitoring network since a spatially inhomogeneous parameter. This problem can solved by the integrated use remote sensing data, data water quality models. To enable retrospective model comparison concentration distribution, methodology required for processing satellite images that independent...
Objective To assess whether a platelet-rich plasma (PRP) injection leads to an enhanced tendon structure and neovascularisation, measured with ultrasonographic techniques, in chronic midportion Achilles tendinopathy. Design Double-blind, randomised, placebo-controlled clinical trial. Setting Sports medical department of The Hague centre. Patients 54 patients tendinopathy were included. Interventions randomised eccentric exercise therapy either PRP (PRP group) or saline (placebo group). Main...
Objective To assess whether three-dimensional imaging of the Achilles tendon by ultrasonographic tissue characterisation (UTC) can differentiate between symptomatic and asymptomatic tendons. Design Case-control study. Setting Sports Medical Department Hague Centre. Patients Twenty-six tendons from patients with chronic midportion tendinopathy were included. The “matched” control group consisted 26 Interventions Symptomatic scanned using UTC procedure. One researcher performed data...
Background Eccentric exercises have the most evidence in conservative treatment of midportion Achilles tendinopathy. Although short-term studies show significant improvement, little is known long-term (>3 years) results. Aim To evaluate 5-year outcome patients with chronic tendinopathy treated classical Alfredson's heel-drop exercise programme. Study design Part a follow-up previously conducted randomised controlled trial. Methods 58 (70 tendons) were approached 5 years after start...
Acute hamstring re-injuries are common and hard to predict. The aim of this study was investigate the association between clinical imaging findings occurrence re-injuries.We obtained baseline data (clinical MRI findings) athletes who sustained an acute injury within 5 days initial injury. We also collected standardised tests 7 after return play (RTP). number recorded 12 months. analysed possible predictive variables with a multivariate Cox proportional-hazards regression model.Eighty...
Background The absence of any agreed-upon tendon health-related domains hampers advances in clinical tendinopathy research. This void means that researchers report a very wide range outcome measures inconsistently. As result, substantial synthesis/meta-analysis research findings is almost futile despite publishing busily. We aimed to determine options for, and then define, core for tendinopathy. Methods conducted Delphi study healthcare professionals (HCP) patients three-stage process. In...
To compare the effectiveness of progressive tendon-loading exercises (PTLE) with eccentric exercise therapy (EET) in patients patellar tendinopathy (PT).In a stratified, investigator-blinded, block-randomised trial, 76 clinically diagnosed and ultrasound-confirmed PT were randomly assigned 1:1 ratio to receive either PTLE or EET. The primary end point was clinical outcome after 24 weeks following an intention-to-treat analysis, as assessed validated Victorian Institute Sports Assessment for...
To provide a comprehensive, evidence-based overview of the risk factors, prevention, diagnosis, imaging, treatment and prognosis for Achilles tendinopathy. make clinical recommendations healthcare practitioners patients.Comprehensive multidisciplinary guideline process funded by Quality Foundation Dutch Federation Medical Specialists. This included development, commentary authorisation phase. Patients participated in every phase.Multiple databases existing guidelines were searched up to May...
To evaluate the impact of Achilles tendinopathy (AT) on quality life (QoL), work performance, healthcare utilisation and costs in adults with conservatively treated chronic midportion AT.This cross-sectional survey-based study included 80 patients took place a sports medicine department large regional hospital Netherlands. Data were collected before any intervention was given. Primary outcome EuroQol questionnaire (EQ-5D). The EQ-5D expresses percentage moderate/major problems domains...
Background: Ankle osteoarthritis is debilitating and usually affects relatively young people, often as a result of previous ankle traumas, frequently occurring in sports. Platelet-rich plasma (PRP) injections for have shown no evidence benefit over the course 26 weeks. Previous studies on PRP knee showed that clinically significant improvements with occurred between 6 to 12 months absence initial benefit. No evaluated effect from osteoarthritis. Purpose: To assess efficacy 52 Study Design:...