Evidence map›Paper›PMID 33315857›Full record

ArticlePloS one2020

Diminishing effects of mechanical loading over time during rat Achilles tendon healing.

Hanifeh Khayyeri, Malin Hammerman, Mikael J Turunen, Parmis Blomgran, Thomas Notermans, Manuel Guizar-Sicairos, Pernilla Eliasson, Per Aspenberg, Hanna Isaksson

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Muscle Contraction Is Essential for Tendon Healing and Muscle Function Recovery After Achilles Tendon Rupture and Surgical Repair.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  5. [Study on anti-adhesion effect and mechanism of dynamic and static stress stimulation during early healing process of rat Achilles tendon injury].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. External stimulation: A potential therapeutic strategy for tendon-bone healing.Frontiers in bioengineering and biotechnology · 2023
    Review
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Hanifeh KhayyeriDepartment of Biomedical Engineering, Lund University, Lund, Sweden.
Malin HammermanDepartment of Biomedical Engineering, Lund University, Lund, Sweden.
Mikael J TurunenDepartment of Applied Physics, University of Eastern Finland, Kuopio, Finland.
Parmis BlomgranDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Thomas NotermansDepartment of Biomedical Engineering, Lund University, Lund, Sweden.
Manuel Guizar-SicairosSwiss Light Source, Paul Scherrer Institute, Villigen, Switzerland.
Pernilla EliassonDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0001-6718-034X
Per AspenbergDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Hanna IsakssonDepartment of Biomedical Engineering, Lund University, Lund, Sweden.ORCID 0000-0002-9690-8907
Linköping University · SELund University · SEPaul Scherrer Institute · CHUniversity of Eastern Finland · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mechanical loading affects tendon healing and recovery. However, our understanding about how physical loading affects recovery of viscoelastic functions, collagen production and tissue organisation is limited. The objective of this study was to investigate how different magnitudes of loading affects biomechanical and collagen properties of healing Achilles tendons over time. Achilles tendon from female Sprague Dawley rats were cut transversely and divided into two groups; normal loading (control) and reduced loading by Botox (unloading). The rats were sacrificed at 1, 2- and 4-weeks post-injury and mechanical testing (creep test and load to failure), small angle x-ray scattering (SAXS) and histological analysis were performed. The effect of unloading was primarily seen at the early time points, with inferior mechanical and collagen properties (SAXS), and reduced histological maturation of the tissue in unloaded compared to loaded tendons. However, by 4 weeks no differences remained. SAXS and histology revealed heterogeneous tissue maturation with more mature tissue at the peripheral region compared to the center of the callus. Thus, mechanical loading advances Achilles tendon biomechanical and collagen properties earlier compared to unloaded tendons, and the spatial variation in tissue maturation and collagen organization across the callus suggests important regional (mechano-) biological activities that require more investigation.

Indexed as

Achilles TendonAnimalsBiomechanical PhenomenaBotulinum Toxins, Type ACollagenDisease Models, AnimalFemaleRatsRats, Sprague-DawleyScattering, Small AngleStress, MechanicalTendon InjuriesWound HealingX-Ray DiffractionBotulinum Toxins, Type ACollagen

Identifiers

PMID33315857
PMCPMC7735574
OpenAlexW3110951804

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.