Background: Achilles tendinopathy (AT) is an overload injury, affecting mostly runners. Persistent
triceps surae muscle weakness has been reported in AT patients. Muscle force is influenced
by inhibitory and excitatory circuits, and imbalances between these (e.g., increased
short-interval intracortical inhibition - SICI) may negatively affect strength. Increased
SICI has been observed with patella tendinopathy; however, it is unclear if this increased
inhibition is present in chronic mid-portion AT patients. Thus, this study aimed to
investigate the intracortical inhibitory mechanisms in runners with mid-portion AT.
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