Abstract
Introduction Footwear remains a prime candidate for the prevention and rehabilitation of Achilles tendinopathy. Elevation of the heel with footwear has been suggested to decrease tensile load in the Achilles tendon, however evidence for this effect is equivocal (Reinschmidt et al. 1995). Studies on the internal loading of the Achilles tendon are typically invasive or not suitable for field settings (Komi, 1990). Acoustic transmission, however, has the potential to provide non-invasive estimates of tendon loading and has been widely used to evaluate the mechanical properties of human bone in vivo (Langton et al. 1999). Animal studies have also confirmed that acoustic transmission is governed by the density and bulk modulus of tendon and is proportional to the tensile load to which it is exposed (Pourcelot et al. 2005).
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