Karin Grävare Silbernagel PT, ATC, PhD

Peer Reviewed Publications:

Manal K, Gravare-Silbernagel K, Buchanan TS. A Real-time EMG-driven Musculoskeletal Model of the Ankle. Multibody Syst Dyn, 2011 (epub ahead of publication)

Olsson N, Nilsson-Helander K, Eriksson BI, Karlsson J, Silbernagel KG. Major functional deficits persists two years after an Achilles tendon rupture, independent of treatment. Knee Surg Sports Traumatol Arthrosc. 2011 Aug;19(8):1385-93

Silbernagel KG, Brorsson A, Lundberg M. The majority of patients with Achilles tendinopathy recover fully when treated with exercise alone – A five year follow-up. Am J Sports Med. 2011;39:607-13.

Elengard T, Karlsson J, Silbernagel KG. Posterior heel pain in young athletes – Aspects of treatment.  OAJSM. 2010 Dec;2010(1):223-32

Nilsson-Helander K, Silbernagel KG, Faxén E, Thomeé R, Olsson N, Eriksson BI, Karlsson J. Acute Achilles Tendon Rupture: A randomized, Controlled Study Comparing Surgical and Non-surgical Treatments Using Validated Outcome Measures. Am J Sports Med. 2010 Nov;38(11):2186-93.

Silbernagel KG, Nilsson-Helander K, Thomeé R, Eriksson BI, Karlsson J. A new measurement of heel-rise endurance with the ability to detect functional deficits in patients with Achilles tendon rupture. Knee Surg Sports Traumatol Arthrosc. 2010 Feb;18(2):258-64

Abate M, Gravare-Silbernagel K, Siljeholm C, Di Iorio A, De Amicis D, Salini V, Werner S, Paganelli R. Pathogenesis of tendinopathies: inflammation or degeneration? Arthritis Res Ther. 2009 Jun 30;11(3):235

Ageberg E, Roos HP, Silbernagel KG, Thomée R, Roos EM Knee extension and flexion muscle power after anterior cruciate ligament reconstruction with patellar or hamstrings tendon graft: A cross-sectional comparison 3 years post surgery. Knee Surg Sports Traumatol Arthrosc. 2009 Feb;17(2):162-9.

Ageberg E, Thomée R, Neeter C, Silbernagel KG, Roos EM.  Muscle strength and functional performance in patients with ACL injury treated with training and surgicalreconstruction or training only: A 2 to 5 year follow-up. Arthritis Rheum, 2008;15;59 12):1773-9

Nilsson-Helander K, Swärd L,Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. A new surgical method to treat chronic ruptures and reruptures of the Achillestendon.Knee Surg Sports Traumatol Arthrosc. 2008 Jun;16(6):614-20

Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Continued sports activity,using  a pain monitoring model, during rehabilitation in patients Achilles tendinopathy - a randomized controlled study. Am J Sports Med, 2007;35:897-906

Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Full symptomatic recovery does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy. Br J Sports Med,2007;41:276-80

Helander KN, Thomeé R, Silbernagel KG, Thomeé P, Faxen E, Eriksson BI, Karlsson J. Achilles Tendon Rupture Score (ATRS) – Development and validation-. Am J Sports Med, 2007;35;421-6

Silbernagel KG, Gustavsson A, Thomeé R, Karlsson J. Evaluation of lower leg function in patients with Achilles tendinopathy. Knee Surg Sports Traumatol Arthrosc,  2006;14:1207-17

Gustavsson A, Neeter C, Thomeé P, Silbernagel KG, Augustsson J, Thomeé R, Karlsson J. A test battery for evaluating hop performance in patients with an ACL injury and patients who have undergone ACL reconstruction. Knee Surg Sports Traumatol Arthrosc, 2006;14:778-88

Silbernagel KG, Thomeé R, Karlsson J. Cross-cultural adaptation of the          VISA-A questionnaire, an index of clinical severity for patients with Achilles tendinopathy, with reliability, validity and structure evaluations. BMC Musculoskeletal Disorders 2005, 6:12

Neeter C, Thomeé R, Silbernagel KG, Thomeé P, Karlsson J. Iontophoresis with or without dexamethazone in the treatment of acute Achilles tendon pain. ScandJ Med Sci Sports 2003;13:376-82

Silbernagel KG, Thomeé R, Thomeé P, Karlsson J. Eccentric overload training for patients with chronic Achilles tendon pain – a randomized controlled study with reliability testing of the evaluation methods. Scan J Med Sci Sports 2001:11:197-206

Mont MA, Cohen BD, Campbell KR, Gravare K, Mathur SK. Isokinetic Concentric Versus Eccentric Training of Shoulder Rotators with Functional Evaluation of Performance Enhancement in Elite      Tennis Players. Am J Sports Med, 22, 513-23, 1994.

Published Abstracts of Peer Reviewed Presentations:

Silbernagel KG, Nilsson-Helander K, Thomeé R, Eriksson BI, Karlsson J. Evaluation of function with a new heel-rise work test reveals deficit in function two years after injury in the majority of the patients with Achilles tendon rupture. 14th ESSKA Congress, Oslo, Norway, 9-12 June, 2010. Oral presentation. Knee Surg Sports Traumatol Arthrosc (2010) 18 (Suppl 1):S91

Nilsson Helander K, Silbernagel KG, Thomee´ R, Faxen E, Olsson N, Eriksson B, Karlsson J.

Acute Achilles tendon rupture: a randomized, controlled study comparing surgical and non-surgical treatments using validated outcome measures. 14th ESSKA Congress, Oslo, Norway, 9-12 June, 2010. Oral presentation. Knee Surg Sports Traumatol Arthrosc (2010) 18 (Suppl 1):S92

Silbernagel KG, Brorsson A, Lundberg M. Long-term outcome of patients with Achilles tendinopathy treated with exercise. 14th ESSKA Congress, Oslo, Norway, 9-12 June, 2010. Oral presentation. Knee Surg Sports Traumatol Arthrosc (2010) 18 (Suppl 1):S92

Silbernagel KG, Brorsson A, Lundberg M. Long-term outcome of patients with Achilles tendinopathy treated with exercise. American College of Sports Medicine, ACSM, Annual meeting, Baltimore, MD, 2-5 June, 2010. Oral presentation. Medicine & Science in Sports & Exercise (2010). 42, 5 (Suppl) S42

Ageberg E, Thomée R, Neeter C, Silbernagel KG, Roos E. Muscle strength and functional performance in patients with ACL injury treated with training and surgical reconstruction or training only: A 2 to 5-year follow-up. Osteoarthritis Research Society International (OARSI) Congress, Rome, Italy, September 18-21, 2008. Poster presentation. Osteoarthritis and Cartilage, Volume 16, Supplement 4, September 2008, Page S234

Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Full symptomatic recovery  does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy. ESSKA Congress, Porto, Portugal, 21-24 May, 2008. Poster presentation. Nominated to Best poster award. Knee Surg Sports Traumatol Arthrosc (2008) 16 (Suppl 1):S220

Helander KN, Thomeé R, Silbernagel KG, Thomeé P, Faxen E, Eriksson BI, Karlsson J. Achilles Tendon Rupture Score (ATRS) – Development and validation-. ESSKA Congress, Porto, Portugal, 21-24 May, 2008. Podium presentation. Knee Surg Sports Traumatol Arthrosc (2008) 16 (Suppl 1):S50

Nilsson-Helander K, Swärd L, Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. A new surgical method to treat chronic ruptures and reruptures of the Achilles tendon. ESSKA Congress, Porto, Portugal, 21-24 May, 2008. Poster presentation. Nominated to Best poster award. Knee Surg Sports Traumatol Arthrosc (2008) 16 (Suppl 1):S222

Ageberg E, Thomée R, Neeter C, Silbernagel KG, Roos E. Muscle strength and functional performance in patients with ACL injury treated with training and surgical reconstruction or training only: A 2 to 5-year follow-up. ESSKA Congress, Porto, Portugal, May 21-24, 2008. Podium presentation. Knee Surg Sports Traumatol Arthrosc (2008) 16 (Suppl 1):S75

Peer Reviewed Scientific and Professional Presentations (those not previously cited above under abstracts):

Sharma A, Danielson P, Silbernagel KG, Scott A. Effect of rest insertion on collagen (col1a1) gene expression in response to mechanical loading: a laboratory study. World Physical Therapy 2011, Amsterdam, Holland, June 20-23, 2011

Schmitt L, Manal T, Silbernagel KG. Use of an Algorithm to Return a Patient with Achilles Tendinopathy to Painfree Running. American College of Sports Medicine, Annual Congress, Denver, USA, May 31 – June 1, 2011

Silbernagel KG, Manal K. Heel-Rise height as a measure of tendon elongation following Achilles tendon rupture. 8th Biennial ISAKOS Congress, Rio de Janeiro, Brazil, May 15-19, 2011

Hoshino Y, van Eck CF, Silbernagel KG, Macalena J, Musahl V, Tashman S, Irrgang JJ, Fu FH. Developing a new rating system for clinical relevance of biomechanical studies related to ACL reconstruction. 8th Biennial ISAKOS Congress, Rio de Janeiro, Brazil, May 15-19, 2011

Silbernagel KG, Manal K. Achilles tendon elongation following Achilles tendon rupture. Swedish Society of Sports Medicine Annual Congress, Gothenburg, Sweden, May 5-7, 2011. Award for best presentation.

Silbernagel KG, Brorsson A, Lundberg M. The Majority of Patients With Achilles Tendinopathy Recover Fully When Treated With Exercise Alone – A five year follow-up. Swedish Society of Sports Medicine Annual Congress, Gothenburg, Sweden, May 5-7, 2011.

Larsson M, Jonsen K, Silbernagel KG. A 14-minute injury prevention warm-up program in young female handball players – a randomized controlled trial. Swedish Society of Sports Medicine Annual Congress, Gothenburg, Sweden, May 5-7, 2011.

Manal K,  Silbernagel KG, Buchanan TS. A real-time EMG-driven musculoskeletal model of the ankle. EUROMECH Colloquium 511 on Biomechanics of Human Motion. J. Ambrósio et.al. (eds.) Ponta Delgada, Azores, Portugal, March 9-12, 2011

Silbernagel KG, Brorsson A, Lundberg M. Fear of movement influences the effect of exercise as treatment in patients with Achilles tendinopathy. APTA Combined Sections Meeting 2011 in New Orleans, LA from February 9-12, 2011. Poster presentation.

Silbernagel KG, Manal K. Deficits in the heel-rise test in patients with Achilles tendon ruptures can be explained by tendon elongation and muscular weakness. American Society of Biomechanics, ASB, Annual metting, Providence, RI 18-21, 2010. Poster presentation

Silbernagel KG, Nilsson-Helander K, Thomeé R, Eriksson BI, Karlsson J. A heel-rise work test which can detect functional deficits in patients with Achilles tendon rupture. American Academy of Orthopeadic Surgeons, AAOS Annual meeting, New Orleans, LA 9-13 March, 2010. Poster presentation

Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Continued sports activity, using a pain monitoring model, during rehabilitation in patients Achilles tendinopathy - a randomized controlled study. International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine (ISAKOS) Congress, Osaka, Japan, 5-9 April, 2009. Oral presentation

Ageberg E, Thomée R, Neeter C, Silbernagel KG, Roos E. Muscle strength and functional performance in patients with ACL injury treated with training and surgical reconstruction or training only: A 2 to 5-year follow-up. International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine (ISAKOS) Congress, Osaka, Japan, 5-9 April, 2009. Oral presentation

Ageberg E, Roos HP, Silbernagel KG, Thomée R, Roos EM. Knee extension and flexion muscle power after anterior cruciate ligament reconstruction with patellar or hamstrings tendon graft: A cross-sectional comparison 3 years post surgery. International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine (ISAKOS) Congress, Osaka, Japan, 5-9 April, 2009. Poster presentation

Gruffman C, Silbernagel KG. Evaluation of symptoms and function in patients with Achilles tendon rupture six months after injury. Swedish Society of Sports Medicine Annual Congress, Umeå, Sweden, 7-9 May, 2009. Oral presentation

Ageberg E, Thomée R, Neeter C, Silbernagel KG, Roos EM. Muscle strength and functional performance in patients with ACL injury treated with training and surgical reconstruction or training only: A 2 to 5-year follow-up. Swedish Society of Sports Medicine Annual Congress, Stockholm 24-26 april, 2008. Podium presentation, Nominated to Best presentation award.

Ageberg E, Roos HP, Silbernagel KG, Thomée R, Roos EM. Knee extension and flexion muscle power after anterior cruciate ligament reconstruction with patellar or hamstrings tendon graft: A cross-sectional comparison 3 years post surgery. Swedish Society of Sports Medicine Annual Congress, Stockholm 24-26 april, 2008. Podium presentation

Nilsson-Helander K, Swärd L, Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. A new surgical method to treat chronic ruptures and reruptures of the Achilles tendon.  American Academy of Orthopaedic Surgeons (AAOS) Annual meeting, San Francisco, USA, 5-9 March, 2008. Poster presentation

Nilsson-Helander K, Swärd L, Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. A new surgical method to treat chronic ruptures and reruptures of the Achilles tendon. Swedish Society of Medicine, Annual meeting, Stockholm, Sweden. 28-29 November, 2007. Podium presentation

Nilsson-Helander K, Swärd L, Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. A new surgical method to treat chronic ruptures and reruptures of the Achilles tendon. Swedish Orthopaedic Association, Annual meeting. Umeå, Sweden.  27-31 August, 2007. Poster presentation

Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Continued sports activity, using a pain monitoring model, during rehabilitation in patients Achilles tendinopathy - a randomized controlled study. World Congress of Physical Therapy, Vancouver, Canada. 2-6 June, 2007. Poster presentation.

Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Full symptomatic recovery  does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy. Swedish Society of Sports Medicine, Annual meeting, Uppsala, Sweden, 19-21 April, 2007. Podium presentation. Nominated to Best presentation award.

Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Continued sports activity, using a pain monitoring model, during rehabilitation in patients Achilles tendinopathy - a randomized controlled study. Swedish Society of Medicine, Annual meeting, Gothenburg, Sweden. 29 November-2 December, 2006. Podium presentation.

Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Positive effect of continued running and jumping activity during rehabilitation with strengthening exercises in patients with Achilles tendinopathy – A randomized clinical trial. ESSKA Congress, Innsbruck, Austria. 24-27 May, 2006. Podium presentation.

Silbernagel KG, Gustavsson A, Thomeé R, Karlsson J. Evaluation of lower leg function in patients with Achilles tendinopathy. ESSKA Congress, Innsbruck, Austria. 24-27 May, 2006. Oral presentation.

Gustavsson A, Neeter C, Thomeé P, Silbernagel KG, Augustsson J, Thomeé R, Karlsson J. A test battery for evaluating hop performance in patients with an ACL injury and patients who have undergone ACL reconstruction. ESSKA Congress, Innsbruck, Austria. 24-27 May, 2006. Podium presentation.

Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Continued sports activity, using a pain monitoring model, during rehabilitation in patients Achilles tendinopathy - a randomized controlled study. Swedish Society of Sports Medicine, Annual meeting, Örebro, Sweden. 11-13 May, 2006. Oral presentation. Received award for Best presentation

Silbernagel KG, Gustavsson A, Thomeé R, Karlsson J. Evaluation of lower leg function in patients with Achilles tendinopathy. Swedish Society of Sports Medicine, Annual meeting, Örebro, Sweden. 11-13 May, 2006. Podium presentation.

Gustavsson A, Neeter C, Thomeé P, Silbernagel KG, Augustsson J, Thomeé R, Karlsson J. A test battery for evaluating hop performance in patients with an ACL injury and patients who have undergone ACL reconstruction. Swedish Society of Sports Medicine, Annual meeting, Örebro, Sweden. 11-13 May, 2006. Podium presentation.

Silbernagel KG, Thomeé R, Thomeé P, Karlsson J. Eccentric overload training for  patients with chronic Achilles tendon pain – a randomized controlled study with reliability testing of the evaluation methods. International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine (ISAKOS) Congress, Florida, USA. 3-7 April, 2005. Podium presentation

Silbernagel KG, Thomeé R, Karlsson J. Cross-cultural adaptation of the VISA-A questionnaire, an index of clinical severity for patients with Achilles tendinopathy, with reliability, validity and structure evaluations. Swedish Society of Sports Medicine, Annual meeting, Stockholm, Sweden. 25-27 March, 2004. Podium presentation.             

Neeter C, Thomeé R, Silbernagel KG, Thomeé P, Karlsson J. Iontophoresis with or without dexamethazone in the treatment of acute Achilles tendon pain. Swedish Society of Sports Medicine, Annual meeting, Stockholm, Sweden. 25-27 March, 2004. Podium presentation.

Silbernagel KG, Thomeé R, Thomeé P, Karlsson J. Eccentric overload training for  patients with chronic Achilles tendon pain – a randomized controlled study with reliability testing of the evaluation methods. 6th Scandinavian Congress on Medicine and Science in Sports, Aarhus, Danmark. 20-23 November, 2002. Podium presentation

Neeter C, Thomeé R, Silbernagel KG, Thomeé P, Karlsson J. Iontophoresis with or without dexamethazone in the treatment of acute Achilles tendon pain. 6th Scandinavian Congress on Medicine and Science in Sports, Aarhus, Danmark. 20-23 November,2002,Podium presentation        

Book Chapters:

Silbernagel KG, van Sterkenburg MN, Karlsson J. Diagnosis. Achilles tendinopathy – Current Concepts. 2010 by DJO publications. ISBN: 978-0-9558873-2-1

Silbernagel KG, van Sterkenburg MN, Brorsson A, Karlsson J. Outcome measures  and assessment tools. Achilles tendinopathy – Current Concepts. 2010 by DJO publications.   ISBN: 978-0-9558873-2-1

Silbernagel KG, Khan K, Thomeé R, Karlsson J. Management of tendinopathy of the main body of the Achilles tendon: Exercise. Achilles tendinopathy – Current Concepts. 2010 by DJO publications. ISBN: 978-0-9558873-2-1

Silbernagel KG, Crossley K, Karlsson J. Return to sport. Achilles tendinopathy – Current Concepts. 2010 by DJO publications. ISBN: 978-0-9558873-2-1

Invited speaker:

NATA Annual meeting & Clinical Symposia, New Orleans, LA, USA, June 19-22, 2011. To be or not to be active with painful Achilles tendinopathy?

ISAKOS Sports Rehabilitation Course: Global Perspectives for the Physical Therapist & Athletic Trainer. This Course will be held concurrently with the ISAKOS Congress on Sunday, May 15 -Tuesday, May 17, 2011 in Rio de Janeiro, Brazil. ISAKOS. Three different lectures regarding treatment for tendinopathy and tendon rupture.

Swedish Society of Sports Medicine, Gothenburg, Sweden. May 5-7, 2011. Chair of session on tendon injuries.

Seventh SICOT/SIROT Annual International Conference, Gothenburg, Sweden. 31 August-3 September, 2010. Rehabilitation following an Achilles tendon rupture and Achilles tendinopathy.

ESSKA Congress, Oslo, Norway. 9-12 June, 2010. Exercise as treatment for Achilles tendinopathy.

ESSKA Congress, Oslo, Norway. 9-12 June, 2010. Outcome measures for Achilles tendinopathy.

Physical Therapy School, Ghent University, Ghent, Belgium. 19 February, 2009. Current research on tendon injuries.

Norwegian Sports Physical Therapy Association, Annual meeting, Tjome, Norway. 12-14 June, 2009. Rehabilitation and return to sports after acute Achilles tendon rupture.

Norwegian Sports Physical Therapy Association, Annual meeting, Tjome, Norway. 12-14 June, 2009. Rehabilitation and treatment for Achilles tendinopathy.

Norwegian Sports Physical Therapy Association, Annual meeting, Tjome, Norway. 12-14 June, 2009. Evaluation of lower leg function in patients with Achilles injury.

2^nd European Conference of Sports Rehabilitation, Stockholm, Sweden. 16-19 September, 2008. How I treat Achilles tendinopathy.

ESSKA Congress, Physical therapy section meeting, Porto, Portugal. 21-24 May, 2008. To be or not to be active with painful Achilles tendinopathy.

ESSKA Congress, Porto, Portugal. 21-24 May, 2008. Scoring the Achilles, acute and chronic. In a symposium on scoring scales.

ESSKA Congress, Porto, Portugal. 21-24 May, 2008. Outcome measure after Achilles tendon rupture. In a symposium by the Achilles tendon study group.

Belgian Sports Podiatry Conference, Antwerp, Belgium. 26October, 2007. To be or not to be active with painful tendinopathy.

Australian Physiotherapy Association Conference Week 2007, Sports Physiotherapy Conference, Cairns, Australia. 6-8 October, 2007. Keynote Speaker. To be active or not to be active with painful tendinopathy.

Australian Physiotherapy Association Conference Week 2007, Sports Physiotherapy Conference, Cairns, Australia. 6-8 October, 2007. Outcome measures in Sports Physiotherapy – The Scandinavian Experience.

Australian Physiotherapy Association Conference Week 2007, Sports Physiotherapy Conference, Cairns, Australia. 6-8 October, 2007. When is an athlete ready to return to sport.

NIMI, Oslo, Norway. 10-11 September, 2007. Rehabilitation of Achilles tendinopathy.

NIMI, Oslo, Norway. 10-11 September, 2007. Evaluation of function in patients with Achilles tendon injury.

Swedish National Center for Research in Sports, Stockholm, Sweden. 12-13 June, 2007. Recovery after tendon injury. In a symposium on recovery after musculoskeletal injury.

1st European Conference of Sports Rehabilitation, Stockholm, Sweden. 15-16 March, 2007. Achilles tendinopathy, evaluation and treatment.

Sports Medicine Högland, Jönköping, Sweden. 26 February, 2007. How to treat tendon injuries.

Royal Belgian Society of Physical and Rehabilitation Medicine, Brussels. 8 December, 2006. Keynote Speaker. Tendinopathy, the Scandinavian experience.

Swedish Society of Sports Medicine, Örebro Sweden. 11-13 May 2006. Evaluation of lower leg function. In symposium on evaluation of function.

Swedish Orthopaedic Society(SOF), Örebro, Sweden. 23-25 August. Crosscultural adaptation of a questionnaire. In a symposium on scoring scales.

Swedish Society of Sports Medicine, Annual meeting, Stockholm, Sweden. 25-27 March, 2004. How I manage athletes with Achilles tendinopathy.

Swedish Society of Sports Medicine, Annual Meeting, Skövde, Sweden. 15-17 May, 2001. Latest research regarding the treatment of Achilles tendinopathy.

Swedish National Center for Research in Sports, Stockholm, Sweden. 26-27 May, 2001. Strength training and rehabilitation, tendon aspects.