Achilles tendinopathy and bursitis - Extended weight bearing exercise Factor
The RMA does not define ‘weight bearing exercise’, but it means exercise when weight is being borne through the joint. The factor requires such exercise to be at a rate of at least 5 METs, and involve repeated movement of the ankle joint of the affected leg.
A MET is defined by the RMA to mean 'a unit of measurement of the level of physical exertion. 1 MET=3.5ml of oxygen/kg of body weight per minute or, 1.0 kcal/kg of body weight per hour, or resting metabolic rate'. At least 5 METs in this context would include brisk walking, running, marching and most sports involving repeated movement of the ankle joint.
MET ratings for common activitiesLast reviewed for CCPS 18 July 2007.
Investigative Documents
| Type | Title | PDF Format | Word Format |
|---|---|---|---|
| Claimant Report | Undertaking Weight Bearing Exercise - Achilles Tendinopathy and Bursitis |
Preliminary questions [20025]
20089 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and VEA service for Achilles tendinopathy or bursitis.
20090 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and VEA service for the clinical onset of Achilles tendinopathy or bursitis.
20092 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and operational service for the clinical onset of Achilles tendinopathy or bursitis.
or
20093 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and eligible service for the clinical onset of Achilles tendinopathy or bursitis.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
20091 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and VEA service for the clinical worsening of Achilles tendinopathy or bursitis.
20094 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and operational service for the clinical worsening of Achilles tendinopathy or bursitis.
or
20095 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and eligible service for the clinical worsening of Achilles tendinopathy or bursitis.
Clinical onset and operational service [20092]
20096 the veteran has undertaken weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical onset of the condition under consideration.
20097 operational service made a material contribution to the veteran undertaking weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical onset of the condition under consideration.
20098 the weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical onset of the condition under consideration, to which operational service made a material contribution, was due to the veteran's serious default, wilful act or serious breach of discipline.
Clinical onset and eligible service [20093]
20099 the veteran has undertaken weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical onset of the condition under consideration.
20100 eligible service made a material contribution to the veteran undertaking weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical onset of the condition under consideration.
20102 the weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical onset of the condition under consideration, to which eligible service made a material contribution, was due to the veteran's serious default, wilful act or serious breach of discipline.
Clinical worsening and operational service [20094]
20103 the veteran has undertaken weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical worsening of the condition under consideration.
38345 the clinical onset of the condition under consideration occurred before the veteran undertook weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical worsening of the condition under consideration.
20104 operational service made a material contribution to the veteran undertaking weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical worsening of the condition under consideration.
21946 the weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical worsening of the condition under consideration, to which operational service made a material contribution, was due to the veteran's serious default, wilful act or serious breach of discipline.
Clinical worsening and eligible service [20095]
20107 the veteran has undertaken weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical worsening of the condition under consideration.
38346 the clinical onset of the condition under consideration occurred before the veteran undertook weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical worsening of the condition under consideration.
20108 eligible service made a material contribution to the veteran undertaking weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical worsening of the condition under consideration.
21947 the weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical worsening of the condition under consideration, to which eligible service made a material contribution, was due to the veteran's serious default, wilful act or serious breach of discipline.