Mahmut Nedim Doral1. 1. Department of Orthopaedic and Traumatology, Faculty of Medicine, Hacettepe University, 06100, Ankara, Turkey. mndoral@gmail.com
Abstract
PURPOSE: The aim of this study was to assess the effect of immediate weight-bearing mobilisation with intensive rehabilitation on muscle strength and lower extremity functional level after endoscopy-assisted Achilles tendon repairs. METHODS: After warming up for 5 min at a self-selected intensity on a stationary bike 32 male patients were tested for bilateral peak concentric isokinetic ankle dorsi- and plantar-flexor torque, passive range of motion for ankle joint, one-leg hop for distance, single-leg vertical jump height, Achilles Tendon Total Rupture Score, and perceived function using the Foot and Ankle Outcome Score (FAOS). A series of paired sample t tests were used to compare side-to-side differences (p < 0.05). RESULTS: There were no significant differences in hop and jump tests, dorsi- and plantar-flexor isokinetic muscle strength, and dorsi- and plantar-flexion range of motion between the affected and unaffected side of the patients. Pain score of FAOS was 95 ± 8, other symptoms score was 92 ± 11, function in daily living score was 95 ± 6, function in sport and recreation was 85 ± 16, and Quality of Life score was 85 ± 12. The mean of the Achilles Tendon Rupture Score was 86. CONCLUSIONS: There was no significant difference in both ankle muscle strength and lower extremity functional level between the endoscopy-assisted repairs and the unaffected sides. The early tolerated weight-bearing mobilisation without cast-brace and/or special shoe at the first day after the surgery may easily provide to return the daily living activities. It improves muscle strength, functional level, and range of motion. Further comprehensive and prospective studies on large patients should be warranted to analyse and compare the clinical and functional results in patients with endoscopy-assisted Achilles tendon repair.
PURPOSE: The aim of this study was to assess the effect of immediate weight-bearing mobilisation with intensive rehabilitation on muscle strength and lower extremity functional level after endoscopy-assisted Achilles tendon repairs. METHODS: After warming up for 5 min at a self-selected intensity on a stationary bike 32 male patients were tested for bilateral peak concentric isokinetic ankle dorsi- and plantar-flexor torque, passive range of motion for ankle joint, one-leg hop for distance, single-leg vertical jump height, Achilles Tendon Total Rupture Score, and perceived function using the Foot and Ankle Outcome Score (FAOS). A series of paired sample t tests were used to compare side-to-side differences (p < 0.05). RESULTS: There were no significant differences in hop and jump tests, dorsi- and plantar-flexor isokinetic muscle strength, and dorsi- and plantar-flexion range of motion between the affected and unaffected side of the patients. Pain score of FAOS was 95 ± 8, other symptoms score was 92 ± 11, function in daily living score was 95 ± 6, function in sport and recreation was 85 ± 16, and Quality of Life score was 85 ± 12. The mean of the Achilles Tendon Rupture Score was 86. CONCLUSIONS: There was no significant difference in both ankle muscle strength and lower extremity functional level between the endoscopy-assisted repairs and the unaffected sides. The early tolerated weight-bearing mobilisation without cast-brace and/or special shoe at the first day after the surgery may easily provide to return the daily living activities. It improves muscle strength, functional level, and range of motion. Further comprehensive and prospective studies on large patients should be warranted to analyse and compare the clinical and functional results in patients with endoscopy-assisted Achilles tendon repair.
Authors: A Gigante; A Moschini; A Verdenelli; M Del Torto; S Ulisse; L de Palma Journal: Knee Surg Sports Traumatol Arthrosc Date: 2007-12-08 Impact factor: 4.342
Authors: U T Iwaniec; T J Wronski; D Amblard; Y Nishimura; M C H van der Meulen; C E Wade; M A Bourgeois; C D Damsky; R K Globus Journal: J Appl Physiol (1985) Date: 2004-10-01
Authors: Mareen Braunstein; Sebastian F Baumbach; Wolfgang Boecker; Mike R Carmont; Hans Polzer Journal: Knee Surg Sports Traumatol Arthrosc Date: 2015-09-26 Impact factor: 4.342
Authors: Benedikt Schliemann; Niklas Grüneweller; Daiwei Yao; Clemens Kösters; Simon Lenschow; Steffen B Roßlenbroich; Michael J Raschke; Andre Weimann Journal: Int Orthop Date: 2015-10-03 Impact factor: 3.075
Authors: Jennifer A Zellers; Marianne Christensen; Inge Lunding Kjær; Michael Skovdal Rathleff; Karin Grävare Silbernagel Journal: Orthop J Sports Med Date: 2019-11-25