Deficits in heel-rise height and Achilles tendon elongation occur in patients recovering from an Achilles tendon rupture

American Journal of Sports Medicine

Volumn 40, Issue 7, 2012, Pages 1564-1571

  Silbernagel, Karin Grävare ^a   Steele, Robert ^b   Manal, Kurt ^c  

^a UNIVERSITY OF THE SCIENCES   (United States)

^b First State Orthopaedics   (United States)

^c UNIVERSITY OF DELAWARE   (United States)

Author keywords

Achilles tendon Total Rupture Score (ATRS); calf muscle strength; calf raise; Foot and Ankle Outcome Score (FAOS); tendon elongation; toe raise

Indexed keywords

ACHILLES TENDON; ADULT; ANKLE; ARTICLE; CONVALESCENCE; FEMALE; GAIT; HEEL; HUMAN; INJURY; JOINT CHARACTERISTICS AND FUNCTIONS; MALE; MIDDLE AGED; MUSCLE WEAKNESS; PATHOLOGY; PATHOPHYSIOLOGY; PHYSIOLOGY; RUPTURE; TREATMENT OUTCOME;

ACHILLES TENDON; ADULT; ANKLE; FEMALE; GAIT; HEEL; HUMANS; MALE; MIDDLE AGED; MUSCLE WEAKNESS; RANGE OF MOTION, ARTICULAR; RECOVERY OF FUNCTION; RUPTURE; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84863527865     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546512447926     Document Type: Article

References (26)

1. Aspenberg P. Stimulation of tendon repair: mechanical loading, GDFs and platelets: a mini-review. Int Orthop. 2007 ; 31 (6). 783-789
2. Bostick GP, Jomha NM, Suchak AA, Beaupre LA. Factors associated with calf muscle endurance recovery 1 year after achilles tendon rupture repair. J Orthop Sports Phys Ther. 2010 ; 40 (6). 345-351
3. Denegar CR, Ball DW. Assessing reliability and precision of measurement: an introduction to intraclass correlation and standard error of measurement. J Sport Rehabil. 1993 ; 2 (1). 35-42
4. Don R, Ranavolo A, Cacchio A, et al. Relationship between recovery of calf-muscle biomechanical properties and gait pattern following surgery for achilles tendon rupture. Clin Biomech (Bristol, Avon). 2007 ; 22 (2). 211-220
5. Enwemeka CS. Functional loading augments the initial tensile strength and energy absorption capacity of regenerating rabbit Achilles tendons. Am J Phys Med Rehabil. 1992 ; 71 (1). 31-38
6. Hopkins WG. Measures of reliability in sports medicine and science. Sports Med. 2000 ; 30 (1). 1-15
7. Kangas J, Pajala A, Ohtonen P, Leppilahti J. Achilles tendon elongation after rupture repair: a randomized comparison of 2 postoperative regimens. Am J Sports Med. 2007 ; 35 (1). 59-64
8. Khan RJ, Fick D, Keogh A, Crawford J, Brammar T, Parker M. Treatment of acute achilles tendon ruptures: a meta-analysis of randomized, controlled trials. J Bone Joint Surg Am. 2005 ; 87 (10). 2202-2210
9. Kjaer M, Langberg H, Miller BF, et al. Metabolic activity and collagen turnover in human tendon in response to physical activity. J Musculoskelet Neuronal Interact. 2005 ; 5 (1). 41-52
10. Maffulli N, Longo UG, Maffulli GD, Rabitti C, Khanna A, Denaro V. Marked pathological changes proximal and distal to the site of rupture in acute Achilles tendon ruptures. Knee Surg Sports Traumatol Arthrosc. 2011 ; 19 (4). 680-687
11. Manal K, Cowder JD, Buchanan TS. A hybrid method for computing Achilles tendon moment arm using ultrasound and motion analysis. J Appl Biomech. 2010 ; 26 (2). 224-228
12. Möller M, Lind K, Styf J, Karlsson J. The reliability of isokinetic testing of the ankle joint and a heel-raise test for endurance. Knee Surg Sports Traumatol Arthrosc. 2005 ; 13 (1). 60-71
13. Möller M, Movin T, Granhed H, Lind K, Faxen E, Karlsson J. Acute rupture of tendon Achillis: a prospective randomised study of comparison between surgical and non-surgical treatment. J Bone Joint Surg Br. 2001 ; 83 (6). 843-848
14. Mortensen NH, Saether J, Steinke MS, Staehr H, Mikkelsen SS. Separation of tendon ends after Achilles tendon repair: a prospective, randomized, multicenter study. Orthopedics. 1992 ; 15 (8). 899-903
15. Mullaney MJ, McHugh MP, Tyler TF, Nicholas SJ, Lee SJ. Weakness in end-range plantar flexion after Achilles tendon repair. Am J Sports Med. 2006 ; 34 (7). 1120-1125
16. Nilsson-Helander K, Silbernagel KG, Thomee R, et al. Acute achilles tendon rupture: a randomized, controlled study comparing surgical and nonsurgical treatments using validated outcome measures. Am J Sports Med. 2010 ; 38 (11). 2186-2193
17. Nilsson-Helander K, Thomee R, Gravare-Silbernagel K, et al. The Achilles tendon Total Rupture Score (ATRS): development and validation. Am J Sports Med. 2007 ; 35 (3). 421-426
18. Olsson N, Nilsson-Helander K, Karlsson J, et al. Major functional deficits persist 2 years after acute Achilles tendon rupture. Knee Surg Sports Traumatol Arthrosc. 2011 ; 19 (8). 1385-1393
19. Parekh SG, Wray WH, Brimmo O, Sennett BJ, Wapner KL. Epidemiology and outcomes of Achilles tendon ruptures in the National Football League. Foot Ankle Spec. 2009 ; 2 (6). 283-286
20. Rees JD, Lichtwark GA, Wolman RL, Wilson AM. The mechanism for efficacy of eccentric loading in Achilles tendon injury; an in vivo study in humans. Rheumatology (Oxford, England). 2008 ; 47 (10). 1493-1497
21. Rohner-Spengler M, Mannion AF, Babst R. Reliability and minimal detectable change for the figure-of-eight-20 method of, measurement of ankle edema. J Orthop Sports Phys Ther. 2007 ; 37 (4). 199-205
22. Roos EM, Brandsson S, Karlsson J. Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot Ankle Int. 2001 ; 22 (10). 788-794
23. Schepull T, Kvist J, Andersson C, Aspenberg P. Mechanical properties during healing of Achilles tendon ruptures to predict final outcome: a pilot Roentgen stereophotogrammetric analysis in 10 patients. BMC Musculoskelet Disord. 2007 ; 8: 116
24. Schepull T, Kvist J, Aspenberg P. Early E-modulus of healing Achilles tendons correlates with late function: similar results with or without surgery. Scand J Med Sci Sports. 2012 ; 22 (1). 18-23
25. Silbernagel KG, Nilsson-Helander K, Thomee 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 ; 18 (2). 258-264
26. Willits K, Amendola A, Bryant D, et al. Operative versus nonoperative treatment of acute Achilles tendon ruptures: a multicenter randomized trial using accelerated functional rehabilitation. J Bone Joint Surg Am. 2010 ; 92 (17). 2767-2775