No effects of early functional mobilization on gait patterns after acute Achilles tendon rupture repair

Susanna Aufwerber; Josefine E. Naili; Karin Gr?vare SilbernagelPaul W. Ackermann

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No effects of early functional mobilization on gait patterns after acute Achilles tendon rupture repair

机译：No effects of early functional mobilization on gait patterns after acute Achilles tendon rupture repair

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Abstract This study aimed to compare recovery of gait patterns in patients treated with early functional mobilization (EFM) or standard treatment (ST) after Achilles tendon rupture repair. Second, this study aimed to explore associations between gait patterns and tendon elongation and calf muscle atrophy, respectively. Forty‐seven patients (12 females), mean age 38.7 (7.3) years, were included. Patients were postoperatively randomized to EFM (n?=?29), including immediate weightbearing and ankle motion for 6 weeks, or ST (n?=?18), with 2 weeks of unloading in a plaster cast followed by 4 weeks of weightbearing in an orthosis. Three‐dimensional gait analyses were performed at 8 weeks and 6 months postoperatively to evaluate ankle and knee kinematics and kinetics. Ultrasound imaging was performed to assess tendon length and calf muscle atrophy. At 8 weeks, there were no significant group differences in ankle and knee kinematics and kinetics, while side‐to‐side differences between injured and uninjured side were present within both groups. At 6 months, the ST group exhibited higher generating ankle power and greater peak moments in ankle and knee compared to the EFM group. In both groups, peak ankle dorsiflexion angle was greater on the injured side compared to the uninjured side. No correlations were found between ankle joint gait deviations and degree of tendon elongation or muscle atrophy. Clinical significance: The accelerated rehabilitation regimen with EFM did not result in a more symmetrical gait pattern. The gait pattern deviations in the ankle joint were not related to the degree of muscle atrophy or tendon elongation.

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来源
《Journal of orthopaedic research》 |2022年第8期|1932-1942|共11页
作者
Susanna Aufwerber; Josefine E. Naili; Karin Gr?vare SilbernagelPaul W. Ackermann;
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作者单位

Department of Molecular Medicine and Surgery,Karolinska Institutet;

Department of Women's and Children's Health,Karolinska Institutet;

Department of Physical Therapy,University of Delaware;

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原文格式 PDF
正文语种英语
中图分类骨科学（运动系疾病、矫形外科学）;
关键词
Achilles tendon rupture; functional mobilization; gait analysis; surgery; ultrasound;

No effects of early functional mobilization on gait patterns after acute Achilles tendon rupture repair

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