The Effect of Immediate Functional Ankle Rehabilitation on a Range of Motion, Muscle Strength, and Stiffness after Achilles Tendon Repair in Soccer Player
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PURPOSE This study aims to investigate the effect of immediate functional ankle rehabilitation after Achilles tendon repair on an ankle range of motion, muscle strength, and stiffness in soccer players. METHODS The subject of this case study is one soccer player belonging to team A. Athlete A (age 25 years, height 174 cm, weight 63 kg) visited hospital B due to an Achilles tendon rupture that occurred during the training in February 07, 2022. February 08, 2022, athlete A had Achilles tendon reconstruction at B hospital. Two weeks after the operation, athlete A visited the M exercise center and performed immediate functional rehabilitation exercises for 16 weeks. RESULTS As a result of 16 weeks of immediate functional ankle rehabilitation exercise, athlete A’s ankle joint range of motion (supine and prone dorsi flexion, supine and prone plantar flexion), muscle strength (supine and prone dorsi flexion, supine and prone plantar flexion, inversion, eversion), and stiffness(Achilles tendon, gastrocnemius medial and lateral) were positively improved. Also, the difference between the range of motion, muscle strength, and stiffness of the affected involved and noninvolved side of the ankle was decreased after 8 and 16 weeks compared to pre-exercise. CONCLUSIONS Therefore, it is suggested to apply immediate functional rehabilitation exercises to help soccer players return to play early after Achilles tendon surgery
Abstract
PURPOSE This study aims to investigate the effect of immediate functional ankle rehabilitation after Achilles tendon repair on an ankle range of motion, muscle strength, and stiffness in soccer players. METHODS The subject of this case study is one soccer player belonging to team A. Athlete A (age 25 years, height 174 cm, weight 63 kg) visited hospital B due to an Achilles tendon rupture that occurred during the training in February 07, 2022. February 08, 2022, athlete A had Achilles tendon reconstruction at B hospital. Two weeks after the operation, athlete A visited the M exercise center and performed immediate functional rehabilitation exercises for 16 weeks. RESULTS As a result of 16 weeks of immediate functional ankle rehabilitation exercise, athlete A’s ankle joint range of motion (supine and prone dorsi flexion, supine and prone plantar flexion), muscle strength (supine and prone dorsi flexion, supine and prone plantar flexion, inversion, eversion), and stiffness(Achilles tendon, gastrocnemius medial and lateral) were positively improved. Also, the difference between the range of motion, muscle strength, and stiffness of the affected involved and noninvolved side of the ankle was decreased after 8 and 16 weeks compared to pre-exercise. CONCLUSIONS Therefore, it is suggested to apply immediate functional rehabilitation exercises to help soccer players return to play early after Achilles tendon surgery
참고문헌 (31)
- Meckel Y, "Relationship among repeated sprint tests, aerobic fitness, and anaerobic fitness in elite adolescent soccer players", J Strength Cond Res, 23(1), pp.163~169 (2009)
- Sheppard JM, "Agility literature review:Classifications, training and testing", J Sports Sci, 24(9), pp.919~932 (2006)
- 하성희, "여성 축구선수의 연령별 손상예방 인식과 손상유형의 특성", 아시아 운동학 학술지, 15(3), pp.131~142 (2013), 대한운동학회[DOI]
- Croisier JL, "Strength imbalances and prevention of hamstring injury in professional soccer players: a prospective study", Am J Sports Med, 36(8), pp.1469~1475 (2008)
- Carvalho A, "Evaluating injury risk in first and second league professional Portuguese soccer:muscular strength and asymmetry", J Hum Kinet, 51(1), pp.19~26 (2016)
- Forlenza EM, "Return to Play and Player Performance After Achilles Tendon Rupture in UEFA Professional Soccer Players: A Matched-Cohort Analysis of Players From 1999 to 2018", Orthop J Sports Med, 9(9), pp.1~8 (2021)
- Della Villa F, "Video analysis of Achilles tendon rupture in male professional football (soccer) players: injury mechanisms, patterns and biomechanics", BMJ Open Sport Exerc Med, 8(3), pp.e001419~ (2022)
- Grassi A, "Eighty-Two per cent of male professional football (soccer) players return to play at the previous level two seasons after Achilles tendon rupture treated with surgical repair", Br J Sports Med, 54(8), pp.480~486 (2020)
- Zellers JA, "Defining components of early functional rehabilitation for acute Achilles tendon rupture: a systematic review", Orthop J Sports Med, 7(11), pp.1~22 (2019)
- Laurent D, "Relationship between tendon structure, stiffness, gait patterns and patient reported outcomes during the early stages of recovery after an Achilles tendon rupture", Sci Rep, 10(1), pp.1~14 (2020)
- Trofa DP, "Professional soccer players’ return to play and performance after operative repair of Achilles tendon rupture", Orthop J Sports Med, 6(11), pp.2325967118810772~ (2018)
- Groetelaers RP, "Functional treatment or cast immobilization after minimally invasive repair of an acute Achilles tendon rupture: prospective, randomized trial", Foot Ankle Int, 35(8), pp.771~778 (2014)
- Okoroha KR, "Comparison of tendon lengthening with traditional versus accelerated rehabilitation after Achilles tendon repair: a prospective randomized controlled trial", Am J Sports Med, 48(7), pp.1720~1726 (2020)
- Aufwerber S, "Changes in tendon elongation and muscle atrophy over time after Achilles tendon rupture repair: a prospective cohort study on the effects of early functional mobilization", Am J Sports Med, 48(13), pp.3296~3305 (2020)
- Geboers JF, "Effect of immobilization on ankle dorsiflexion strength", Scand J Rehabil Med, 32(2), pp.66~71 (2000)
- Caplan N, "Effects of 1 week of unilateral ankle immobilization on plantar-flexor strength, balance, and walking speed: A pilot study in asymptomatic volunteers", J Sport Rehabil, 24(2), pp.156~162 (2015)
- Cristi-Sánchez I, "Patellar and Achilles tendon stiffness in elite soccer players assessed using myotonometric measurements", Sports health, 11(2), pp.157~162 (2019)
- Lightsey HM, "Online physical therapy protocol quality, variability, and availability in Achilles tendon repair", Foot Ankle Spec, 12(1), pp.16~24 (2019)
- Brumann M, "Accelerated rehabilitation following Achilles tendon repair after acute rupture–Development of an evidence-based treatment protocol", Injury, 45(11), pp.1782~1790 (2014)
- Chang TT, "Effects of self-myofascial release using a foam roller on the stiffness of the gastrocnemius-achilles tendon complex and ankle dorsiflexion range of motion", Front Physiol, 12, pp.718827~ (2021)
- Zhou J, "Non-uniform stiffness within gastrocnemius-Achilles tendon complex observed after static stretching", J Sports Sci Med, 18(3), pp.454~ (2019)
- Nagano K, "Effects of antagonistic muscle contraction exercises on ankle joint range of motion", J Phys Ther Sci, 31(7), pp.526~529 (2019)
- Farris DJ, "Could intra-tendinous hyperthermia during running explain chronic injury of the human Achilles tendon?", J Biomech, 44(5), pp.822~826 (2011)
- Holzgrefe RE, "Association of strength following Achilles tendon repair with return to same level of play in high-level athletes", Foot Ankle Int, 41(9), pp.1041~1048 (2020)
- 전아영, "급성 아킬레스건 파열의 봉합술 후 조기 체중 부하 및 족 관절 관절 운동의 임상적 결과 및 근력 평가", 대한정형외과학회지, 47(2), pp.111~118 (2012), 대한정형외과학회[DOI]
- De la Fuente CI, "Medial gastrocnemius myotendinous junction displacement and plantar-flexion strength in patients treated with immediate rehabilitation after Achilles tendon repair", J Athl Train, 51(12), pp.1013~1021 (2016)
- Jerger S, "Effects of specific collagen peptide supplementation combined with resistance training on Achilles tendon properties", Scand J Med Sci Sports, 32(7), pp.1131~1141 (2022)
- Geremia JM, "Effects of high loading by eccentric triceps surae training on Achilles tendon properties in humans", Eur J Appl Physiol, 118(8), pp.1725~1736 (2018)
- Fouré A, "Effects of plyometric training on passive stiffness of gastrocnemii and the musculo‐articular complex of the ankle joint", Scand J Med Sci Sports, 19(6), pp.811~818 (2009)
- Radovanović G, "Reliable and effective novel home-based training setup for application of an evidence-based high-loading stimulus to improve triceps surae function", J Sports Sci, 39(24), pp.2786~2795 (2021)
- Morimoto S, "Return to the original sport at only 3 months after an Achilles tendon rupture by a combination of intra-tissue injection of freeze-dried platelet-derived factor concentrate and excessively early rehabilitation after operative treatment in a male basketball player: A case report", Regen Ther, 18, pp.112~116 (2021)