Recovery Effects of Exercise Rehabilitation According to The Cast Duration After Achilles Tendon Repair
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PURPOSE: The purpose of this study was to confirm recovery effects of exercise rehabilitation according to the cast duration after achilles tendon repair. METHODS: It was divided by 3, 6, 8 weeks of cast immobilization duration and this is a case study comparing the difference in recovery speed depending on the cast duration. Total cases were six and all patients were treated the same for two weeks after surgery. All physical examination checked at 12week, 14week, 16week and 18week. Test items were included swelling, visual analysis score, range of motion, functional movement and questionnaire scale. RESULTS: As shown in the study, it was found that 3 weeks of cast immobilization and rehabilitation exercise after Achilles tendon repair were almost possible after 14 weeks of surgery, and 16 weeks later, dynamic exercises such as jogging were possible. However, in the case of cast immobilization for 6 weeks and 8 weeks, daily life was not possible until 16 weeks, and jogging was not possible until 18 weeks. CONCLUSIONS: If you want to return to your daily life quickly after Achilles surgery, Three weeks of postoperative cast fixation and four weeks of rehabilitation exercise have been shown to shorten the recovery period than six or eight weeks of cast fixation.
Abstract
PURPOSE: The purpose of this study was to confirm recovery effects of exercise rehabilitation according to the cast duration after achilles tendon repair. METHODS: It was divided by 3, 6, 8 weeks of cast immobilization duration and this is a case study comparing the difference in recovery speed depending on the cast duration. Total cases were six and all patients were treated the same for two weeks after surgery. All physical examination checked at 12week, 14week, 16week and 18week. Test items were included swelling, visual analysis score, range of motion, functional movement and questionnaire scale. RESULTS: As shown in the study, it was found that 3 weeks of cast immobilization and rehabilitation exercise after Achilles tendon repair were almost possible after 14 weeks of surgery, and 16 weeks later, dynamic exercises such as jogging were possible. However, in the case of cast immobilization for 6 weeks and 8 weeks, daily life was not possible until 16 weeks, and jogging was not possible until 18 weeks. CONCLUSIONS: If you want to return to your daily life quickly after Achilles surgery, Three weeks of postoperative cast fixation and four weeks of rehabilitation exercise have been shown to shorten the recovery period than six or eight weeks of cast fixation.
참고문헌 (18)
- Okoroha KR, "Comparison of Tendon Lengthening With Traditional Versus Accelerated Rehabilitation After Achilles Tendon Repair; A Prospective Randomized Controlled Trial", The American Journal of Sports Medicine, pp.1~7 (2020)
- Houshian S, "The epidemiology of Achilles tendon rupture in a Danish county", Injury, 29(9), pp.651~654 (1998)
- Andersson T, "Tissue memory in healing tendons: short loading episodes stimulate healing", J Appl Physiol, 107(2), pp.417~421 (2009)
- Kannus P, "Histopathological changes preceding spontaneous ruptures of a tendon: a controlled study of 891 patients", J Bone Joint Surg Am, 73, pp.1507~1525 (1991)
- Costa ML, "Randomised controlled trials of immediate weight-bearing mobilisation for rupture of the tendo Achillis", J Bone Joint Surg Am, 88, pp.69~77 (2006)
- Costa ML, "Immediate full-weight-bearing mobilisation for repaired Achilles tendon ruptures: a pilot study", Injury, 34(11), pp.874~876 (2003)
- Maffulli N, "Early weight-bearing and ankle mobilization after open repair of acute midsubstance tears of the Achilles tendon", Am J Sports Med, 31, pp.692~700 (2003)
- Maffulli N, "No adverse effect of early weight bearing following open repair of acute tears of the Achilles tendon", J Sports Med Phys Fitness, 43, pp.367~379 (2003)
- Huang J, "Rehabilitation Regimen After Surgical Treatment of Acute Achilles Tendon Ruptures; A Systematic Review With Meta-analysis", AJSM PreView, pp.1~9 (2014)
- Kangas J, "Achilles tendon elongation after rupture repair: a randomized comparison of 2 postoperative regimens", Am J Sports Med, 35(1), pp.59~64 (2007)
- Kangas J, "Early functional treatment versus early immobilization in tension of the musculo tendinous unit after Achilles rupture repair", J Trauma, 54(6), pp.1171~1180 (2003)
- Mortensen HM, "Early motion of the ankle after operative treatment of a rupture of the Achilles tendon: a prospective, randomized clinical and radiographic study", J Bone Joint Surg Am, 81, pp.983~990 (1999)
- Suchak AA, "Postoperative rehabilitation protocols for Achilles tendon ruptures: a meta analysis", Clin Orthop Relat Res, 445, pp.216~221 (2006)
- Schipper O, "The acute injury of the Achilles: surgical options (open treatment, and, minimally invasive surgery)", Foot Ankle Clin, 22, pp.689~714 (2017)
- Ma GW, "Percutaneous repair of acute closed ruptured Achilles tendon: a new technique", Clin Orthop Relat Res, (128), pp.247~255 (1997)
- 김준범, "아킬레스건 파열 치료에 대한 최신 지견", 대한족부족관절학회지, 23(3), pp.83~90 (2019), 대한족부족관절학회[DOI]
- Ecker TM, "Prospective Use of a Standardized Nonoperative Early Weightbearing Protocol for Achilles Tendon Rupture", AJSM PreView, 27, pp.1~7 (2016)
- Buchgraber A, "Percutaneous repair of Achilles tendon rupture: immobilization versus functional postoperative treatment", Clin Orthop Relat Res, 341, pp.113~122 (1997)
