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2019 | 33 | 2 | 37-45
Article title

The characteristics of plantar flexors and dorsiflexors strength in patients after complete three-bundle Achilles tendon reconstruction

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EN
Abstracts
EN
Introduction Achilles tendon rupture is an injury resulting from occasional excessive physical activity that is undertaken in the absence of an adequate level of preparation. The calcaneal tendon forms the end of the triceps surae muscle which consists of the gastrocnemius and the soleus. The aim of the research was to evaluate the level of functional performance of the operated limb one and two years after the Achilles tendon reconstruction surgery. Material and methods The study group comprised of 20 men (age – 47.2±8.3 years; height – 182±7cm; weight – 88±12kg) who have undergone the Achilles tendon reconstruction surgery. The measurement of plantar flexor and dorsiflexor muscle torques was conducted in both extended- and flexed-knee position under isometric and isokinetic conditions Results The measurements of the plantar flexor and dorsiflexor muscle torques in the extended knee position performed one and two years after the surgery did not reveal any significant differences between the healthy and operated limb. The tests performed one year after the surgery in the flexed-knee position showed significantly lower values of the plantar flexor and dorsiflexor muscle torques in the operated limb measured under isokinetic conditions. The results obtained two years after the reconstruction surgery proved that muscular deficit was still visible; however, there were no statistically significant differences Conclusions The angular knee joint position affects the plantar flexor muscle torque in the operated limb. Due to the muscle strength deficit observed two years after the surgery, additional training should be implemented after the rehabilitation has been completed. The main focus should be on dynamic exercises performed in the flexed-knee position which help to rebuild deep muscles such as the soleus
Year
Volume
33
Issue
2
Pages
37-45
Physical description
Dates
published
2019-05-29
References
  • Suchak AA, Bostick G, Reid D, Blitz S, Jomha N. The incidence of Achilles tendon ruptures in Edmonton, Canada. Foot Ankle Int. 2005 Nov;26(11):932-6.
  • Leppilahti J, Puranen J, Orava S, Incidence of Achilles tendon rupture. Acta Orthop Scand, 1996 Jun;67(3):277-9.
  • Strauss EJ, Ishak C, Jazrawi L, Sherman O, Rosen J. Operative treatment of acute Achilles tendon ruptures: An institutional review of clinical outcomes. Injury 2007 Jul;38(7):832-8.
  • Winter E, Weise K, Weller S, Ambacher T. Surgical repair of Achilles tendon rupture. Comparison of surgical with conservative treatment. Arch Orthop Trauma Surg. 1998;117(6-7):364-7.
  • Ciszek B, Śmigielski R, Wewnętrzna struktura ścięgna piętowego (Achillesa). Acta Clinica 2003;3(3):210-15.
  • Szaro P, Witkowski G, Smigielski R, Krajewski P, Ciszek B. Fascicles of the adult human Achilles tendon - an anatomical study. Ann Anat. 2009;191(6):586-93.
  • Śmigielski R. Management of partial tears of the gastro-soleus complex. Clin Sports Med. 2008;27:219-29.
  • Cetti R, Christensen SE, Ejsted R. Operative versus nonoperative treatment of Achilles tendon rupture. A prospective randomized study and review of the literature. Am J Sports Med. 1993 Nov-Dec;21(6):791-9.
  • Adamczyk G, Boszczyk A, Luboiński Ł. Metaanaliza metod leczenia operacyjnego całkowitych uszkodzeń ścięgna Achillesa, Acta Clinica 2003;3(4):331-38.
  • Pierre-Jerome C, Moncayo V, Terk MR. MRI of the Achilles tendon: A comprehensive review of the anatomy, biomechanics, and imaging of overuse tendinopathies. Acta Radiol. 2010 May;51(4):438-54.
  • Sharma P, Maffulli N. Tendon injury and tendinopathy: healing and repair. J Bone Joint Surg Am. 2005 Jan;87(1):187-202.
  • Strom AC, Casillas MM. Achilles Tendon Rehabilitation. Foot Ankle Clin. 2009 Dec;14(4):773-82.
  • Willems T, Witvrouw E, Verstuyft J, Vaes P, Clercq D. Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability. J Athl Train. 2002 Dec;37(4):487-93.
  • Saxena A, Ewen B, Maffulli N. Rehabilitation of the operated achilles tendon: parameters for predicting return to activity. J Foot Ankle Surg. 2011 Jan-Feb;50(1):37-40.
  • Świst A, Graff K, Chałubińska D, Zielińska A, Łukaszewska A. The effects of interventions implemented during a rehabilitation camp on changes in motor skills parameters and body mass in patients with simple obesity. Adv Rehab. 2017;(3):5-15.
  • Romero-Corral A, Somers VK, Sierra-Johnson J, Thomas RJ, Collazo-Clavell ML, Korinek J. et al. Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes (Lond). 2008 Jun;32(6):959-66.
  • Fugl-Meyer AR, Sjöström M, Wählby L. Human plantar flexion strength and structure. Acta Physiol Scand. 1979 Sep;107(1): 47-56.
  • Orishimo KF, Burstein G, Mullaney MJ, Kremenic IJ, Nesse M, McHugh MP, Lee SJ. Effect of knee flexion angle on Achilles tendon force and ankle joint plantarflexion moment during passive dorsiflexion. J Foot Ankle Surg. 2008 Jan-Feb;47(1):34-9.
  • Peters M. Footedness: asymmetries in foot preference and skill and neuropsychological assessment of foot movement. Psychol Bull. 1988 Mar;103(2):179-92.
  • Jensen MP, Chen C, Brugger AM. Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. J Pain. 2003 Sep;4(7):407-14.
  • Maganaris CN. Force-length characteristics of the in vivo human gastrocnemius muscle. Clin Anat. 2003 May;16(3):215-23.
  • Herzog W, Read LJ, Ter Keurs HE. Experimental determination of force-length relations of intact human gastrocnemius muscles. Clin Biomech (Bristol, Avon). 1991 Nov;6(4):230-8.
  • Kawakami Y, Kumagai K, Huijing PA, Hijikata T, Fukunaga T. The length-force characteristics of human gastrocnemius and soleus muscles in vivo. In: Herzog W, editors. Skeletal Muscle Mechanics: Mechanisms to Function. Wiley, New York; 2000. p. 327-41.
  • Kawakami Y, Ichinose Y, Fukunaga T. Architectural and functional features of human triceps surae muscles during contraction. J Appl Physiol (1985). 1998 Aug;85(2):398-404.
  • Fugl-Meyer AR, Sjöström M, Wählby L. Human plantar flexion strength and structure. Acta Physiol Scand. 1979 Sep;107(1): 47-56.
  • Svantesson U, Ernstoff B, Bergh P, Grimby G. Use of a Kin-Com dynamometer to study the stretch-shortening cycle during plantar flexion. Eur J ApplPhysiolOccup Physiol. 1991;62(6):415-9.
  • Wakahara T, Kanehisa H, Kawakami Y, Fukunaga T. Fascicle behavior of medial gastrocnemius muscle in extended and flexed knee positions. J Biomech. 2007;40(10):2291-8.
  • Carpentier A, Duchateau J, Hainaut K. Velocity-dependent muscle strategy during plantarflexion in humans. J Electromyogr Kinesiol.1996 Dec;6(4):225-33.
  • Cresswell AG, Löscher WN, Thorstensson A. Influence of gastrocnemius muscle length on triceps surae torque development and electromyographic activity in man. Exp Brain Res.1995;105(2):283-90.
  • Price TB, Kamen G, Damon BM, Knight CA, Applegate B, Gore JC, Eward K, Signorile JF. Comparison of MRI with EMG to study muscle activity associated with dynamic plantar flexion. Magn Reson Imaging. 2003 Oct;21(8):853-61.
  • Arampatzis A, Karamanidis K, Stafilidis S, Morey-Klapsing G, DeMonte G, Brüggemann GP. Effect of different ankle- and knee-joint positions on gastrocnemius medialis fascicle length and EMG activity during isometric plantar flexion. J Biomech. 2006;39(10):1891-902.
  • Gigante A,Moschini A,Verdenelli A,Del Torto M,Ulisse S,de Palma L. Open versus percutaneous repair in the treatment of acute Achilles tendon rupture: a randomized prospective study. Knee Surg Sports Traumatol Arthrosc. 2008 Feb;16(2):204-9.
  • Chan AP, Chan YY, Fong DT, Wong PY, Lam HY, Lo CK, Yung PS, Fung KY, Chan KM. Clinical and biomechanical outcome of minimal invasive and open repair of the Achilles tendon. Sports Med Arthrosc Rehabil Ther Technol. 2011 Dec 20;3(1):32.
  • Naim F, Simşek A, Sipahioğlu S, Esen E, Cakmak G. Evaluation of the surgical results of Achilles tendon ruptures by gait analysis and isokinetic muscle strength measurements. Acta Orthop Traumatol Turc. 2005;39(1):1-6.
  • Möller M, Lind K, Movin T, Karlsson J. Calf muscle function after Achilles tendon rupture. A prospective, randomised study comparing surgical and non-surgical treatment. Scand J Med Sci Sports. 2002 Feb;12(1):9-16.
  • Jallageas R, Bordes J, Daviet JC, Mabit C, Coste C. Evaluation of surgical treatment for ruptured Achilles tendon in 31 athletes. Orthop Traumatol Surg Res. 2013 Sep;99(5):577-84.
  • Bevoni R, Angelini A, D’Apote G, Berti L, Fusaro I, Ellis S et al. Long term results of acute Achilles repair with triple-bundle technique and early rehabilitation protocol. Injury 2014 Aug;45(8):1268-74.
  • Olsson N, Nilsson-Helander K, Karlsson J, Eriksson BI, Thomée R, Faxén E, Silbernagel KG. Major functional deficits persist 2 years after acute Achilles tendon rupture. Knee Surg Sports Traumatol Arthrosc. 2011 Aug;19(8):1385-93.
  • GeremiaJM, Bobbert MF, Casa Nova M, Ott RD, LemosFde A, LupionRde O, Frasson VB, Vaz MA. The structural and mechanical properties of the Achilles tendon 2 years after surgical repair. Clin Biomech (Bristol, Avon) 2015 Jun;30(5):485-92
  • HorstmannT, Lukas C, Merk J, Brauner T, Mündermann A. Deficits 10-years after Achilles tendon repair. Int J Sports Med. 2012 Jun;33(6):474-9.
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.doi-10_5114_areh_2019_85022
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