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Achilles Tendon

Categories
  • Education
  • Joint/Tendon
Tags
  • Ankle injury
Ankle

Achilles Tendon

Acute tendon injury: ice followed by compression and elevation.

Consult your professional/s for treatment and rehabilitation as these are academic principle guidelines only and not prescriptive.
ASSIC does not dispense medical and/or exercise advice.
Consult your professional regarding exercise, treatment and rehabilitation exercise regimes and medical advise.
The contents of the following web page are principle guidelines and must be utilized under the supervision of a relevant medical and/or exercise professional.

Calf muscle and Achilles tendon Anatomy

Calf muscle and Achilles tendon Anatomy
Calf muscle and Achilles tendon Anatomy
Calf muscle and Achilles tendon Anatomy
Range of motion
Achilles tendon allow ankle dorsiflexion & plantarflexion

Achilles tendon

Injury Mechanism:

Achilles tendon problems range from overuse injuries to acute tendon ruptures.

Achilles tendon

Achilles tendon rupture
Acute management

  • Rest
  • Ice
  • Compression
  • Splint or brace where appropriate
  • Elevation
  • Surgery where indicated
  • Rehabilitation
Acute tendon injury: ice followed by compression and elevation.

Treatment

  • Surgery: where appropriately indicated
  • Non-operative: immobilization with brace/cast followed by ankle range of motion and ankle/foot strength exercises

Match readiness

Return to sport & match readiness after appropriate rehabilitation

Rehabilitation

Consult your professional/s for treatment and rehabilitation as these are academic principle guidelines only and not prescriptive.

ASSIC does not dispense medical and/or exercise advice.

Consult your professional regarding exercise, treatment and rehabilitation exercise regimes and medical advise.

The contents of the following web page are principle guidelines and must be utilized under the supervision of a relevant medical and/or exercise professional.

Return to sport & match readiness:

  • After appropriate rehabilitation
  • Assess return to sport after completing battery of testing
Rehabilitation

Ankle testing for return to sport:

Range of motion (ROM)

ROM Test
Active ROM= non-injured side or =/> standard sports specific norms Measure goniometer
Foot/ankle ROM
Foot/ankle ROM
Calf stretching
Calf stretch

Proprioception

Proprioception Test
  • Static & dynamic
  • Stalk stand test (30s)
  • Dynamic Five Dot-drill test
Single leg balance on airex_single leg balance
Proprioception exercise

Circumference difference

Limb difference Test
  • Analyze limb diameter difference
  • Accept :<5% difference
  • Calf circumference
  • Ankle circumference
Calf concentric & eccentric strength
Calf concentric & eccentric strength

Agility

Agility Test
  • Compare to pre-injury levels
  • Assess execution of test
  • Ilionois Agility Drill- compare time difference
Towel pick up
Intrinsic foot strengthening
Intrinsic foot strengthening

Muscular strength

Strength Test
  • Dynamic muscle strength & endurance field test
Single leg standing toe raise:

  • Strength 1RM with good form & 1:2 ratio for concentric & eccentric control
  • Endurance-Pollock muscle endurance test at 70% of 1RM for 20-25s

Posterior tibialis strength:

  • One leg to raise
  • Forward hip swing preceding toe raise is an indication of poor posterior tibialis strength
Calf raise exercises
Dead lift
Calf raise exercises

Isokinetic test

Isokinetic Test
  • Accurate analysis with comparative muscle strength analysis
Single leg standing toe raise:

  • Plantar flexion & Dorsiflexion
    Inversion & eversion 60-120 degrees
Dumbbell Calf raise with foot internally rotated
Dumbbell Calf raise with foot external rotated_Standing External
Calf strengthening exercises with foot in internal & external rotation

Explosive power

Test
  • Focus on forward linear power watch abnormality especially favouring of non-injured leg
Single leg standing toe raise:

  • Vertical jump
  • Standing broad jump
Explosive Power (Burpee)

Speed

Test
  • Speed
Single leg standing toe raise:

  • 40m sprint
Speed
Speed

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