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

Achilles tendon allow ankle dorsiflexion & plantarflexion

Achilles tendon

Injury Mechanism:

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

Achilles tendon rupture
Acute management

Rest
Ice
Compression
Splint or brace where appropriate
Elevation
Surgery where indicated
Rehabilitation

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

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

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

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

Agility

Agility	Test
Compare to pre-injury levels Assess execution of test	Ilionois Agility Drill- compare time difference

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

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

Isokinetic test

Isokinetic	Test
Accurate analysis with comparative muscle strength analysis	Single leg standing toe raise: Plantar flexion & Dorsiflexion Inversion & eversion 60-120 degrees

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

Test

Focus on forward linear power watch abnormality especially favouring of non-injured leg

Single leg standing toe raise:

Vertical jump
Standing broad jump

Speed

	Test
Speed	Single leg standing toe raise: 40m sprint

Test

Speed

Single leg standing toe raise:

40m sprint

Achilles Tendon

Achilles Tendon

Calf muscle and Achilles tendon Anatomy

Achilles tendon allow ankle dorsiflexion & plantarflexion

Achilles tendon

Injury Mechanism:

Achilles tendon rupture Acute management

Treatment

Match readiness

Return to sport & match readiness after appropriate rehabilitation

Ankle testing for return to sport:

Range of motion (ROM)

Foot/ankle ROM

Calf stretch

Proprioception

Proprioception exercise

Circumference difference

Calf concentric & eccentric strength

Agility

Intrinsic foot strengthening

Muscular strength

Calf raise exercises

Isokinetic test

Calf strengthening exercises with foot in internal & external rotation

Explosive power

Speed

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Achilles tendon rupture
Acute management