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Titre : | Acute and Long-Term Effects of Mechanotherapy on the Outcome After an Achilles Repair: A Prospective Cohort Study With Historical Controls (2019) |
Auteurs : | Pei-Yun Wang ; Kao-Shang Shih ; Hsiao-Li Ma |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 11, 2019) |
Article en page(s) : | p. 2046-2052 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Microcirculation ; Réadaptation ; Tendon calcanéen ; Vibration |
Résumé : |
Abstract
Objectives To evaluate the effects of vibration on Achilles tendon microcirculation and characteristics following surgical repair of Achilles tendon rupture. Design Cohort study with historical controls. Setting A university institute. Participants Participants (N=32), including 19 (16 men, 3 women; median [range] age: 43.0 [25.0-57.0] years) and 13 (10 men, 3 women; 44.00 [29.0-60.0] years) in the vibration (application to the ball of the foot, 30Hz, 2mm amplitude, 4kg pressure, and self-administration) and control groups, respectively, who underwent unilateral Achilles tendon repairs were recruited. Intervention A 4-week vibration intervention in the vibration group. Main Outcome Measurements The tendon microcirculation was measured after the first session of vibration. The participants were evaluated repeatedly with bilateral follow-up measurements of tendon stiffness, 3 functional outcome tests, and a questionnaire survey. Results Acute effects of the vibration were observed immediately after the 5-minute vibration (P≤.001). Lower total hemoglobin and oxygen saturation were respectively observed (P=.043) in the repaired legs 3 and 6 months postsurgery in the vibration group as compared with the control group. The vibration group also showed greater tendon stiffness, heel raising height and hopping distance 3 or 6 months postoperation in both the repaired and noninjured legs (all P<.05 the microcirculatory characteristics months postoperation were correlated with outcomes at postoperation.> Conclusions Differences in microcirculatory characteristics and better rehabilitation outcomes were observed in the legs with an Achilles repair that underwent the early vibration intervention. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931930303X |