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Titre : | Functional Rehabilitation for Nonsurgical Treatment of Acute Achilles Tendon Rupture (2019) |
Auteurs : | Mark Glazebrook ; Daniela Rubinger |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 24, n° 3, 2019) |
Article en page(s) : | p. 387-398 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Kinésithérapie (spécialité) ; Réadaptation ; Rupture (Psychologie) ; Tendon calcanéen |
Résumé : |
Current available literature suggests that when treating an acute Achilles tendon midsubstance rupture with accelerated functional rehabilitation, the clinical outcomes for nonoperative and operative treatments are similar.
If an appropriate accelerated functional rehabilitation program cannot be utilized properly, then consideration should be given to operative treatment. The initial diagnosis and initiation of nonoperative treatment with functional rehabilitation must be started within 48 hours with the foot immobilized in plantar flexion and nonweight bearing. Patient education and supervision with a physical therapist experienced in functional rehabilitation are essential for success. Patient compliance also is essential for success. A problematic complication of nonoperative treatment of Achilles tendon ruptures is weakness secondary to overstretching of the Achilles. This can be mitigated or prevented with close supervision of the rehabilitation protocol and communication between physical therapist and physician, with adjustments in the protocol when necessary. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751519300634 |