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ISSN 1405-8790 (Print)

2003, Number 2

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Rev Mex Med Fis Rehab 2003; 15 (2)

Computerized baroplantography in patients with rupture of the Achilles tendon after a tendinoplastia: Early rehabilitation programs

Olvera VRM, Diez GMP, Coronado ZR, Granados RR, Vargas RA, Chávez ADD

Language: Spanish
References: 30
Page: 37-40
PDF size: 75.58 Kb.


ABSTRACT

Introduction: Computerized baroplantography has been a diagnostic method for the evaluation of the treatment of patients with rupture of the Achilles tendon. Objective: Demonstrate the efficacy of a early rehabilitation program in patients after a tendinoplastia. Material and methods: Longitudinal, prospective, comparative study. Group 1. 35 patients with Achilles tendinoplastia. Group 2. The same patients of group 1 with a institutional program. Group 3. People with healthy control age matched. Statistic: Variance analysis, χ2 and Fisher test. Results: Computerized baroplantometry comparing 3 groups, showed a statistical difference for plantar pressure, plantar area pressure, surgery side, maximal zones in 1, 2 toes, 1, 2, 3, 4, metatarsal surgery side 2, 3, metatarsal healthy side. Group 1 and 3 analysis with differences for plantar pressure 1, 2, toes 1, 2, 3, 4, metatarsals of surgery side 2 and 3 metatarsal healthy side. Group 2 and 3 analysis without differences. Conclusions: Early rehabilitation programs in patients after an Achilles tendinoplastia can to evaluation the pressure, force and area the foot and give the directive rehabilitation from the secondary flexors, and reduce the time of rehabilitation.


REFERENCES

  1. Leadbetter WB. Cell matrix response in tendon injury. Clin Sport Med 1992; 11: 533-57.

  2. Scioli WW. Achilles tendonitis. Orthop Clin North Am 1994; 25: 177-182.

  3. Soma CK. Achilles tendon disorders. Clin Sports Med 1994; 13: 811-823.

  4. Allenmarck C. Partial Achilles tendon tears. Clin Sports Med 1992; 11: 759-769.

  5. Lenvater SJ. Complete Achilles tendon rupture. Clin Sports Med 1992; 11 : 741- 757.

  6. Diez P, Olvera M, Coronado R y col. Plantometría en pacientes con ruptura del tendón de Aquiles postoperados de plastia. Rev Mex Med Fis Rehab 2001; 13: 3: 84-88.

  7. Barfred T. Kinesiological comments on subcutaneous rupture of the Achilles tendon. Acta Orth Scan 1971; 42: 397-405.

  8. Willis C et al. Achilles tendon rupture. Clin Orthop 1986; 207: 156-163.

  9. Saw et al. Early mobilization after operative repair of rupture Achilles tendon. Injury 1993; 24;7: 474-484.

  10. Galloway MT, Joki P, Dayton OW. Achilles tendon overuse injuries. Clin Sport Med 1992; 11: 771-782.

  11. Astrom M, Westlin N. Blood flow in chronic Achilles tendinopathy. Clin Orthop 1994; 308: 166-172.

  12. Neuman D, Vogt L, Bazer W et al. Kinematic and neuromuscular changes of gait pattern after Achilles tendon rupture. Foot and Ankle Int 1997; 18: 6: 339-341.

  13. Johnston E, Scanton P, Pfeffer. Chronic disorders of the Achilles tendon; results of the conservative and surgical treatments. Foot Ankle Int 1997; 18: 9: 520-574.

  14. Stmho-Bittlel, Reedy GK, Gum et al. Biochemistry and biomechanics of healing tendon: Part 1, effects of rigid plaster casts and functional casts. Med Sci Sports Exerc 1998; 30; 6: 788-793.

  15. Hughes et al. A clinician´s view of foot pressure: A comparison of three different methods of measurement. Foot Ankle 1987; 5: 277-284.

  16. Ian J, Alexander M, Cho Y, Joshin E et al. The assessment of dynamic foot to ground contact forces and plantar pressure distribution. A review of evolution of current techniques and clinical applications. Foot Ankle 1990; 11; 3: 152-168.

  17. Hugges J, Phil M, Clark P et al. A comparison of two studies of the pressure distribution under the feet of normal subjects using different equipment. Foot Ankle 1993; 14; 9: 514-519.

  18. Henning M, Rossenbaum M. Pressure distribution patterns under the feet of children in comparison with adults. Foot Ankle 1991; 11; 5: 306-311.

  19. Murray M et al. Function of the triceps surae during gait. J Bone Joint S 1978; 60: 4: 473-476.

  20. Sutherland D et al. The role of the ankle plantar flexors in normal walking. J Bone Joint Surg 1980; 62: 3: 354-363.

  21. Washbun S. Alterations in the vivo torque-velocity relationship after Achilles tendon rupture. Clin Orthop 1992; 272: 237-245.

  22. Nistor L et al. Surgical and non surgical treatment of Achilles tendon rupture. J Bone Joint Surg 1981; 63; 3: 394-398.

  23. Cavaragh R, Rodgers M, Liboshi A. Pressure distribution under symptom free feet during barefoot standing. Foot Ankle 1993; 14; 9: 514-519.

  24. Rose, Ceiwell, Caracchiolo. A method for measuring foot pressures using a high resolution, computerized insole sensor: the effect of heel wedges on plantar pressure distribution and center of force. Foot Ankle 1992: 263-270.

  25. Dali et al. Dynamic assessment of the load distribution of the plantar surface of the foot using the University of Cape Town walkway and its clinical application. Foot Ankle 1984: 286-291.

  26. Holmes, Timmerman A. Quantitative assessment of the effect of metatarsal pads on plantar pressures. Foot Ankle 1990: 141-145.

  27. Inglis A et al. Rupture of the Achilles tendon. J Bone Joint 1976; 58: 7: 990-993.

  28. Boyden E et al. Late versus early repair of Achilles tendon rupture. Clin Orthop 1995; 317: 150-258.

  29. Guillis H et al. The management of fresh rupture of the Achilles tendon. J Bone Surg 1976; 52: 2: 337-343.

  30. Gerdes M et al. A flap augmentation technique for Achilles tendon repair. Clin Orthop 1992; 280: 241-246.




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