Premium
A bility to perform a single heel‐rise is significantly related to patient‐reported outcome after A chilles tendon rupture
Author(s) -
Olsson N.,
Karlsson J.,
Eriksson B. I.,
Brorsson A.,
Lundberg M.,
Silbernagel K. G.
Publication year - 2014
Publication title -
scandinavian journal of medicine and science in sports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.575
H-Index - 115
eISSN - 1600-0838
pISSN - 0905-7188
DOI - 10.1111/j.1600-0838.2012.01497.x
Subject(s) - medicine , heel , achilles tendon rupture , surgery , tendon , achilles tendon , anatomy
This study evaluated the short‐term recovery of function after an acute A chilles tendon rupture, measured by a single‐legged heel‐rise test, with main emphasis on the relation to the patient‐reported outcomes and fear of physical activity and movement (kinesiophobia). Eighty‐one patients treated surgically or non‐surgically with early active rehabilitation after A chilles tendon rupture were included in the study. Patient's ability to perform a single‐legged heel‐rise, physical activity level, patient‐reported symptoms, general health, and kinesiophobia was evaluated 12 weeks after the injury. The heel‐rise test showed that 40 out of 81 (49%) patients were unable to perform a single heel‐rise 12 weeks after the injury. We found that patients who were able to perform a heel‐rise were significantly younger, more often of male gender, reported a lesser degree of symptoms, and also had a higher degree of physical activity at 12 weeks. There was also a significant negative correlation between kinesiophobia and all the patient‐reported outcomes and the physical activity level. The heel‐rise ability appears to be an important early achievement and reflects the general level of healing, which influences patient‐reported outcome and physical activity. Future treatment protocols focusing on regaining strength early after the injury therefore seem to be of great importance. Kinesiophobia needs to be addressed early during the rehabilitation process.