Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Mölndal, Sweden.
Scand J Med Sci Sports. 2014 Feb;24(1):152-8. doi: 10.1111/j.1600-0838.2012.01497.x. Epub 2012 Jun 21.
This study evaluated the short-term recovery of function after an acute Achilles 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 Achilles 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.
这项研究评估了急性跟腱断裂后通过单腿提踵试验测量的短期功能恢复情况，主要重点是与患者报告的结果以及对身体活动和运动的恐惧（运动恐惧症）之间的关系。 本研究纳入了 81 例接受手术或非手术治疗并在跟腱断裂后早期积极康复的患者。 在受伤后 12 周评估了患者进行单腿提踵、身体活动水平、患者报告的症状、一般健康状况和运动恐惧症的能力。 提踵试验显示，81 例患者中有 40 例（49％）在受伤后 12 周无法进行单腿提踵。 我们发现，能够进行提踵的患者明显更年轻，更多为男性，报告的症状较轻，并且在 12 周时身体活动度更高。 运动恐惧症与所有患者报告的结果和身体活动水平之间也存在显著的负相关。 提踵能力似乎是重要的早期成就，反映了整体愈合水平，这会影响患者报告的结果和身体活动。 因此，未来专注于在受伤后早期恢复力量的治疗方案似乎非常重要。 在康复过程中需要尽早解决运动恐惧症。
