跟腱修复采用德累斯顿技术后，跟腱抬高试验和等长肌力改善了吗？
Do the heel-rise test and isometric strength improve after Achilles tendon repair using Dresden technique?
机构信息
Laboratory of Neuromechanics, Universidade Federal do Pampa #97500-970, Campus Uruguaiana, Uruguaiana, Brazil; Carrera de Kinesiología, Departamento de Cs. de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile #7820244, Santiago, Chile; Clinica MEDS, Santiago #7691236, Santiago, Chile; Centro de Salud Deportiva, Clinica Santa Maria, Santiago #7520380, Santiago, Chile.
Centro de Salud Deportiva, Clinica Santa Maria, Santiago #7520380, Santiago, Chile; Traumatologia, Facultad de Medicina, Instituto Traumatológico-Universidad de Chile, Universidad de Chile, Santiago #8340220, Chile.
出版信息
Foot Ankle Surg. 2022 Jan;28(1):37-43. doi: 10.1016/j.fas.2021.01.007. Epub 2021 Jan 22.
BACKGROUND
Achilles' tendon ruptures result in impaired plantar flexion strength and endurance. It is interesting to know the plantar flexion strength, the number of heel-rise repetitions, and the maximal calf circumference following Achilles' tendon ruptures repair.
METHODS
Both the injured and non-injured legs of thirty male patients with Achilles' tendon ruptures treated with the percutaneous Dresden technique were compared with the ankle function of 30 healthy participants. Rehabilitation involved partial weight-bearing for three weeks and then increased to full weight-bearing and ankle exercises.
RESULTS
The injured legs had weaker plantar flexion strength (1.64 ± 0.17 Nm/kg) compared with the non-injured legs (1.91 ± 0.24 Nm/kg; p = 0.002) and the healthy participants' legs (1.93 ± 0.32 Nm/kg; p < 0.001). The non-injured leg had greater ability in doing heel-rise repetitions (39.4 ± 6.1 rep.) compared with the injured legs (37.2 ± 5.7 rep.; p < 0.023) and the healthy participants' legs (31.0 ± 13.0 rep.; p < 0.001).
CONCLUSIONS
The injured leg had not recovered full isometric strength but had improved heel-rise repetition.
背景
跟腱断裂会导致跖屈力量和耐力下降。了解跟腱断裂修复后跖屈力量、单腿提踵次数和小腿周径最大值很有意思。
方法
采用经皮德累斯顿技术治疗的 30 例男性跟腱断裂患者的患侧和健侧下肢与 30 名健康参与者的踝关节功能进行比较。康复治疗包括 3 周的部分负重，然后逐渐增加至完全负重和踝关节运动。
结果
患侧下肢的跖屈力量（1.64 ± 0.17 Nm/kg）明显弱于健侧下肢（1.91 ± 0.24 Nm/kg；p = 0.002）和健康参与者的下肢（1.93 ± 0.32 Nm/kg；p < 0.001）。患侧下肢单腿提踵次数（39.4 ± 6.1 次）明显少于健侧下肢（37.2 ± 5.7 次；p < 0.023）和健康参与者的下肢（31.0 ± 13.0 次；p < 0.001）。
结论
患侧下肢尚未恢复完全等长力量，但提踵次数有所改善。
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