Sikorski Łukasz, Czamara Andrzej
Department of Physiotherapy, College of Physiotherapy in Wrocław, 50-038 Wrocław, Poland.
Center of Rehabilitation and Medical Education, 50-038 Wrocław, Poland.
J Clin Med. 2021 Nov 15;10(22):5299. doi: 10.3390/jcm10225299.
The objective of this study was to assess the effectiveness of, and the correlation between, an average of 42 supervised physiotherapy (SVPh) visits for the vertical ground reaction forces component (vGRF) using ankle hops during two- and one-legged vertical hops (TLH and OLH, respectively), six months after the surgical suturing of the Achilles tendon using the open method (SSATOM) via Keesler's technique. Hypothesis: Six months of supervised physiotherapy with a higher number of visits (SPHNVs) was positively correlated with higher vGRF values during TLH and OLH. Group I comprised male patients ( = 23) after SSATOM (SVPh x = 42 visits), and Group II comprised males ( = 23) without Achilles tendon injuries. In the study groups, vGRF was measured during TLH and OLH in the landing phase using two force plates. The vGRF was normalized to the body mass. The limb symmetry index (LSI) of vGRF values was calculated. The ranges of motion of the foot and circumferences of the ankle joint and shin were measured. Then, 10 m unassisted walking, the Thompson test, and pain were assessed. A parametric test for dependent and independent samples, ANOVA and Tukey's test for between-group comparisons, and linear Pearson's correlation coefficient calculations were performed. Group I revealed significantly lower vGRF values during TLH and OLH for the operated limb and LSI values compared with the right and left legs in Group II ( ≤ 0.001). A larger number of visits correlates with higher vGRF values for the operated limb during TLH ( = 0.503; = 0.014) and OLH ( = 0.505; = 0.014). An average of 42 SVPh visits in 6 months was insufficient to obtain similar values of relative vGRF and their LSI during TLH and OLH, but the hypothesis was confirmed that SPHNVs correlate with higher relative vGRF values during TLH and OLH in the landing phase.
本研究的目的是评估采用凯斯勒技术通过开放方法对跟腱进行手术缝合（SSATOM）六个月后，在双腿和单腿垂直跳跃（分别为TLH和OLH）过程中，平均42次有监督的物理治疗（SVPh）对垂直地面反作用力分量（vGRF）的有效性及其相关性。假设：六个月内较高次数的有监督物理治疗（SPHNVs）与TLH和OLH期间较高的vGRF值呈正相关。第一组包括接受SSATOM后的男性患者（n = 23）（SVPh平均次数 = 42次），第二组包括无跟腱损伤的男性（n = 23）。在研究组中，使用两个测力台在TLH和OLH的着陆阶段测量vGRF。vGRF以体重进行标准化。计算vGRF值的肢体对称指数（LSI）。测量足部的活动范围以及踝关节和小腿的周长。然后，评估10米自主行走、汤普森试验和疼痛情况。进行了相关样本和独立样本的参数检验、组间比较的方差分析和Tukey检验以及线性皮尔逊相关系数计算。与第二组的右腿和左腿相比，第一组在TLH和OLH期间患侧肢体的vGRF值和LSI值显著更低（p ≤ 0.001）。较多的治疗次数与TLH（r = 0.503；p = 0.014）和OLH（r = 0.505；p = 0.014）期间患侧肢体较高的vGRF值相关。6个月内平均42次SVPh治疗不足以在TLH和OLH期间获得相似的相对vGRF值及其LSI，但该假设得到证实，即SPHNVs与着陆阶段TLH和OLH期间较高的相对vGRF值相关。
