Haglund-Akerlind Y, Eriksson E
Department of Sports Orthopaedic Surgery, Karolinska Hospital, Stockholm, Sweden.
Knee Surg Sports Traumatol Arthrosc. 1993;1(3-4):195-9. doi: 10.1007/BF01560205.
Achilles tendon injuries are common in runners. The aim of the present study was to analyse the training programme, any Achilles tendon problems, muscle tightness and range of motion of the ankle joint, and concentric and eccentric muscle torques of the calf muscles in middle-distance runners with and without Achilles tendon problems. Eighty-three middle-distance runners answered a questionnaire on their sports background, training habits and any injuries. Thirty-four percent had suffered from some type of problem relating to the Achilles tendon. Ten of the athletes who had suffered from Achilles tendon problems and ten who had never had any Achilles tendon trouble were randomly selected. These 20 runners underwent a clinical examination. The range of motion of the ankle joint was recorded objectively by a hydraulic and computerised isokinetic dynamometer by measuring resistance to passive motion. Concentric and eccentric muscle torques of the gastrocnemius-soleus complex were recorded. The runners with Achilles tendon problems had trained for significantly more years and covered significantly longer distances per week than runners without Achilles tendon problems. There were no significant differences in other training methods or in best results over 800 m and 1500 m. Runners with Achilles tendon problems had a significantly lower range of motion of the ankle joint. They also had significantly lower eccentric torques of the gastrocnemius-soleus complex, but no differences in concentric torques were found between the groups.
跟腱损伤在跑步者中很常见。本研究的目的是分析有和没有跟腱问题的中长跑运动员的训练计划、任何跟腱问题、肌肉紧张度和踝关节活动范围,以及小腿肌肉的向心和离心肌肉扭矩。83名中长跑运动员回答了一份关于他们的运动背景、训练习惯和任何损伤的问卷。34%的人曾患有某种与跟腱有关的问题。从曾患有跟腱问题的运动员中随机选取10名,从未有过任何跟腱问题的运动员中随机选取10名。这20名跑步者接受了临床检查。通过液压和计算机化等速测力计测量被动运动的阻力,客观记录踝关节的活动范围。记录腓肠肌-比目鱼肌复合体的向心和离心肌肉扭矩。有跟腱问题的跑步者比没有跟腱问题的跑步者训练的年数明显更多,每周跑的距离也明显更长。在其他训练方法或800米和1500米的最佳成绩方面没有显著差异。有跟腱问题的跑步者踝关节的活动范围明显更低。他们腓肠肌-比目鱼肌复合体的离心扭矩也明显更低,但两组之间的向心扭矩没有差异。