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This protocol is intended to guide clinicians through the post-operative course for Achilles tendon repair. This protocol is time based (dependent on tissue healing) as well as criterion based.
21 maj 2024 · In this article, we provide the outline for what a typical rehab plan after Achilles tendon surgery should look like according to the latest research, what targets you should aim for in each stage, and how long you can expect recovery to take.
Exercises inside the pool Closed chain exercises: controlled squats, lunges, bilateral calf raise (progress to unilateral) -Progress with strengthening, proprioception, and gait training activities - Begin light jogging at 12-14 weeks
This program is designed as a guide for clinicians and patients through a progressive series of agility and plyometric exercises to promote successful return to sport and reduce injury risk. Patients should demonstrate > 80% on the Functional Assessment prior to initiating this program.
strengthening exercises: isometric inversion/eversion, 2 sets of 10 repetitions with ankle at 20° of plantarflexion; toe curls with towel and weight; hamstring curls in prone with boot on for resistance, 2 sets of 10 repetitions.
• Increase scar and soft tissue mobility, particularly with para-tendon and tendon gliding • Increase strength and proprioception • Wean from walking boot, utilizing it only 4 hours per day if symptoms allow • Improve gait to full weight bearing in regular shoes with a heel lift as tolerated
General LE stretching: 5-10 minutes (calf, HS, quads, HF, hip adductors) Progressive strengthening (calf press, leg press, squats (0-45°), HS curls, hip abd/add) (first set: 8-10 repetitions, then 2 additional sets at the same weight to muscle failure)