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Exercise Progression to Incrementally Load the Achilles Tendon.
Baxter, Josh R; Corrigan, Patrick; Hullfish, Todd J; O'Rourke, Patrick; Silbernagel, Karin Grävare.
Afiliación
  • Baxter JR; Department of Orthopaedic Surgery, Pearlman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Corrigan P; Department of Physical Therapy, Movement and Rehabilitation Sciences, Northeastern University, Boston, MA.
  • Hullfish TJ; Department of Orthopaedic Surgery, Pearlman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • O'Rourke P; Department of Physical Therapy, University of Delaware, Wilmington, DE.
  • Silbernagel KG; Department of Physical Therapy, University of Delaware, Wilmington, DE.
Med Sci Sports Exerc ; 53(1): 124-130, 2021 01.
Article en En | MEDLINE | ID: mdl-32658037
ABSTRACT

PURPOSE:

The purposes of our study were to evaluate Achilles tendon loading profiles of various exercises and to develop guidelines to incrementally increase the rate and magnitude of Achilles tendon loading during rehabilitation.

METHODS:

Eight healthy young adults completed a battery of rehabilitation exercises. During each exercise, we collected three-dimensional motion capture and ground reaction force data to estimate Achilles tendon loading biomechanics. Using these loading estimates, we developed an exercise progression that incrementally increases Achilles tendon loading based on the magnitude, duration, and rate of tendon loading.

RESULTS:

We found that Achilles tendon loading could be incrementally increased using a set of either isolated ankle movements or multijoint movements. Peak Achilles tendon loads varied more than 12-fold, from 0.5 bodyweights during a seated heel raise to 7.3 bodyweights during a forward single-leg hop. Asymmetric stepping movements like lunges, step ups, and step downs provide additional flexibility for prescribing tendon loading on a side-specific manner.

CONCLUSION:

By establishing progressions for Achilles tendon loading, rehabilitative care can be tailored to address the specific needs of each patient. Our comprehensive data set also provides clinicians and researchers guidelines on how to alter magnitude, duration, and rate of loading to design new exercises and exercise progressions based on the clinical need.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tendón Calcáneo / Ejercicio Físico / Soporte de Peso / Terapia por Ejercicio Tipo de estudio: Guideline Límite: Adult / Female / Humans / Male Idioma: En Revista: Med Sci Sports Exerc Año: 2021 Tipo del documento: Article País de afiliación: Panamá

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tendón Calcáneo / Ejercicio Físico / Soporte de Peso / Terapia por Ejercicio Tipo de estudio: Guideline Límite: Adult / Female / Humans / Male Idioma: En Revista: Med Sci Sports Exerc Año: 2021 Tipo del documento: Article País de afiliación: Panamá
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