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Achilles tendon rupture

The patient who underwent total rupture of the Achilles tendon usually comes in Isokinetic with a brace locked in equinus at 20 ° after thirty days. After the first month you can make a medical examination and start the rehabilitation program.

The first objective is to reduce the inflammation and pain with draining massage therapy, immersion ultrasound, laser and gradually recover the motion and the correct pattern of walking: for the next month the load is permitted but only with tutor type named walker. At this stage are useful exercises in the pool, and active and passive mobilization of the posterior chain stretching to allow a more rapid recovery of mobility and a more secure recovery of gait pattern.

Once the surgeon allows the full load you can proceed to the therapeutic program in the gym with concentric and eccentric strengthening exercises, progressive twins, soleus, tibial, peroneal, intrinsic foot, quadriceps; both with free body exercises and with with tools, aerobic exercises on a bike, elliptical, treadmill, for the metabolic recovery. It is the longest phase and it is important to manage well the periods of loading and unloading, of strength, to allow to perform an isokinetic test with a difference in strength between the two limbs <20%.

Passed the test the ultimate goal is the recovery of the athletic gesture. You will carry out preparatory exercises to the recovery of straight running, cornering, jumps, routes and technical fundamentals of the sport. It is critical, before discharge, to have recovered 100% of the strength in isokinetic tests and have recovered the optimal metabolic activity measured with a threshold test.

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