Rupture Score (ATRS), was tested for validity, structure, and internal consistency .. Leppilahti J, Forsman K, Puranen J, Orava S. Outcome and prognos-. The Leppilahti score is made up of subjective factors (pain, stiffness, muscle weakness, footwear restriction and subjective outcome) and. and Ankle Society (AOFAS) score at 6 months was 98, with 42 patients having excellent and four patients good Leppilahti scores. The average time to return to .

Author: Zologis Gardami
Country: Philippines
Language: English (Spanish)
Genre: Marketing
Published (Last): 1 March 2015
Pages: 69
PDF File Size: 18.15 Mb
ePub File Size: 11.6 Mb
ISBN: 707-8-75899-680-8
Downloads: 51957
Price: Free* [*Free Regsitration Required]
Uploader: Kagajinn

How would you rate your current level of function during your sports related activities from 0 to with being your level of function prior to socre foot or ankle problem and 0 being the inability to perform any of your usual daily activities?

Goniometric measurements, both active and passive, in different positions are described in the literature They found leppllahti significant correlation between the push-off force and calf muscle volume measurements. The optimal treatment and the best rehabilitation protocol after an acute Achilles tendon rupture ATR remain a matter of controversy in orthopaedic and sports medicine. Table 1 Commonly reported outcome measures used to assess patients treated for Achilles tendon rupture.

There was no pattern recognised in the loss of strength in the different position of the foot. During the last follow-up moment functional leppialhti were assessed and a Leppilahti score was calculated. Active range of motion ROM difference between ankles. Methods From January until May all patients with acute Achilles tendon ruptures in Diakonessenhuis, Netherlands were analysed.

SLR – March 2012 – Adam Caton

Mild, occasional, no limitations on recreational activities. Journal of Prosthetics and Orthotics. Moderate, unable to tolerate fashionable shoes, modified shoes tolerated. Leppilahi treatment of acute Achilles tendon ruptures significantly reduces the risk of re-rupture compared with non-surgical treatment, but produces significantly higher risks of other complications, including wound lepilahti [1]. Button G, Pinney S. From January until May all patients with acute Achilles tendon ruptures in Diakonessenhuis, Netherlands were analysed.


Discussion After thorough adhesiolysis we managed to perform a reconstruction of the tendon without a lengthening of the tendon in all patients. Plantarflexion strength was significantly reduced in general, but we could not explain this by a length problem of the Achilles tendon.

Thanks to its injury-specific nature the ATRS has demonstrated multiple facets of validity for use in the specific ATR patient population This article describes the results leppilahtu open repair of re-ruptures after initial minimally scofe repair. Evaluation of muscular endurance is another type of muscle function measurement. Health Qual Life Outcomes. Outcome and prognostic factors of Achilles Rupture repair using a new scoring method.

Achilles tendon, surgical treatment, conservative treatment, outcome evaluation. Metz et al [4] concluded that patients despite sufficient calf strength have a persistent disability.

Achilles tendon rupture | The Foot and Ankle Online Journal

Described by Martin et al. Following an ATR there is a significant deficit in heel-rise height and repetition between the ,eppilahti and uninjured side 1415 Are you limited in performing hard physical labor? Measurement of health outcomes: Enter your email address to subscribe to this site and receive notifications of new posts by email.

No difficulty on any surface. A survey of self-reported outcome instruments for the foot and ankle. Reliability of Achilles tendon resting angle and calf circumference measurement techniques.

Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. One of the patients was diagnosed with a re-rupture third rupture during the last follow-up, who had a Leppilahti score of 45 Table 1.


Therefore some Authors question its clinical relevance. The Heel Rise Test – The subject is standing on one leg, maintaining a straight knee; support with the fingertips for balance. Are you limited during activities of daily living?

Welcome to

The effect of short-term immobilization after surgical treatment. Clinical rating systems for the ankle-hindfoot, midfoot, hallux and lesser toes. Published online Jun Because of your foot and ankle, how much difficulty do you have with: Int J Leppilahtj Phys Ther. Journal List Joints v. Author information Copyright and License information Disclaimer.

Outcome evaluation after Achilles tendon ruptures. A review of the literature

British Journal Sports Medicine. Regardless of the technique used, calf circumference is described as a reliable parameter 30 As a region-specific system, the AOFAS Ankle-Hindfoot Scale is intended to be used in several hind-foot problems affecting the ankle, subtalar, talonavicular and calcaneocuboid joints There were no wound infections or other wound related problems.

Scand J Med Sci Sports. In this way the tendon was thus effectively shortened about 1 cm. On the basis of the available evidence this scale cannot be recommended for use in research studies on ATR 11 Different techniques are described to measure this parameter. This scale has been validated for individuals with a broad range of musculoskeletal disorders of the lower leg, foot and ankle, with reported evidence of validity, reliability and responsiveness Ability to perform activity with your normal technique.

A total number of 11 re-ruptures were seen 5. Treatment consists of open debridement and reconstruction of the tendon.