The characteristics of plantar flexors and dorsiflexors strength in patients after complete three-bundle Achilles tendon reconstruction Cover

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The characteristics of plantar flexors and dorsiflexors strength in patients after complete three-bundle Achilles tendon reconstruction

Advances in Rehabilitation

Volume 33 (2019): Issue 2 (June 2019)

By: Magdalena Syrek, Robert Śmigielski, Michał Staniszewski and Michał Wychowański

Open Access

|May 2019

Figures & Tables

The position for measuring the torques during plantar flexion and dorsiflexion with an extended knee

The position for measuring the torques during plan-tar flexion and dorsiflexion with the knee joint flexed to 50 degrees

Mean values of maximal torques (Mm) of plantar flexors in the operated and non-operated limb one and two years after the Achilles tendon reconstruction measured in the static conditions and for various angular velocities in the flexed-knee position

	1 YEAR AFTER THE SURGERY
ω[°/s]	OPERATED LOWER LIMB		NON-OPERATED LOWER LIMB
ω[°/s]	x¯±SD[ Nm ]\bar x \pm SD[Nm]	min-max [Nm]	x¯±SD[ Nm ]\bar x \pm SD[Nm]	min-max [Nm]	DEFICIT [%]
0	88.4±25.0	42.0-164.0	97.8±31.1	52.0-176.0	10
60	72.6±15.9^*	31.0-107.0	86.9±19.9^*	45.0-137.0	16
120	53.3±11.8^*	28.0-84.0	62.2±16.6^*	33.0-104.0	14
180	43.3±9.3^*	28.0-65.0	49.8±11.5^*	33.0-79	13
	2 YEARS AFTER THE SURGERY
0	76.7±16.5	35.0-108.0	80±22.4	47.0-119.0	4
60	65.3±16.1	24.0-81.0	74.2±19.1	30.0-106.0	12
120	46.2±10.5	35.0-71.0	52.6±12.2	20.0-65.0	12
180	37.8±9.8	15.0-56.0	41.7±8	18.0-52.0	9

Mean values of maximal torques (Mm) of plantar flexors in the operated and non-operated limb one and two years after the Achilles tendon reconstruction measured in the static conditions and for various angular velocities ω in the extended-knee position

	1 YEAR AFTER THE SURGERY
ω [°/s]	OPERATED LOWER LIMB		NON-OPERATED LOWER LIMB
ω [°/s]	x¯±SD[ Nm ]\bar x \pm SD[Nm]	min-max [Nm]	x¯±SD[ Nm ]\bar x \pm SD[Nm]	min-max [Nm]	DEFICIT [%]
0	90.6±23.4	38.0-140.0	97.9±22.5	49.0-130.0	7
60	82.1±16.2	45.0-117.0	88±19.2	52.0-122.0	7
120	53.2±10.8	28.0-73.0	58.4±13.3	31.0-88.0	9
180	42.5±9.3	23.0-61.0	43.6±10.2	23.0-69	3
	2 YEARS AFTER THE SURGERY
0	90±21.2	33.0-127.0	102.3±21.9	52.0-138.0	12
60	79.2±19.4	35.0-123.0	86.4±19.4	41.0-123.0	8
120	52.8±13.2	23.0-76.0	54.7±13.3	34.0-71.0	3
180	39.8±9.7	20.0-58.0	38.9±9.5	19.0-56.0	2

Mean values of maximal plantar flexor muscle torque (Mm) in the operated and non-operated limb in the static conditions and for various angular velocities ω in the flexed-knee position measured one and two years after the Achilles tendon reconstruction

	OPERATED LOWER LIMB
ω[°/s]	1 YEAR AFTER THE SURGERY		2 YEARS AFTER THE SURGERY
ω[°/s]	x¯±SD[ Nm ]\bar x \pm SD[Nm]	min-max [Nm]	x¯±SD[ Nm ]\bar x \pm SD[Nm]	min-max [Nm]	DEFICIT [%]
0	88.4±25^*	42.0-164.0	76.7±16.5^*	35.0-108.0	13
60	72.6±15.9^*	31.0-107.0	65.3±16.1^*	24.0-81.0	10
120	53.3±11.8^*	28.0-84.0	46.2±10.5^*	35.0-71.0	13
180	43.3±9.3^*	28.0-65.0	37.8±9.8^*	15.0-56.0	13
	NON-OPERATED LOWER LIMB
0	97.8±31.1^*	52.0-176.0	80±22.4^*	47.0-119.0	18
60	86.9±19.9^*	45.0-137.0	74.2±19.1^*	30.0-106.0	15
120	62.2±16.6^*	33.0-104.0	52.6±12.2^*	20.0-65.0	15
180	49.8±11.5^*	33.0-79	41.7±8^*	18.0-52.0	16

The characteristics of the study group

	age	height [cm]	weight [kg]	BMI [kg/m²]
mean	47	182	88	26
SD	8.3	7	12	3
min	36	170	70	23
max	65	196	110	32

Mean values of maximum dorsiflexor muscle torque (Mm) in the operated and non-operated limb in the static conditions and for various angular velocities ω in the flexed-knee position measured one and two years after the Achilles tendon reconstruction

	OPERATED LOWER LIMB
ω[°/s]	1 YEAR AFTER THE SURGERY		2 YEARS AFTER THE SURGERY
ω[°/s]	x¯±SD[ Nm ]\bar x \pm SD[Nm]	min-max [Nm]	x¯±SD[ Nm ]\bar x \pm SD[Nm]	min-max [Nm]	DEFICIT [%]
0	35.3±9.5	18.0-54.0	37.2±9.1	12.0-50.0	5
60	26.6±4.5^*	15.0-39.0	24.4±5.0^*	12.0-34.0	9
120	18.6±3.5^*	11.0-28.0	16.1±3.3^*	9.0-23.0	13
180	16.8±2.4^*	11.0-22.0	14.4±3.0^*	8.0-19.0	14
	NON-OPERATED LOWER LIMB
0	39.9±7.8	16.0-53.0	38.5±7.5	14.0-46.0	4
60	26.6±5.6^*	11.0-33.0	23.6±4.8^*	9.0-27.0	11
120	17.1±3.2^*	9.0-23.0	15.7±3.2^*	8.0-19.0	8
180	15.7±2.8^*	9.0-19.0	13.8±3.6^*	5.0-18.0	12

DOI: https://doi.org/10.5114/areh.2019.85022 | Journal eISSN: 1734-4948

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Language: English

Page range: 37 - 45

Submitted on: Nov 23, 2018

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Accepted on: Apr 4, 2019

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Published on: May 29, 2019

Published by: University of Physical Education in Warsaw

In partnership with: Paradigm Publishing Services

Keywords:

rehabilitation,

general surgery,

Achilles tendon,

Related subjects:

Clinical medicine,

Physical and rehabilitation medicine,

Sports and recreation,

Sports and recreation, other

© 2019 Magdalena Syrek, Robert Śmigielski, Michał Staniszewski, Michał Wychowański, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License.

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