Functional dynamic bracing and functional rehabilitation for Achilles tendon ruptures: a case series

Hdl Handle:
http://hdl.handle.net/10149/607439
Title:
Functional dynamic bracing and functional rehabilitation for Achilles tendon ruptures: a case series
Authors:
Dolphin, P. (Philippa); Bainbridge, K. (Kelly); Mackenney P. (Paul); Dixon, J. (John)
Affiliation:
Teesside University. Health and Social Care Institute
Citation:
Dolphin, P., Bainbridge, K, Mackenney P., Dixon, J. (2016) 'Functional dynamic bracing and functional rehabilitation for Achilles tendon ruptures: a case series' Physiotherapy Practice and Research; 37(2): 119-125.
Publisher:
IOS Press
Journal:
Physiotherapy Practice and Research
Issue Date:
4-Jun-2016
URI:
http://hdl.handle.net/10149/607439
DOI:
10.3233/PPR-160078
Abstract:
Background There has been considerable debate surrounding both the surgical and conservative management of Achilles tendon rupture. There is now a trend towards conservative management however there is no consensus on the best method for this. The aim of this study was to evaluate the clinical and functional outcomes of the conservative management of Achilles tendon rupture using functional dynamic bracing within a functional rehabilitation programme. Methods This was a case-series (an uncontrolled before-after) study, and 25 participants with acute Achilles tendon rupture were recruited. The intervention was a conservative management programme with functional dynamic bracing and functional rehabilitation. The primary outcome measure was re-rupture. Secondary outcome measures were the change in EQ-5D-5L VAS and index scores between commencement of management and 6 months follow up, and the Achilles Tendon Total Rupture Score (ATRS) at 6 months follow up. Results No re-ruptures occurred in those participants who complied with the programme (0/21). There were statistically significant positive changes in the EQ-5D-5L VAS with a mean (95% CI) difference pre-post treatment of 12.9 (4.2 to 21.6), p = 0.006. The EQ-5D-5L index scores also significantly improved (Wilcoxon signed-rank test p <0.001). The mean (SD) ATRS score at 6 months follow up was 76.9 (19.9). Conclusions The results of this study show management of Achilles tendon rupture using functional dynamic bracing within a functional rehabilitation programme produces good clinical outcomes. This study strengthens the evidence base for this conservative intervention in Achilles tendon ruptures.
Type:
Article
Language:
en
Keywords:
Achilles tendon; rupture; physiotherapy; rehabilitation; treatment
ISSN:
2213-0683
EISSN:
2213-0691
Rights:
Author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/issn/2213-0683/ [Accessed 29.04.16]

Full metadata record

DC FieldValue Language
dc.contributor.authorDolphin, P. (Philippa)en
dc.contributor.authorBainbridge, K. (Kelly)en
dc.contributor.authorMackenney P. (Paul)en
dc.contributor.authorDixon, J. (John)en
dc.date.accessioned2016-04-29T13:33:24Zen
dc.date.available2016-04-29T13:33:24Zen
dc.date.issued2016-06-04en
dc.identifier.citationPhysiotherapy Practice and Research; 37 (2): 119-125en
dc.identifier.issn2213-0683en
dc.identifier.doi10.3233/PPR-160078-
dc.identifier.urihttp://hdl.handle.net/10149/607439en
dc.description.abstractBackground There has been considerable debate surrounding both the surgical and conservative management of Achilles tendon rupture. There is now a trend towards conservative management however there is no consensus on the best method for this. The aim of this study was to evaluate the clinical and functional outcomes of the conservative management of Achilles tendon rupture using functional dynamic bracing within a functional rehabilitation programme. Methods This was a case-series (an uncontrolled before-after) study, and 25 participants with acute Achilles tendon rupture were recruited. The intervention was a conservative management programme with functional dynamic bracing and functional rehabilitation. The primary outcome measure was re-rupture. Secondary outcome measures were the change in EQ-5D-5L VAS and index scores between commencement of management and 6 months follow up, and the Achilles Tendon Total Rupture Score (ATRS) at 6 months follow up. Results No re-ruptures occurred in those participants who complied with the programme (0/21). There were statistically significant positive changes in the EQ-5D-5L VAS with a mean (95% CI) difference pre-post treatment of 12.9 (4.2 to 21.6), p = 0.006. The EQ-5D-5L index scores also significantly improved (Wilcoxon signed-rank test p <0.001). The mean (SD) ATRS score at 6 months follow up was 76.9 (19.9). Conclusions The results of this study show management of Achilles tendon rupture using functional dynamic bracing within a functional rehabilitation programme produces good clinical outcomes. This study strengthens the evidence base for this conservative intervention in Achilles tendon ruptures.en
dc.language.isoenen
dc.publisherIOS Pressen
dc.rightsAuthor can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/issn/2213-0683/ [Accessed 29.04.16]en
dc.subjectAchilles tendonen
dc.subjectruptureen
dc.subjectphysiotherapyen
dc.subjectrehabilitationen
dc.subjecttreatmenten
dc.titleFunctional dynamic bracing and functional rehabilitation for Achilles tendon ruptures: a case seriesen
dc.typeArticleen
dc.identifier.eissn2213-0691en
dc.contributor.departmentTeesside University. Health and Social Care Instituteen
dc.identifier.journalPhysiotherapy Practice and Researchen
or.citation.harvardDolphin, P., Bainbridge, K, Mackenney P., Dixon, J. (2016) 'Functional dynamic bracing and functional rehabilitation for Achilles tendon ruptures: a case series' Physiotherapy Practice and Research; 37(2): 119-125.en
dc.eprint.versionPost-printen
dc.embargoNoneen
dc.date.accepted2016-04-29en
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