Ground Reaction Forces during Vertical Hops Are Correlated with the Number of Supervised Physiotherapy Visits after Achilles Tendon Surgery

The objective of this study was to assess the effectiveness of, and the correlation between, an average of 42 supervised physiotherapy (SVPh) visits for the vertical ground reaction forces component (vGRF) using ankle hops during two- and one-legged vertical hops (TLH and OLH, respectively), six mon...

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Autores principales: Łukasz Sikorski, Andrzej Czamara
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:a4d44edafc864f6a8abac608cfbd81552021-11-25T18:01:32ZGround Reaction Forces during Vertical Hops Are Correlated with the Number of Supervised Physiotherapy Visits after Achilles Tendon Surgery10.3390/jcm102252992077-0383https://doaj.org/article/a4d44edafc864f6a8abac608cfbd81552021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5299https://doaj.org/toc/2077-0383The objective of this study was to assess the effectiveness of, and the correlation between, an average of 42 supervised physiotherapy (SVPh) visits for the vertical ground reaction forces component (vGRF) using ankle hops during two- and one-legged vertical hops (TLH and OLH, respectively), six months after the surgical suturing of the Achilles tendon using the open method (SSATOM) via Keesler’s technique. Hypothesis: Six months of supervised physiotherapy with a higher number of visits (SPHNVs) was positively correlated with higher vGRF values during TLH and OLH. Group I comprised male patients (<i>n</i> = 23) after SSATOM (SVPh x = 42 visits), and Group II comprised males (<i>n</i> = 23) without Achilles tendon injuries. In the study groups, vGRF was measured during TLH and OLH in the landing phase using two force plates. The vGRF was normalized to the body mass. The limb symmetry index (LSI) of vGRF values was calculated. The ranges of motion of the foot and circumferences of the ankle joint and shin were measured. Then, 10 m unassisted walking, the Thompson test, and pain were assessed. A parametric test for dependent and independent samples, ANOVA and Tukey’s test for between-group comparisons, and linear Pearson’s correlation coefficient calculations were performed. Group I revealed significantly lower vGRF values during TLH and OLH for the operated limb and LSI values compared with the right and left legs in Group II (<i>p</i> ≤ 0.001). A larger number of visits correlates with higher vGRF values for the operated limb during TLH (<i>r</i> = 0.503; <i>p</i> = 0.014) and OLH (<i>r</i> = 0.505; <i>p</i> = 0.014). An average of 42 SVPh visits in 6 months was insufficient to obtain similar values of relative vGRF and their LSI during TLH and OLH, but the hypothesis was confirmed that SPHNVs correlate with higher relative vGRF values during TLH and OLH in the landing phase.Łukasz SikorskiAndrzej CzamaraMDPI AGarticlephysical therapyrehabilitationgastrocnemius muscleankleAchilles tendonMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5299, p 5299 (2021)
institution DOAJ
collection DOAJ
language EN
topic physical therapy
rehabilitation
gastrocnemius muscle
ankle
Achilles tendon
Medicine
R
spellingShingle physical therapy
rehabilitation
gastrocnemius muscle
ankle
Achilles tendon
Medicine
R
Łukasz Sikorski
Andrzej Czamara
Ground Reaction Forces during Vertical Hops Are Correlated with the Number of Supervised Physiotherapy Visits after Achilles Tendon Surgery
description The objective of this study was to assess the effectiveness of, and the correlation between, an average of 42 supervised physiotherapy (SVPh) visits for the vertical ground reaction forces component (vGRF) using ankle hops during two- and one-legged vertical hops (TLH and OLH, respectively), six months after the surgical suturing of the Achilles tendon using the open method (SSATOM) via Keesler’s technique. Hypothesis: Six months of supervised physiotherapy with a higher number of visits (SPHNVs) was positively correlated with higher vGRF values during TLH and OLH. Group I comprised male patients (<i>n</i> = 23) after SSATOM (SVPh x = 42 visits), and Group II comprised males (<i>n</i> = 23) without Achilles tendon injuries. In the study groups, vGRF was measured during TLH and OLH in the landing phase using two force plates. The vGRF was normalized to the body mass. The limb symmetry index (LSI) of vGRF values was calculated. The ranges of motion of the foot and circumferences of the ankle joint and shin were measured. Then, 10 m unassisted walking, the Thompson test, and pain were assessed. A parametric test for dependent and independent samples, ANOVA and Tukey’s test for between-group comparisons, and linear Pearson’s correlation coefficient calculations were performed. Group I revealed significantly lower vGRF values during TLH and OLH for the operated limb and LSI values compared with the right and left legs in Group II (<i>p</i> ≤ 0.001). A larger number of visits correlates with higher vGRF values for the operated limb during TLH (<i>r</i> = 0.503; <i>p</i> = 0.014) and OLH (<i>r</i> = 0.505; <i>p</i> = 0.014). An average of 42 SVPh visits in 6 months was insufficient to obtain similar values of relative vGRF and their LSI during TLH and OLH, but the hypothesis was confirmed that SPHNVs correlate with higher relative vGRF values during TLH and OLH in the landing phase.
format article
author Łukasz Sikorski
Andrzej Czamara
author_facet Łukasz Sikorski
Andrzej Czamara
author_sort Łukasz Sikorski
title Ground Reaction Forces during Vertical Hops Are Correlated with the Number of Supervised Physiotherapy Visits after Achilles Tendon Surgery
title_short Ground Reaction Forces during Vertical Hops Are Correlated with the Number of Supervised Physiotherapy Visits after Achilles Tendon Surgery
title_full Ground Reaction Forces during Vertical Hops Are Correlated with the Number of Supervised Physiotherapy Visits after Achilles Tendon Surgery
title_fullStr Ground Reaction Forces during Vertical Hops Are Correlated with the Number of Supervised Physiotherapy Visits after Achilles Tendon Surgery
title_full_unstemmed Ground Reaction Forces during Vertical Hops Are Correlated with the Number of Supervised Physiotherapy Visits after Achilles Tendon Surgery
title_sort ground reaction forces during vertical hops are correlated with the number of supervised physiotherapy visits after achilles tendon surgery
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a4d44edafc864f6a8abac608cfbd8155
work_keys_str_mv AT łukaszsikorski groundreactionforcesduringverticalhopsarecorrelatedwiththenumberofsupervisedphysiotherapyvisitsafterachillestendonsurgery
AT andrzejczamara groundreactionforcesduringverticalhopsarecorrelatedwiththenumberofsupervisedphysiotherapyvisitsafterachillestendonsurgery
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