Factors associated with calf muscle endurance recovery 1 year after achilles tendon rupture repair

• Published in: The journal of orthopaedic and sports physical therapy 2010-06, Vol.40 (6), p.345-351
• Main Authors: Bostick, Geoff P, Jomha, Nadr M, Suchak, Amar A, Beaupré, Lauren A
• Format: Article
• Language: English
• Subjects: Achilles Tendon - injuries; Achilles Tendon - surgery; Adult; Cohort Studies; Female; Follow-Up Studies; Humans; Leg - physiology; Male; Multivariate Analysis; Muscle, Skeletal - physiology; Physical Endurance - physiology; Physical Therapy Modalities; Randomized Controlled Trials as Topic; Recovery of Function - physiology; Rupture - surgery; Sex Factors
• ISSN: 0190-6011; 1938-1344
• DOI: 10.2519/jospt.2010.3204

Cohort study. To describe calf muscle endurance recovery and to explore factors predictive of poor calf muscle endurance recovery 1 year after surgical repair of an Achilles tendon rupture (ATR). ATR is a common sports-related injury and is often managed with open surgical repair. After ATR repair most patients return to usual activities 6 months after surgery. However, calf endurance impairment can persist up to 6 years, possibly impacting performance of daily activities and sport. A secondary analysis of a 73-patient cohort from a randomized controlled trial assessing the effects of early weight bearing after surgical repair of an ATR was performed. Calf muscle endurance recovery was measured by single-heel raises using a customized counting device at 6 months and 1 year postoperatively. Descriptive statistics were used to outline recovery of calf muscle endurance. Physical and patient-reported outcomes were examined for their association with calf-muscle endurance recovery. Multiple linear regression analysis was performed to explore variables associated with recovery of calf endurance 1 year postoperatively. Mean recovery of calf muscle endurance was 76% at 1 year. Multivariate regression analysis showed an association of being female, reporting no resting pain at 3 months, and physical functioning and calf endurance at 6 months, with better recovery of calf endurance at 1 year. Calf muscle endurance at 1 year remained impaired in a considerable portion of the sample. Pain, gender, and physical functioning are likely important factors in determining recovery of calf muscle endurance. Prognosis, level 2b.J Orthop Sports Phys Ther 2010;40(6):345-351, Epub 15 April 2010. doi:10.2519/jospt.2010.3204.