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Tytuł:
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Rehabilitation regimen for non-surgical treatment of Achilles tendon rupture: A systematic review and meta-analysis of randomised controlled trials.
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Autorzy:
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Dai W; Institute of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, People's Republic of China.
Leng X; Medical Imaging Center, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, People's Republic of China.
Wang J; Department of Orthopedic Surgery, Nanfang Hospital, Southern Medical University, People's Republic of China.
Hu X; Institute of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, People's Republic of China. Electronic address: .
Ao Y; Institute of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, People's Republic of China. Electronic address: .
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Źródło:
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Journal of science and medicine in sport [J Sci Med Sport] 2021 Jun; Vol. 24 (6), pp. 536-543. Date of Electronic Publication: 2020 Dec 17.
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Typ publikacji:
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Comparative Study; Journal Article; Meta-Analysis; Systematic Review
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Język:
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English
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Imprint Name(s):
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Publication: Victoria : Elsevier Australia
Original Publication: Belconnen : Sports Medicine Australia, [1998?-
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MeSH Terms:
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Weight-Bearing*
Achilles Tendon/*injuries
Immobilization/*methods
Rupture/*rehabilitation
Adult ; Aged ; Ankle Joint ; Braces ; Female ; Health Services Needs and Demand ; Humans ; Immobilization/instrumentation ; Male ; Middle Aged ; Movement ; Orthotic Devices ; Quality of Life ; Randomized Controlled Trials as Topic ; Recurrence ; Return to Sport/statistics & numerical data ; Return to Work/statistics & numerical data ; Rupture/complications ; Treatment Outcome ; Young Adult
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Contributed Indexing:
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Keywords: Achilles tendon; Conservative treatment; Early functional ankle motion; Early weight bearing; Rehabilitation; Rupture
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Entry Date(s):
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Date Created: 20210103 Date Completed: 20210629 Latest Revision: 20210629
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Update Code:
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20240105
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DOI:
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10.1016/j.jsams.2020.12.005
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PMID:
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33388266
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Objectives: To compare re-rupture rate, functional and quality-of-life outcomes, return to sports and work, complications, and resource use in patients treated non-surgically with different rehabilitation regimens for Achilles tendon rupture.
Design: Systematic review and meta-analysis.
Methods: We performed a systematic literature search in PubMed, Embase, Scopus and the Cochrane Library through May 2020 to identify randomized controlled trials (RCTs) that included patients treated non-surgically for Achilles tendon rupture. All analyses were stratified according to rehabilitation protocols.
Results: Eight RCTs with a total of 978 patients were included. There was no significant difference about re-rupture rate (P=0.38), return to sports (P=0.85) and work (P=0.33), functional outcome (P=0.34), quality of life (P=0.50), and complication rate (P=0.29) between early weight bearing with functional ankle motion and traditional ankle immobilisation with non-weight bearing. Similarly, no significant difference in re-rupture rate (P=0.88), return to sports (P=0.45) and work (P=0.20), functional outcome (P=0.26), and complication rate (P=0.49) was seen between ankle immobilisation with non-weight bearing and early weight bearing without functional ankle motion.
Conclusions: Traditional ankle immobilisation with non-weight bearing was not found to be superior to early weight bearing with or without functional ankle motion for patients treated non-surgically for Achilles tendon rupture. Clinicians may consider early weight bearing in functional brace as a safe and cost-effective alternative to non-weight bearing with plaster casting.
(Copyright © 2020 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)
