https://scholars.lib.ntu.edu.tw/handle/123456789/453475
Title: | Acute and Long-Term Effects of Mechanotherapy on the Outcome After an Achilles Repair: A Prospective Cohort Study With Historical Controls | Authors: | Wang P.-Y. Shih K.-S. Ma H.-L. HONGSEN CHIANG PEI-YU CHEN YUAN-HUNG CHAO Rolf C. HSING-KUO WANG |
Issue Date: | 2019 | Publisher: | W.B. Saunders | Journal Volume: | 100 | Journal Issue: | 11 | Start page/Pages: | 2046-2052 | Source: | Archives of Physical Medicine and Rehabilitation | Abstract: | Objectives: To evaluate the effects of vibration on Achilles’ tendon microcirculation and characteristics following surgical repair of Achilles’ tendon rupture. Design: Cohort study with historical controls. Setting: A university institute. Participants: Participants (N=32), including 19 (16 men, 3 women; median [range] age: 43.0 [25.0-57.0] years) and 13 (10 men, 3 women; 44.00 [29.0-60.0] years) in the vibration (application to the ball of the foot, 30Hz, 2mm amplitude, 4kg pressure, and self-administration) and control groups, respectively, who underwent unilateral Achilles’ tendon repairs were recruited. Intervention: A 4-week vibration intervention in the vibration group. Main Outcome Measurements: The tendon microcirculation was measured after the first session of vibration. The participants were evaluated repeatedly with bilateral follow-up measurements of tendon stiffness, 3 functional outcome tests, and a questionnaire survey. Results: Acute effects of the vibration were observed immediately after the 5-minute vibration (P?.001). Lower total hemoglobin and oxygen saturation were respectively observed (P=.043) in the repaired legs 3 and 6 months postsurgery in the vibration group as compared with the control group. The vibration group also showed greater tendon stiffness, heel raising height and hopping distance 3 or 6 months postoperation in both the repaired and noninjured legs (all P<.05). The microcirculatory characteristics 2 months postoperation were correlated with the outcomes at 6 months postoperation. Conclusions: Differences in microcirculatory characteristics and better rehabilitation outcomes were observed in the legs with an Achilles repair that underwent the early vibration intervention. ? 2019 American Congress of Rehabilitation Medicine |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85066499620&doi=10.1016%2fj.apmr.2019.03.021&partnerID=40&md5=8397dc68b58b6f15040bc36d32fd22cf https://scholars.lib.ntu.edu.tw/handle/123456789/453475 |
ISSN: | 0003-9993 | DOI: | 10.1016/j.apmr.2019.03.021 | SDG/Keyword: | hemoglobin; hemoglobin; oxygen; achilles tendon rupture; adult; Article; clinical article; cohort analysis; comparative study; controlled study; female; follow up; health survey; human; long term care; male; mechanotherapy; microcirculation; oxygen saturation; postoperative period; prospective study; questionnaire; tendon reconstruction; therapy effect; vibration therapy; achilles tendon; blood; clinical trial; convalescence; drug therapy; injury; joint characteristics and functions; microcirculation; middle aged; pathophysiology; physiology; physiotherapy; tendon injury; vascularization; vibration; Achilles Tendon; Adult; Female; Hemoglobins; Humans; Male; Microcirculation; Middle Aged; Oxygen; Physical Therapy Modalities; Prospective Studies; Range of Motion, Articular; Recovery of Function; Tendon Injuries; Vibration |
Appears in Collections: | 醫學系 |
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