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    Accelerated Achilles Protocol: Time Frame Activity 0-2 Weeks 2-4 Weeks

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    tenun wita
    This document outlines an accelerated rehabilitation protocol for Achilles tendon ruptures over 12+ weeks. It begins with non-weight bearing in a splint or boot with crutches for 0-2 weeks. From 2-4 weeks, partial weight bearing is introduced in a walking boot with heel lift while continuing range of motion exercises. From 4-6 weeks, weight bearing is increased as tolerated while adding resistance exercises and proprioception training. The protocol aims to progress strengthening and return to full activity over the full 12+ week period.

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    Accelerated Achilles Protocol: Time Frame Activity 0-2 Weeks 2-4 Weeks

    Uploaded by

    tenun wita
    58 views1 page
    This document outlines an accelerated rehabilitation protocol for Achilles tendon ruptures over 12+ weeks. It begins with non-weight bearing in a splint or boot with crutches for 0-2 weeks. From 2-4 weeks, partial weight bearing is introduced in a walking boot with heel lift while continuing range of motion exercises. From 4-6 weeks, weight bearing is increased as tolerated while adding resistance exercises and proprioception training. The protocol aims to progress strengthening and return to full activity over the full 12+ week period.

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    This document outlines an accelerated rehabilitation protocol for Achilles tendon ruptures over 12+ weeks. It begins with non-weight bearing in a splint or boot with crutches for 0-2 weeks. From 2-4 weeks, partial weight bearing is introduced in a walking boot with heel lift while continuing range of motion exercises. From 4-6 weeks, weight bearing is increased as tolerated while adding resistance exercises and proprioception training. The protocol aims to progress strengthening and return to full activity over the full 12+ week period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    58 views1 page

    Accelerated Achilles Protocol: Time Frame Activity 0-2 Weeks 2-4 Weeks

    Uploaded by

    tenun wita
    This document outlines an accelerated rehabilitation protocol for Achilles tendon ruptures over 12+ weeks. It begins with non-weight bearing in a splint or boot with crutches for 0-2 weeks. From 2-4 weeks, partial weight bearing is introduced in a walking boot with heel lift while continuing range of motion exercises. From 4-6 weeks, weight bearing is increased as tolerated while adding resistance exercises and proprioception training. The protocol aims to progress strengthening and return to full activity over the full 12+ week period.

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    © All Rights Reserved
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    www.IndianaTotalTherapy.

    com Telephone: 1-877-353-4704

    ACCELERATED ACHILLES PROTOCOL


    Time Activity
    Frame
    0-2 weeks Posterior slab/splint; non-weight-bearing with crutches: immed. postop. in surgical group,
    after injury in nonop. group
    2-4 weeks Aircast walking boot with 2-cm heel lift*+
    Protected weight-bearing with crutches
    Active plantar flexion and dorsiflexion to neutral, inversion/eversion below neutral
    Modalities to control swelling
    Incision mobilization modalities++
    Knee/hip exercises with no ankle involvement; e.g., leg lifts from sitting, prone, or side-
    lying position
    Non-weight-bearing fitness/cardiovascular exercises; e.g., bicycling with one leg, deep-
    water running
    Hydrotherapy (within motion and weight-bearing limitations)
    4-6 weeks Weight-bearing as tolerated*+
    Continue 2-4 week protocol
    6-8 weeks Remove heel lift
    Weight-bearing as tolerated*+
    Dorsiflexion stretching, slowly
    Graduated resistance exercises (open and closed kinetic chain as well as functional
    activities)
    Proprioceptive and gait retraining
    Modalities including ice, heat, and ultrasound, as indicated
    Incision mobilization++
    Fitness/cardiovascular exercises to include weight-bearing as tolerated; e.g., bicycling,
    elliptical machine, walking and/or running on treadmill, StairMaster
    Hydrotherapy
    8-12 weeks Wean off boot
    Return to crutches and/or cane as necessary and gradually wean off
    Continue to progress range of motion, strength, proprioception
    >12 weeks Continue to progress range of motion, strength, proprioception
    Retrain strength, power, endurance
    Increase dynamic weight-bearing exercise, include plyometric training
    Sport-specific retraining
    *Patients were required to wear the boot while sleeping. +Patients could remove the boot for bathing and dressing
    but were required to adhere to the weight-bearing restrictions according to the rehabilitation protocol. ++If, in the
    opinion of the physical therapist, scar mobilization was indicated (i.e., the scar was tight or not moving well), the
    physical therapist would attempt to mobilize using friction, ultrasound, or stretching (if appropriate). In many cases,
    heat was applied before beginning mobilization techniques.

    Operative versus Nonoperative Treatment of Acute Achilles Tendon Ruptures: A Multicenter Randomized Trial Using Accelerated
    Functional Rehabilitation
    Kevin Willits, Annunziato Amendola, Dianne Bryant, Nicholas G. Mohtadi, J. Robert Giffin, Peter Fowler, Crystal O. Kean and Alexandra
    Kirkley
    J Bone Joint Surg Am. 2010;92:2767-2775, published Oct 29, 2010;.2106/JBJS.I.01401

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