{"id":10450,"date":"2022-04-13T12:00:14","date_gmt":"2022-04-13T10:00:14","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=10450"},"modified":"2022-04-13T12:00:14","modified_gmt":"2022-04-13T10:00:14","slug":"late-achilles-tendon-rupture-repair-rehab","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/late-achilles-tendon-rupture-repair-rehab\/","title":{"rendered":"Late Achilles Tendon Rupture Repair Rehab"},"featured_media":10451,"template":"","class_list":["post-10450","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":10451,"background_image_alt_text":"Late Achilles Tendon Rupture Repair Rehab"},"heading":"Late Achilles Tendon Rupture Repair Rehab","subheading":"Tendon Rehab","content_editor":"","button_type":"url","button_label":"Check our shop","button_style":"button-five","button_internal_link":"","button_anchor":"","button_url":"https:\/\/study.physiotutors.com\/course\/the-big-3-advanced-rehabilitation-of-hamstring-quadriceps-and-calf-muscle-and-tendon-injuries\/","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":"","button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":"","button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":"","button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Late Achilles Tendon Rupture Repair Rehab | Late Rehab Phase Exercises<\/h2>\nThe Achilles tendon is the biggest and strongest tendon in the human body and is formed by the tendons of the soleus and gastrocnemius muscles which both insert at the calcaneus. We mostly see ruptures of the Achilles tendon in high-impact sports predominantly in the male athlete.\n\nWhile a scientific review from the year 2017 showed no significant differences in the outcomes of surgical and conservative management the re-rupture rate of conservatively managed tendons was higher and conservative management might not be suitable for every injury depending on its severity. However, there is a clear benefit of an accelerated rehab program including early mobilization versus immobilization as has been researched by <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25059505\/\" target=\"_blank\" rel=\"noopener\">Brumann et al. (2014)<\/a>.\n\nWe already discussed the <a href=\"https:\/\/www.physiotutors.com\/wiki\/acute-achilles-tendon-rupture-repair-rehab\/\">1st<\/a> and <a href=\"https:\/\/www.physiotutors.com\/wiki\/intermediate-achilles-tendon-rupture-repair-rehab\/\">2nd<\/a> stages of accelerated post-surgical rehab in two other posts. The 3rd stage - Late Achilles Tendon Rupture Repair Rehab - which can last up to 9 weeks will aim to restore full function of the angle in terms of range of motion. Proprioception, balance, and coordination as well as further increased strength to prepare the individual for possible sports-specific rehab.\n\nSo let's take a look at what kind of exercises one could do here:\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=CteKOmI37d8[\/embed]\n\n<\/div>\n<strong>Exercise overview:<\/strong>\n<ul>\n \t<li>Alternative stepping on toes<\/li>\n \t<li>Standing on one foot (progress to an Airex mat or Bosu) for balance and proprioception<\/li>\n \t<li>Squats to at least 30\u00b0 knee flexion (progress with added weight)<\/li>\n \t<li>Single-leg squats on stepper<\/li>\n \t<li>Two-legged and one-legged calf raises<\/li>\n \t<li>Two-legged hops progressed into one-legged hops<\/li>\n<\/ul>\n[cta]\n\nIf you are interested in early and mid-phase rehab exercises for Achilles tendon rupture repair, check out the posts below:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/acute-achilles-tendon-rupture-repair-rehab\/\">Acute Achilles Tendon Rupture Repair Rehab<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/intermediate-achilles-tendon-rupture-repair-rehab\/\">Intermediate Tendon Rupture Repair Rehab<\/a><\/li>\n<\/ul>\n&nbsp;\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25059505\/\" target=\"_blank\" rel=\"noopener\">Brumann M, Baumbach SF, Mutschler W, Polzer H. Accelerated rehabilitation following Achilles tendon repair after acute rupture\u2013development of an evidence-based treatment protocol. Injury. 2014 Nov 1;45(11):1782-90.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29079238\/\" target=\"_blank\" rel=\"noopener\">Deng S, Sun Z, Zhang C, Chen G, Li J. Surgical treatment versus conservative management for acute Achilles tendon rupture: a systematic review and meta-analysis of randomized controlled trials. The Journal of Foot and Ankle Surgery. 2017 Nov 1;56(6):1236-43.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our 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