achilles tendonitis presentation

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Advanced Rehabilitation 4 th year Sports and Exercise Rehabilitation Claire Hanniffy 10/11/2010

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Page 1: Achilles Tendonitis Presentation

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Advanced Rehabilitation4th year Sports and Exercise Rehabilitation

Claire Hanniffy

10/11/2010

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Page 3: Achilles Tendonitis Presentation

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` Anatomy

` Triceps Surae

` Function

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` Insertion/ Origin

` Loading

` Rotation of fibres

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` Definitions

` Causes

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` Difference between Tendonitis and Tendinosis

` Changes in tissue

` Incidence

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` Weight bearing activity

` Intrinsic/ Extrinsic factors

` Flexibility of surrounding muscles

` Foot biomechanics

` Footwear 

` Incidence

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` How it begins

` Clinical presentation

` How Tendinosis differs

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` Simmonds Test

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` Single leg heel raises

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` Palpation

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` Difference with Tendinosis

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` PRICES

` Orthotic

` Electrotherapy

` Body conditioning

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` Stretching

` Proprioception

` Aqua fitness

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` Progression of stretching

` Progression of aqua fitness

` Friction

` Closed chain exercises

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` Progression of Proprioception

` Double leg heel raises

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` Single heel raises

` Theraband exercises

` MWMs and METs

` Light Plyometrics

` Modified heel drops

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` Further progression of proprioception

` Introduce power 

` Flat surface jogging

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` Further flexibility

` Dynamic and ballistic stretching

` Heel drops/ Calf raises

` Closed chain exercises

` Jogging progressed to running

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` Box jumps

` SAQ exercises

` Single leg bounding

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` Single leg drop downs

` Examples; Soccer, Basketball

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` Alfredson H., Cook J., 2007. A treatment algorithm for managing Achilles tendinopathy: new treatmentoptions. British Journal of Sports Medicine. 41: 211-216

` Benazzo F., Todesca A., Ceciliani L., 1997. Achilles tendon tendinitis and heel pain. OperativeTechniques in Sports Medicine. 5(3): 179- 188

` Chinn L., Hertel J., 2010. Rehabilitation of foot and ankle injuries in athletes. Journal of Sport and Physical Therapy. 29: 157- 167

` Kountouris A., Cook J., 2007. Rehabilitation of Achilles and patellar tendinopathies. Best Practice &Research Clinical Rheumatology. 21(2):295- 316

` Maffulli N., Sharma P., Luscombe K L., 2004. Achilles Tendinopathy; aetiology and management. Journal of the Royal Society of Medicine. 97: 472- 476

` Norris C M.,1994. Sports injuries: Diagnosis and management for physiotherapists. Oxford.Butterworth- Heinmann Ltd

` Palastanga N., Soames R., Palastnga P., 2008. Anatomy and human movement. Edinburgh.Churchill Livingstone

` Prentice

WE., 2004. Rehabilitation techniques for sports medicine and athletic training. 4

th

ed. New York.McGraw Hill 598- 601

` Yinghua X., Murrell G., 2008. The basic science of tendinopathy. The Association of Bone and Joint Surgeons. 466: 1528- 1538

` http://www.thestretchinghandbook.com/archives/achilles-tendonitis-pt3.php