| Objective: To compare the effects of conventional rehabilitation training respectively supplemented with eccentric contraction training of calf triceps or Achilles tendon stretch training on Achilles tendon contracture caused by immobilizing. Methods: Forty patients with Achilles tendon contracture caused by immobilizing were selected, and divided into a stretching group and a centrifugal group by random number table method, with 20 people in each group. Both groups received conventional rehabilitation treatment. The slanting plate training was added to the stretching group on the basis of conventional treatment, and the low-intensity eccentric contraction training of the calf triceps was added to the centrifugal group on the basis of conventional treatment. Before and after 8 weeks of treatment, the ankle's dorsiflexion range of motion (ROM), American Orthopedic Foot and Ankle Society Score (AOFAS), Pain's visual analogue score (VAS) and the duration of standing on one leg with eyes closed were compared between the two groups. Results: After treatment, the ankles dorsiflexion ROM, AOFAS score, and the duration of standing on one leg with eyes closed in the two groups were significantly increased, and the VAS score decreased (all P<0.05). The ankle's dorsiflexion ROM, AOFAS score and the duration of standing on one leg with eyes closed in the centrifugal group were more significantly improved than those in the stretching group (all P<0.05). There was no statistically significant difference in VAS score between the two groups. Conclusion: Routine rehabilitation training supplemented by low-intensity eccentric contraction training of calf triceps to treat Achilles tendon contracture caused by immobilizing is more effective than that supplemented by stretching training. |
