Rupture Score (ATRS), was tested for validity, structure, and internal consistency .. Leppilahti J, Forsman K, Puranen J, Orava S. Outcome and prognos-. The Leppilahti score is made up of subjective factors (pain, stiffness, muscle weakness, footwear restriction and subjective outcome) and. and Ankle Society (AOFAS) score at 6 months was 98, with 42 patients having excellent and four patients good Leppilahti scores. The average time to return to .

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The reliability of isokinetic and isometric dynamometry is generally high, and the various testing positions for plantarflexion and dorsiflexion have good test-retest reliability 25 This clinician-based outcome scale gathers both subjective and objective factors into numerical scales and has a maximum total score of points.

The median follow up in the study of Metz peppilahti 8.

Outcome evaluation after Achilles tendon ruptures. A review of the literature

Validity, reliability and responsiveness are the clinimetric properties that define the clinical relevance of each outcome measure 8. Assessment and outcome measures.

Plantar flexion strength was less compared to contralateral side in all patients. The Leppilahti Score Described by Leppilahti et al. Separation of tendon ends after suture of Achilles tendon.

These apparently conflicting data suggest that the assessment scoe is probably an important factor influencing the validity of calf muscle size as an outcome for evaluating recovery after ATR.

ATRS is a newly reported outcome measure with no data to support the scre of validity outside of the initial development centre.

Outcome evaluation after Achilles tendon ruptures. A review of the literature

Posted in Achilles injuryAchilles tendon rupturepercutaneous surgery. Proper evaluation tools are of the utmost importance both in the scientific setting, for the evaluation and comparison of research studies, and in the clinical setting, for guiding therapeutic decisions and assessing the progression of treatments. Mild, no limitations on recreational activities.


Although there have been improvements in the therapeutic strategies, Achilles tendon lengthening after ATR remains a frequent complication, assumed to cause functional modifications in the ankle ROM, strength deficits and gait abnormalities 14 — The two subscales are scored separately, then summed: A new measurement of heel-rise endurance with the ability to detect functional deficits in patients with Achilles tendon rupture.

The optimal treatment and the best rehabilitation protocol after scoer acute Achilles tendon rupture ATR remain a matter of controversy in orthopaedic and sports medicine.

This scoring system combines both subjective assessments of symptoms and objective measures, such as ankle ROM and isokinetic calf strength. More recently, Schepull et al. Each type of instrument has an unique purpose and has advantages and disadvantages that affect its potential usefulness.

From January until May all patients with acute Achilles tendon ruptures in Diakonessenhuis, Netherlands were analysed. The test also correlated well with isokinetic measurements in several research studies 419 To further the development of clinical practice and research, it is necessary to develop practical and appropriate patient-reported outcome measures that are universally accepted.

Plantarflexion strength was significantly reduced in general, but we could not explain this by a length problem of the Achilles tendon. Similar results with or without surgery.

National Center for Biotechnology InformationU. Fair, plantigrade foot, some degree of midfoot malalignment observed, no symptoms.

At present, the use of validated, responsive and reliable rating systems is the only way to allow comparisons of outcomes across clinical practice, which, in turn, may help us to draw conclusions about the optimal treatment. Range of motion was just slightly less in most patients. Are you limited in performing hard physical labor? Measurements of joint ROM are common both in clinical and in research settings.

SLR – March 2012 – Adam Caton

Foot and Ankle Leppilwhti. Calf muscle function after Achilles tendon rupture. Please answer every question with one response that most closely describes to your lepiplahti within the past week. Using an RSA technique Schepull et al. This scale has been validated for individuals with a broad range of musculoskeletal disorders of the lower leg, foot and ankle, with reported evidence of validity, reliability and responsiveness British Journal Sports Medicine.


After re-rupture the treatment of choice is often surgical with open release of the ends of the tendon and direct open repair. No limitation of daily activities, limitation of recreational activities, no support.

These results show however that maximal dorsiflexion on the long term is only slightly compromised. Described by Leppilahti et al. Persistent disability despite sufficient calf muscle strength after rerupture of surgically treated acute achilles tendon ruptures.

Strength deficits following an acute ATR seem to be related to anatomical and structural changes of the healed tendon, specifically elongation, as the ability of the calf muscle to contract is not reduced after the injury Because of the detrimental effects related to persistent calf muscle strength deficit, the treatment of an ATR should not only restore the Achilles tendon length but also the original strength of the whole musculotendinous unit The systematic review showed that AOFAS hind-foot score is the most widely reported outcome measure for evaluating Achilles tendon rupture management with no evidence supporting the many facets of validity in this patient population.

Evaluation of muscular endurance is another type of muscle function measurement. Selvik was the first to use RSA to describe the mechanical properties of a healing Achilles tendon