Working on Hip extensors and proximal Hamstrings activation in a patient with high grade (80%) Left Achilles myotendinous junction tear(conservatively treated). Approximately 15 weeks post date of injury.
In the the first video, I have the band on the pelvis. In the second video I have it around the left hip to bias better gluets and hamstring activation on the left side and also to facilitate increased weight bearing on that side.
In cases of Achilles tendinopathy or tears, a common clinical finding is weak hip extension, external rotation, and abduction.
A study in 2015, discussed the changes that occur in gait parameters, and lower limb dynamics in runner with Achillis tendinopathy. Their concluded 3 key points:
1. A reduction in gait parameters, namely, step length, stride length, and walking speed, and an increase in double-limb support occurs in runners with achilles tendinopathy.
2. A reduction in the HIP EXTENSION moment occurs during the initial contact, as well as a reduction in the knee flexion moment from the mid-stance to pre-swing phases, a continuous decrease in the knee flexion moment from the early stance phase, and a reduction in the extension moment during the terminal stance phase.
3. A reduction in the ankle plantar flexion moment occurs from the mid-stance phase and that a reduction in the dorsiflexion moment occurs during the terminal swing phase.
Another study in 2014, discussed the Neuromotor control of gluteal muscles in runners with achilles tendinopathy. They concluded "This study provides preliminary evidence of altered neuromotor control of the GMED and GMAX muscles in male runners with Achilles tendinopathy. Although further studies are required to discern the causal nature of this relationship, this study highlights the importance of considering neuromotor control of the gluteal muscles in the assessment and management of patients with Achilles tendinopathy." It is important to check the whole kinetic chain and not just focus treating the symptoms.
#physiotherapy #Achillestendinopathy #achillesrupture #rehabilitation #physicalmedicineandrehabilitation #exercise #gastrocnemius #gluets #hamstring #physiotipsaj