COMBINED REFLEXOLOGY WITH ACUPRESSURE AND KINESITHERAPY METHODS AFTER ACHILLES TENDON RUPTURE

Authors

  • Danche Vasileva Faculty of Medical Sciences, University ”Goce Delchev” – Shtip, Republic of North Macedonia
  • Antonio Grabulov Faculty of Medical Sciences, University ”Goce Delchev” – Shtip, Republic of North Macedonia

Keywords:

Kinesitherapy, Achilles tendon rupture, muscle inhibitory techniques, acupressure

Abstract

Achilles tendon rupture is one of the most common injuries of the locomotor system. It creates the formation of a motor deficit in the terminal part of the kinematic chain of the lower extremity and adversely affects the entire kinematics and kinetics of the musculoskeletal system in humans. Due to the lack of a synovial membrane, often the superficial fibers of the tendon tend to fuse with the skin tissue. Postoperative functional problems are associated with limited joint mobility and reduced trophic throughout the ankle complex and the overall reduction of the muscle activity of the affected lower limb. Material and methods: The study included 13 patients with Achilles tendon rupture. Patients are selected according to several criteria, so that there is homogeneity in the research: to be between the ages of 20 and 40; have no other inflammatory changes diagnosed (unilateral and / or bilateral). The subjects use a combination of reflexology with acupressure and kinesitherapy, based on modern principles of rehabilitation. The kinesitherapy method is based on the basic principles of modern postoperative rehabilitation: to be individual, intensive and specifically oriented. For the purposes of the research, a complex of functional tests was applied, the results of which were evaluated on the 1st day, the 10th day and the 1st month from the beginning of the treatment and displayed on a worksheet. Assessed: muscle weakness with manual-muscle test (MMT), muscle circumference with centimeter (cm), mobility in the ankle with agglometry (°). Results and discussion: The applied specialized kinesitherapy method permanently stabilizes the functional possibilities for motor recovery in patients with Achilles tendon rupture. The combination of soft tissue mobilization procedures - direct, joint and combined with massage and muscle-inhibitory techniques, supplemented with reflexology and acupressure is a condition for early and risk-free recovery of ankle arthrokinematics during postoperative treatment of rupture of the Achilles tendon. Conclusion: The presence of a positive change in all parameters is observed after the application of specialized kinesitherapy in all subjects. The complete and in-depth analysis of the obtained results gives us grounds to claim that combined reflexology with acupressure and kinesitherapy has both early and late therapeutic effect associated with the continuity of the application, the structure of implementation and the adequacy of the included therapeutic means.

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Published

2021-12-15

How to Cite

Vasileva, D., & Grabulov, A. (2021). COMBINED REFLEXOLOGY WITH ACUPRESSURE AND KINESITHERAPY METHODS AFTER ACHILLES TENDON RUPTURE. KNOWLEDGE - International Journal , 49(4), 805–810. Retrieved from http://ikm.mk/ojs/index.php/kij/article/view/4562

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