Modern approaches to physical therapy for men aged 20-30 years with damage to the heel (Achilles) tendon in the post-hospital period

Abstract

The article substantiates modern approaches to physical therapy for men aged 20-30 with damage to the heel (Achilles) tendon in the post-hospital period. Damage to the Achilles tendon - the most powerful and strong human tendon - is one of the most common injuries in sports. The most adverse complications usually occur after cessation of immobilization. Most often, this process occurs uncontrollably, and an unreasonably aggressive rehabilitation program will inevitably lead to a re-rupture.
 Achilles tendon ruptures are the third most common and account for 20 to 32% of the total number of injuries of large tendons of the musculoskeletal system. Achilles tendon ruptures most often occur in sports that require strong tension and uncoordinated work of the leg muscles. These are sports such as basketball, volleyball, handball, badminton, tennis, football, gymnastics, athletics.
 Therapeutic gymnastics tasks: restoring the strength of the calf muscle, learning to walk without support on a stick, exercises to restore the strength of the calf muscle (lifting on the toes, rolling from heel to toe, etc.). First, the exercises are performed with relief from body weight, holding hands on the back of a chair. Complete recovery of function and efficiency occurs 6-8 months after surgery.
 Tasks of physical rehabilitation: providing sufficient protection of the tendon for its recovery; promoting the reduction of pain, edema and healing of the surgical access site; normalization of regional lymph flow and blood circulation; counteraction to the adhesion process; teaching the patient to move in bed and with crutches; stimulation of the muscles of the lower leg and thigh; prevention of posture disorders; maintenance of general working capacity; acquaintance with exercises for independent performance at home.