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Pirri C, Stecco C, Güvener O, Mezian K, Ricci V, Jačisko J, Fojtik P, Kara M, Chang KV, Dughbaj M, Özçakar L. EURO-MUSCULUS/USPRM Dynamic Ultrasound Protocols for Ankle/Foot. Am J Phys Med Rehabil 2024; 103:e29-e34. [PMID: 37903600 DOI: 10.1097/phm.0000000000002349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2023]
Abstract
ABSTRACT In this dynamic scanning protocol, ultrasound examination of the ankle is described using various maneuvers to assess different conditions. Real-time patient examination and scanning videos are used for better simulation of daily clinical practice. The protocol is prepared by several/international experts in the field of musculoskeletal ultrasound and within the umbrella of European Musculoskeletal Ultrasound Study Group in Physical and Rehabilitation Medicine/Ultrasound Study Group of the International Society of Physical and Rehabilitation Medicine.
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Affiliation(s)
- Carmelo Pirri
- From the Department of Neurosciences, Institute of Human Anatomy, University of Padova, Padova, Italy (CP, CS); Department of Physical and Rehabilitation Medicine, Mersin University Medical School, Mersin, Turkey (OG); Department of Rehabilitation Medicine, Charles University, First Faculty of Medicine, Prague, Czech Republic (KM); Physical and Rehabilitation Medicine Unit, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy (VR); Department of Rehabilitation and Sports Medicine, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic (JJ); Institute of Anatomy, Charles University, First Faculty of Medicine, Prague, Czech Republic, Department of Orthopedics, The Central Military Hospital, First Faculty of Medicine, Charles University, Prague, Czech Republic (PF); Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey (MK, L Ö); Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taiwan (K.-VC); National Taiwan University College of Medicine, Taipei, Taiwan (K.-VC); Physical Medicine and Rehabilitation Hospital, Ministry of Health, Kuwait (MD)
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Does Mobility of the Ankle Joint Depends on Length of the Free Part of the Achilles Tendon? Symmetry (Basel) 2022. [DOI: 10.3390/sym14112313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
The aim of our study was to evaluate whether the length of the free part of the Achilles tendon affects the mobility of the ankle joint in active motion without a load, as well as in functional motion with a body-weight load. We examined 36 healthy people, aged 21 to 30 years, and divided them into two groups: 1 (n = 15)—participants with a normal range of dorsiflexion in the ankle joint (20° or more), and 2 (n = 21)—participants with a reduced range of dorsiflexion in the ankle joint (below 20°). The length of the free part of the Achilles tendon was measured using ultrasonography. Ankle joint range of dorsiflexion was assessed, and a weight-bearing lunge test (WBLT) was conducted. Group 1 performed the WBLT better and demonstrated significantly greater Achilles tendon length compared to Group 2. A moderate, significant correlation was observed between ankle joint range of dorsiflexion and Achilles tendon length (r = 0.53, p < 0.05); between WBLT and Achilles tendon length (r = 0.61, p < 0.05); as well as between ankle joint range of dorsiflexion and WBLT (r = 0.63, p < 0.05). Thus, we can suggest that both the length of the tendon (measured by USG) and the ankle range of motion under a body-weight load (measured by WBLT) are good indicators regarding the range of foot dorsiflexion, but only up to specific values (6 cm of tendon length and 11 cm of WBLT reach). Therefore, Achilles tendon length, e.g., after injury and during tendon healing, may be monitored using the method of ultrasound imaging presented in this study.
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