Phase I
Week 1
Weight-bearing condition.
Absolutely no weight-bearing
Protection of the surgical site
Training: Range of motion.
Removal of non-immobilized active activities
Plantarflexion/dorsiflexion, 2 sets of 5 reps each, 3 exercises per day
Week 2
Weight-bearing conditions.
Absolute no weight-bearing
Training: Range of motion.
Plantarflexion/dorsiflexion, 2 sets of 20 reps each, 3 exercises per day
Internal and external rotation, 2 sets of 20 reps each, 3 reps per day
Circumferential movements, 2 sets of 20 reps each, 3 sessions per day
Training intensity.
Isometric plantarflexion/dorsiflexion, 2 sets of 20 reps each, 3 reps per day
Toe flexion with a fixed band
Adjunctive therapy.
Gentle manual movement of scar tissue
Treatment of some open injuries should be noted
Week 3
Weight-bearing status.
Gradually start the patient to walk slowly with partial weight bearing under the protection of a cast or restraint
Training: Range of motion.
Gentle passive traction plantarflexion with a rubber band before continuing to increase active activity training.
Training.
Training intensity.
Internal and external rotation, 2 sets of 10 reps per set, 3 sets per day
Isometric plantarflexion, 2 sets of 10 reps each time, gradually increasing to 2 sets of 20 reps each time after 3 weeks of training.
20 sets of 20 reps, 3 times a day
Internal and external rotation with the aid of rubber bands, 2 sets of 10 reps each time, 3 times a day
Use rubber bands to assist in plantarflexion and dorsiflexion, 2 sets of 10 reps each time, 3 times a day
Apparatus activity training.
Bicycle training, with minimal resistance, 7-12 minutes each time
Using the principle of buoyancy, start underwater gymnastic exercises with complete floating.
In the water, with the lower limbs in a protected state, begin a range of motion such as ankle running walking.
Non-weight bearing activities can be started in the water.
Adjunctive therapy.
Massage and cryotherapy for scarring is started.
Phase 2
Weeks 4-6
Weight-bearing status.
Further shift from partial to full weight bearing at 5-6 weeks
Range of motion.
Decrease to one set of ten activities in each of the above directions
The knee is in 35 or 40 degrees of flexion and the passive ankle flexion is gradually increased and intensified.
Increase in intensity. Begin full extension of the knee at week 5.
Extension exercises.
Decrease the number of sets (one set of ten) of equal lengths of internal and external rotation and plantarflexion. Further with three rubber bands
Internal and external rotation, plantarflexion and dorsiflexion exercises for three sets of 20 reps each.
Perform pedal cycle training for 20 minutes with minimal resistance.
Apparatus activity training.
The bicycle should be well fixed
In-water training should be performed with full floatation
Complementary physical therapy.
Gentle lateral massage of the Achilles tendon, thus reducing the adhesive chains of the tendon and tendon membrane.
Continuous cryotherapy, ultrasound and electrical stimulation help to relieve chronic swelling and skin scar formation.
Phase 3
Weeks 6-12
Weight-bearing status.
Full weight-bearing
Range of motion.
Further uprightness and extension of the limbs
Strength training.
No longer isometric
Continue to use three rubber bands to enhance movement in all directions of the ankle joint
Practice lifting within the weight-bearing range
Begin balance board exercises for proprioceptive training
Equipment exercises.
Stationary bicycle
Walking machine
Practice stair climbing apparatus
Chest-deep pool
Complementary therapy.
Same as before
Phase 4
After week 12
Intensity training.
The weight-bearing of the foot should be increased to the average body weight and, in the case of strong bodies or athletes, should be able to withstand
1.5 times the body weight. The single foot should be able to carry the weight at the beginning.
Equipment exercises.
Further start jogging, practice trampoline, train through the jogging machine.
Intraoperatively, if a figure of 8 suture is performed, you can finally start a steady jog outdoors for 20 minutes
clock. In-water training begins at a shallow depth (waist deep). Start some exercises in the water including fast
The training starts in the water and includes fast forward motion and jumping.
Full recovery of the Achilles tendon is indicated by 15 to 20 degrees of dorsiflexion of the ankle, and stretching therapy should be maintained.
Strength and endurance should return to pre-injury levels and strength and flexibility training should be continued.
Consultation with a specialist foot and ankle doctor is required due to individual differences.