Evaluation of indicators of goniometry of the ankle joint in the complex rehabilitation of athletes with peroneal tendinopathy

The study reflects the results of comprehensive rehabilitation of professional athletes with fibular tendinopathy. The effectiveness was evaluated based on the indicators of goniometry of the ankle joint at different stages of the rehabilitation process.

Objective. To evaluate the effectiveness of the developed comprehensive program of physical rehabilitation with tendinopathy of the fibular tendons.

Materials and methods. The study involved 60 professional male athletes with the diagnosis of “fibular tendinopathy” established by ultrasound examination. All patients were randomly divided into two equal groups of 30 people. Group I patients, in addition to the main ones, were assigned specially designed exercises for balance, balance and proprioceptive sensitivity on the Biodex Balance System (BBS) biofeedback system (Biodex Medical Systems, Inc. New York, USA), as well as balancing disks

Results. The percentage of reduction in the total amplitude of movement in the ankle joint, that is, its deficiency, statistically significantly differed between the groups. Thus, at the time of examination before the start of treatment, the total amplitude deficit in group I patients was 13.2°, and in group II – 14.0°. At week 6 after the start of treatment, this indicator improved in group I patients and amounted to 3.8°, and in group II – 12.2°.

1. Florit D., Pedret C., Casals M., Malliaras P., Sugimoto D., Rodas G. Incidence of Tendinopathy in Team Sports in a Multidisciplinary Sports Club Over 8 Seasons. J. Sports Sci. Med. 2019;18(4):780–788.

2. van Dijk A.D., Kerkhoffs G.M.M.J., Chiodo C., DiGiovanni C.W. Chronic disorders of the peroneal tendons: Current Concepts Review of the Literature. J. Am. Acad. Orthop. Surg. 2019; 15;27(16):590–598. https://doi.org/10.5435/JAAOS-D-18-00623

3. Dombek M.F., Lamm B.M., Saltrick K., Mendicino R.W., Catanzariti A.R. Peroneal tendon tears: a retrospective review. J. foot ankle surg. 2003;42(5):250–258. https://doi.org/10.1016/s1067-2516(03)00314-4

4. Achkasov E.E., Sereda A.P., Repetyuk A.D. Peroneal Tendon Lesions in Athletes (review). Travmatologiya i ortopediya Rossii = Traumatology and Orthopedics of Russia. 2016;22(4):146–154 (In Russ.). https://doi.org/10.21823/2311-2905-2016-22-4-146-154

5. Petersen W., Bobka T., Stein V., Tillmann B. Blood supply of the peroneal tendons: injection and immunohistochemical studies of cadaver tendons. Acta orthop. Scand. 2000;71(2):168–174. https://doi.org/10.1080/000164700317413148

6. Franco M.F., Madaleno F.O., de Paula T.M.N., Ferreira T.V., Pinto R.Z., Resende R.A. Prevalence of overuse injuries in athletes from individual and team sports: A systematic review with meta-analysis and GRADE recommendations. Braz. j. phys. ther. 2021;25(5):500–513. https://doi.org/10.1016/j.bjpt.2021.04.013

7. Kurshev V.V., Litvinenko А.S., Bezuglov E.N., Repetyuk А.D., Patrina Е.V. Rehabilitation of athletes with diseases and injuries of the musculoskeletal system. Khirurgicheskaya praktika = Surgical practice. 2015;(3):71–77 (In Russ.).

8. van Dijk P.A., Miller D., Calder J., DiGiovanni C.W., Kennedy J.G., Kerkhoffs G.M., et al. The ESSKA-AFAS international consensus statement on peroneal tendon pathologies. Knee Surg. Sports Traumatol. Arthrosc. 2018;26(10):3096–3107. https://doi.org/10.1007/s00167-018-4971-x

9. Repetyuk A.D. Achkasov E.E., Sereda A.P., Combined physical rehabilitation model for peroneal tendon injuries in sports: benefits analysis. Teoriya i praktika fizicheskoi kul’tury = Theory and practice of physical culture. 2022;(1):79–81 (In Russ.).