Ahilova tendinopatija — vježbe istražene u studijama
Istraživanja su ispitala 60 pristupa za ovo stanje. Ova stranica pokazuje što su studije utvrdile i gdje su kliničke smjernice stale — s izvorom iza svake tvrdnje.
Kliničke smjernice podupiru 16 od 60 ispitanih pristupa za ovo stanje.
Sastavili i pregledali: Milena Orlandić — Licensed Physiotherapist — Specialist in Applied Physiotherapy (Neurorehabilitation) · Nikola Orlandić — Licensed Physiotherapist — Specialist in Applied Physiotherapy (Neurorehabilitation) · Bachelor of Pharmaceutical Technology
Dokazi zadnji put ažurirani:
Partner Komore fizioterapeuta Crne Gore
Što su studije ustanovile
Svaki pristup ispod istražen je u kliničkim istraživanjima. Poredano prema stavu kliničkih smjernica.
Kombinirano opterećenje (Silbernagelov protokol)
Dokazi podržavajukliničari mogu pouzdano koristiti oba programa u rehabilitaciji svojih pacijenata s AT-om
Izvor: PubMed 34722783
Return-to-Sport Progression Criteria
Dokazi podržavajuIzvor: PubMed 34391384
Ekscentrično spuštanje pete (Alfredsonov protokol)
Dokazi podržavajukliničari mogu pouzdano koristiti oba programa u rehabilitaciji svojih pacijenata s AT-om
Izvor: PubMed 34722783
Pogledajte svih 14 vježbi s punim detaljima
Što znanost ne podržava
Ovi pristupi se često nude, ali objavljena istraživanja nisu utvrdila da pomažu kod ovog stanja. Navedeni su da znate prije nego potrošite novac — ne kao savjet o pojedinačnom slučaju.
- Noćna udlagaIstraživanja ne podržavaju
Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) · Dutch multidisciplinary guideline on Achilles tendinopathy · Physical therapies for Achilles tendinopathy: systematic review and meta-analysis
- Noćna udlagaIstraživanja ne podržavaju
Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) · Dutch multidisciplinary guideline on Achilles tendinopathy · Physical therapies for Achilles tendinopathy: systematic review and meta-analysis
- Terapijski ultrazvukIstraživanja ne podržavaju
UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) · Dutch multidisciplinary guideline on Achilles tendinopathy
- Ekcentrična vježba + LLLTIstraživanja ne podržavaju
još nije ispitano
Odnosi li se išta od ovoga na vašu situaciju može procijeniti fizioterapeut ili liječnik nakon pregleda.
Pomaže li? — što su istraživanja utvrdila
Svaki pristup istražen za ovo stanje, poredan prema stavu kliničkih smjernica. Ne prema popularnosti ili reklamama — prema objavljenim istraživanjima.
| Pristup | Studije | Ispitano od | Što kaže znanost |
|---|---|---|---|
| Kombinirano opterećenje (Silbernagelov protokol)možete sami kod kućeStudije: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +3 | 1 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +3 | Dokazi podržavaju |
| Ekscentrično vježbanje (Alfredsonov protokol)radi se kod stručnjakaStudije: 43 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +3 | 43 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +3 | Dokazi podržavaju |
| Ekscentrično spuštanje pete (Alfredsonov protokol)možete sami kod kućeStudije: 41 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +3 | 41 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +3 | Dokazi podržavaju |
| Teški spori otpor (kod kuće)možete sami kod kućeStudije: 7 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | 7 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | Dokazi podržavaju |
| Teški spori trening otporaradi se kod stručnjakaStudije: 9 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | 9 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | Dokazi podržavaju |
| Progresivno jačanje listova potkoljenicemožete sami kod kućeStudije: 11 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | 11 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | Dokazi podržavaju |
| Program progresivnog opterećenjaradi se kod stručnjakaStudije: 11 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | 11 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | Dokazi podržavaju |
| Kombinirano opterećenje (Silbernagelov protokol)radi se kod stručnjakaStudije: 4 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Dutch multidisciplinary guideline on Achilles tendinopathy +1 | 4 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Dutch multidisciplinary guideline on Achilles tendinopathy +1 | Dokazi podržavaju |
| Edukacija pacijenata i upravljanje opterećenjemmožete sami kod kućeStudije: 4 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final), Dutch multidisciplinary guideline on Achilles tendinopathy +1 | 4 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final)Dutch multidisciplinary guideline on Achilles tendinopathy +1 | Dokazi podržavaju |
| Izotonična vježba listaradi se kod stručnjakaStudije: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) | 1 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) | Dokazi podržavaju |
| Rehabilitacija temeljena na kriterijimaradi se kod stručnjakaStudije: 3 · Current Clinical Concepts: Conservative Management of Achilles Tendinopathy (Silbernagel 2020) | 3 | Current Clinical Concepts: Conservative Management of Achilles Tendinopathy (Silbernagel 2020) | Dokazi podržavaju |
| Rehabilitacija uz visoku kompresiju tetiveradi se kod stručnjakaStudije: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 | 1 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 | Dokazi podržavaju |
Prikaži svih 60 pristupa ↓
| Pristup | Studije | Ispitano od | Što kaže znanost |
|---|---|---|---|
| Rehabilitacija s niskom kompresijom tetiveradi se kod stručnjakaStudije: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 | 1 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 | Dokazi podržavaju |
| Return-to-Sport Progression Criteriamožete sami kod kućeStudije: 1 · Current Clinical Concepts: Conservative Management of Achilles Tendinopathy (Silbernagel 2020) | 1 | Current Clinical Concepts: Conservative Management of Achilles Tendinopathy (Silbernagel 2020) | Dokazi podržavaju |
| Telehealth / vježbanje putem internetaradi se kod stručnjakaStudije: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) | 3 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) | Dokazi podržavaju |
| Telehealth program vježbanjamožete sami kod kućeStudije: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) | 1 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) | Dokazi podržavaju |
| Izometrijska vježba listaradi se kod stručnjakaStudije: 9 · UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 +3 | 9 | UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approachAchilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 +3 | Može pomoći |
| Izometrijska vježba za list potkoljenice (kod kuće)možete sami kod kućeStudije: 7 · UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 +3 | 7 | UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approachAchilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 +3 | Može pomoći |
| Ortopedski ulošci za stopaloradi se kod stručnjakaStudije: 2 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | 2 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | Može pomoći |
| Akupunkturaradi se kod stručnjakaStudije: 2 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | 2 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | Može pomoći |
| Ravnoteža i propriocepcija (kod kuće)možete sami kod kućeStudije: three randomized controlled trials · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | three randomized controlled trials | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | Može pomoći |
| Istezanje / fleksibilnost listamožete sami kod kućeStudije: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | 3 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | Može pomoći |
| Duboka masaža frikcijom (Cyriax)radi se kod stručnjakaStudije: 6 · UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | 6 | UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approachAchilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | Može pomoći |
| Suho iglanjeradi se kod stručnjakaStudije: 4 · UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | 4 | UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approachAchilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | Može pomoći |
| Izvantjelesna terapija udarnim valom (ESWT)radi se kod stručnjakaStudije: 19 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final), Dutch multidisciplinary guideline on Achilles tendinopathy +1 | 19 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final)Dutch multidisciplinary guideline on Achilles tendinopathy +1 | Može pomoći |
| Uložci za podizanje peteradi se kod stručnjakaStudije: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final), Dutch multidisciplinary guideline on Achilles tendinopathy +1 | 3 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final)Dutch multidisciplinary guideline on Achilles tendinopathy +1 | Može pomoći |
| Pasivno istezanjeradi se kod stručnjakaStudije: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | 1 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | Može pomoći |
| Proloterapijaradi se kod stručnjakaStudije: 1 RCT; 1 prospective case series · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | 1 RCT; 1 prospective case series | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | Može pomoći |
| Senzomotorički / ravnotežni treningradi se kod stručnjakaStudije: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | 1 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1 | Može pomoći |
| Ekscentrično vježbanje + ESWTradi se kod stručnjakaStudije: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final), Current Clinical Concepts: Conservative Management of Achilles Tendinopathy (Silbernagel 2020) | 3 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final)Current Clinical Concepts: Conservative Management of Achilles Tendinopathy (Silbernagel 2020) | Može pomoći |
| Injekcija hijaluronske kiselineradi se kod stručnjakaStudije: 1 · Dutch multidisciplinary guideline on Achilles tendinopathy | 1 | Dutch multidisciplinary guideline on Achilles tendinopathy | Može pomoći |
| Ekcentrična vježba + injekcija kortikosteroidaradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekscentrična vježba + injekcija velikog volumenaradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekscentrična vježba + injekcija PRP-aradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekcentrična vježba + tretman mekih tkiva (Astym)radi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekscentrično vježbanje uz modaliteteradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekcentrično plus miofascijalnoradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekcentrično plus vibracijaradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Injekcija kortikosteroidaradi se kod stručnjakaStudije: 6 · UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | 6 | UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approachAchilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | Nedovoljno istraženo |
| Tendinopatija povezana s fluorokinolonimaradi se kod stručnjakaStudije: eight studies · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | eight studies | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | Nedovoljno istraženo |
| Injekcija velikog volumena (High-Volume Injection, HVI)radi se kod stručnjakaStudije: 6 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | 6 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | Nedovoljno istraženo |
| Plazma bogata trombocitima (PRP)radi se kod stručnjakaStudije: 4 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final), Dutch multidisciplinary guideline on Achilles tendinopathy +1 | 4 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final)Dutch multidisciplinary guideline on Achilles tendinopathy +1 | Nedovoljno istraženo |
| Gliceril trinitrat (GTN) flasterradi se kod stručnjakaStudije: 3 · Dutch multidisciplinary guideline on Achilles tendinopathy | 3 | Dutch multidisciplinary guideline on Achilles tendinopathy | Nedovoljno istraženo |
| Trening s ograničenjem protoka krviradi se kod stručnjakaStudije: Thirteen studies were included, three on tendinopathy, two on tendon ruptures, and eight on healthy Achilles, patellar, and supraspinatus tendons · još nije ispitano | Thirteen studies were included, three on tendinopathy, two on tendon ruptures, and eight on healthy Achilles, patellar, and supraspinatus tendons | još nije ispitano | Nedovoljno istraženo |
| Krioterapija (samoprimjena)možete sami kod kućeStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Dijatermija / TECAR terapijaradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Ekscentrične + Prehrambeni dodatakradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Ekscentrično vježbanje + krioterapijaradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Ekscentrično vježbanje + PEMFradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Ekcentrično plus udlagaradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Elektroakupunkturaradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Intramuscular Stimulation (Gunn IMS)radi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Modificirani ekcentrični spust pete (insercijski)možete sami kod kućeStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Opterećenje uz praćenje bolimožete sami kod kućeStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Trening vibracijama cijelog tijelaradi se kod stručnjakaStudije: 3 · još nije ispitano | 3 | još nije ispitano | Nedovoljno istraženo |
| Terapija laserom niske razine (LLLT / PBM)radi se kod stručnjakaStudije: 2 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final), Dutch multidisciplinary guideline on Achilles tendinopathy +2 | 2 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final)Dutch multidisciplinary guideline on Achilles tendinopathy +2 | Znanost ne podržavaovisi o fazi oporavka |
| Noćna udlagaradi se kod stručnjakaStudije: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | 3 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | Znanost ne podržava |
| Noćna udlagamožete sami kod kućeStudije: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | 3 | Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2 | Znanost ne podržava |
| Terapijski ultrazvukradi se kod stručnjakaStudije: 3 · UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 +2 | 3 | UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approachAchilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 +2 | Znanost ne podržava |
| Ekcentrična vježba + LLLTradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Znanost ne podržava |
Prevencija
Čimbenici koje objavljene studije povezuju s višim ili nižim rizikom za ovo stanje.
Program vježbanja za održavanje (ekscentrično/HSR)
Čimbenik rizika u studijamaOva studija sugerirala je da bi vježbe za mišiće potkoljenice moglo biti vrijedno nastaviti i nakon što simptomi Ahilove tendinopatije nestanu.
Izvor: PubMed 34187784
Upravljanje treningom i opterećenjem
Čimbenik rizika u studijamaOva studija opisuje praćenje tegoba povezanih sa (sportskim) aktivnostima pomoću ljestvice boli i prilagođavanje tih aktivnosti prema onome što je ljestvica pokazivala.
Izvor: PubMed 34187784
Edukacija pacijenata i upravljanje opterećenjem
Čimbenik rizika u studijamaOva studija sugerirala je da osnovno zbrinjavanje traje najmanje 12 tjedana i objedini tri sastavnice: edukaciju pacijenta, upravljanje opterećenjem i vježbe za mišiće potkoljenice.
Izvor: PubMed 34187784
Prikaži svih 8 faktora prevencije ↓
Trening ravnoteže i propriocepcije
Čimbenik rizika u studijamasenzomotorni trening kombiniran s edukacijom pokazao je poboljšanja u VISA-A rezultatima
Izvor: PubMed 39119510
Obuća / Podizači pete / Ortotička pomagala
Čimbenik rizika u studijamaOvaj sustavni pregled opisuje ortoze kao nepreporučene za poboljšanje boli i funkcije kod Ahilove tendinopatije.
Izvor: PubMed 30170996
Svjesnost o rizicima fluorokinolona i statina
Čimbenik rizika u studijamaOva studija izvijestila je da uzimanje fluorokinolona nosi povećan rizik od poremećaja tetiva.
Izvor: PubMed 38949172
Postupni povratak u sportsku progresiju
Čimbenik rizika u studijamaPrema ovoj studiji, povratak sportu unutar nekoliko dana povezan je s većom vjerojatnošću ponovne pojave.
Izvor: PubMed 34187784
Istezanje lista i fleksibilnost
Čimbenik rizika u studijamapasivno statičko istezanje mišića gastrocnemiusa i soleusa
Izvor: PubMed 39195578
Česta pitanja
Što pomaže kod Ahilova tendinopatija prema istraživanjima?
Istraživanja podržavaju: Kombinirano opterećenje (Silbernagelov protokol), Ekscentrično vježbanje (Alfredsonov protokol), Ekscentrično spuštanje pete (Alfredsonov protokol), Teški spori otpor (kod kuće), Teški spori trening otpora, Progresivno jačanje listova potkoljenice. Prema: Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024; Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final); Dutch multidisciplinary guideline on Achilles tendinopathy.
Što ne pomaže kod Ahilova tendinopatija prema istraživanjima?
Istraživanja nisu utvrdila korist od rutinske primjene: Noćna udlaga, Noćna udlaga, Terapijski ultrazvuk, Ekcentrična vježba + LLLT. Prema: Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024; Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final); Dutch multidisciplinary guideline on Achilles tendinopathy.
Na koliko istraživanja se ovo oslanja?
Za Ahilova tendinopatija ispitano je 60 pristupa, od kojih je 40 pregledano od strane istraživačkih tijela. Svaki podatak vodi do objavljenog izvora.
Zašto uz toliko pristupa piše 'nedovoljno istraženo'?
Zato što je to pošteno stanje istraživanja. 'Nedovoljno istraženo' znači da kliničke smjernice nisu zauzele jasan stav ili da za taj pristup postoji malo kontroliranih studija. Stranica prikazuje cijelu sliku — ne samo redove koji laskaju.
Što ako vježbe ne dovedu do poboljšanja?
Studije izvještavaju o rezultatima na razini populacije — pojedinačni odgovori se razlikuju. Literatura opisuje i znakove koji traže liječničku provjeru (navedeni u odjeljku 'Kada liječniku'), a za pojedinačnu procjenu prava je adresa kliničar.
🚩 Kada liječniku
Neki simptomi zahtijevaju liječnički pregled prije bilo kakvog vježbanja: jaka bol nakon ozljede, trnci ili utrnulost, slabost, povišena temperatura uz bol, noćna bol koja ne popušta ili promjene mokrenja/stolice. Ako je nešto od toga prisutno, prvo se obratite liječniku.
Više sigurnosnih znakova →Preuzmi Potpuni pregled za svoje stanje kao PDF
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Edukativna informacija — PhysioSense je edukativni referentni alat baziran na objavljenim istraživanjima. NE zamjenjuje liječnički pregled niti fizioterapeutsku procjenu. Ako imate jake bolove, nove simptome ili niste sigurni — posjetite liječnika ili fizioterapeuta. Vi uvijek donosite konačnu odluku o svom vježbanju. Bol je signal za stop.