Ahilova tendinopatija — vežbe istražene u studijama
Istraživanja su ispitala 60 pristupa za ovo stanje. Ova stranica pokazuje šta su studije utvrdile i gde su kliničke smernice stale — sa izvorom iza svake tvrdnje.
Kliničke smernice podržavaju 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 poslednji put ažurirani:
Partner Komore fizioterapeuta Crne Gore
Šta su studije utvrdile
Svaki pristup ispod ispitan je u kliničkim istraživanjima. Poređano prema stavu kliničkih smernica.
Kombinovano opterećenje (Silbernagelov protokol)
Dokazi podržavajukliničari mogu pouzdano koristiti oba programa u rehabilitaciji svojih pacijenata sa AT-om
Izvor: PubMed 34722783
Return-to-Sport Progression Criteria
Dokazi podržavajuIzvor: PubMed 34391384
Ekcentrično spuštanje pete (Alfredsonov protokol)
Dokazi podržavajukliničari mogu pouzdano koristiti oba programa u rehabilitaciji svojih pacijenata sa AT-om
Izvor: PubMed 34722783
Pogledajte svih 14 vežbi sa punim detaljima
Šta nauka ne podržava
Ovi pristupi se često nude, ali objavljena istraživanja nisu utvrdila da pomažu kod ovog stanja. Navedeni su da znate pre nego potrošite novac — ne kao savet 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
- Ekcentrično vežbanje + LLLTIstraživanja ne podržavaju
još nije ispitano
Da li se išta od ovoga odnosi na vašu situaciju može proceniti fizioterapeut ili lekar nakon pregleda.
Da li pomaže? — šta su istraživanja utvrdila
Svaki pristup istražen za ovo stanje, poređan prema stavu kliničkih smernica. Ne prema popularnosti ili reklamama — prema objavljenim istraživanjima.
| Pristup | Studije | Ispitano od | Šta kaže nauka |
|---|---|---|---|
| Kombinovano 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 |
| Ekcentrično vežbanje (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 |
| Ekcentrično 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 potkolenicemožete 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 |
| Kombinovano 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 vežba 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 zasnovana na kriterijumimaradi 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 | Šta kaže nauka |
|---|---|---|---|
| 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 / vežbanje 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 vežbanjamožete 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 vežba 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 vežba za list potkolenice (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 |
| Suvo 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 |
| Ekstrakorpusna terapija udarnim talasom (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 vežbanje + 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 |
| Ekcentrično vežbanje + injekcija kortikosteroidaradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekscentrično vežbanje + injekcija velikog volumenaradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekscentrično vežbanje + injekcija PRP-aradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekcentrično vežbanje + tretman mekih tkiva (Astym)radi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekscentrično vežbanje uz modaliteteradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Može pomoći |
| Ekcentrično plus mijofascijalnoradi 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 sa 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 sa 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 (samoprimena)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 + Dijetetski dodatakradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Ekscentrično vežbanje + krioterapijaradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Ekscentrično vežbanje + 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 |
| Modifikovani ekcentrični spust pete (insercijski)možete sami kod kućeStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Opterećenje uz praćenje bolamožete sami kod kućeStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nedovoljno istraženo |
| Trening vibracijom celog telaradi se kod stručnjakaStudije: 3 · još nije ispitano | 3 | još nije ispitano | Nedovoljno istraženo |
| Terapija laserom niskog nivoa (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 | Nauka ne podržavazavisi od faze 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 | Nauka 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 | Nauka 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 | Nauka ne podržava |
| Ekcentrično vežbanje + LLLTradi se kod stručnjakaStudije: 1 · još nije ispitano | 1 | još nije ispitano | Nauka ne podržava |
Prevencija
Faktori koje objavljene studije povezuju sa višim ili nižim rizikom za ovo stanje.
Program vežbanja za održavanje (ekscentrično/HSR)
Faktor rizika u studijamaOva studija sugerisala je da bi vežbe za mišiće potkolenice moglo biti vredno nastaviti i nakon što simptomi Ahilove tendinopatije nestanu.
Izvor: PubMed 34187784
Upravljanje treningom i opterećenjem
Faktor rizika u studijamaOva studija opisuje praćenje tegoba povezanih sa (sportskim) aktivnostima pomoću skale bola i prilagođavanje tih aktivnosti prema onome što je skala pokazivala.
Izvor: PubMed 34187784
Edukacija pacijenata i upravljanje opterećenjem
Faktor rizika u studijamaOva studija sugerisala je da osnovno zbrinjavanje traje najmanje 12 nedelja i objedini tri komponente: edukaciju pacijenta, upravljanje opterećenjem i vežbe za mišiće potkolenice.
Izvor: PubMed 34187784
Prikaži svih 8 faktora prevencije ↓
Trening ravnoteže i propriocepcije
Faktor rizika u studijamasenzomotorni trening kombinovan sa edukacijom je pokazao poboljšanja u VISA-A skorovima
Izvor: PubMed 39119510
Obuća / Podizači pete / Ortotička pomagala
Faktor rizika u studijamaOvaj sistematski pregled opisuje ortoze kao nepreporučene za poboljšanje bola i funkcije kod Ahilove tendinopatije.
Izvor: PubMed 30170996
Svest o rizicima fluorohinolona i statina
Faktor rizika u studijamaOva studija izvestila je da uzimanje fluorohinolona nosi povećan rizik od poremećaja tetiva.
Izvor: PubMed 38949172
Postupni povratak u sportsku progresiju
Faktor rizika u studijamaPrema ovoj studiji, povratak sportu u roku od nekoliko dana povezan je s većom verovatnoćom ponovne pojave.
Izvor: PubMed 34187784
Istezanje lista i fleksibilnost
Faktor rizika u studijamapasivno statičko istezanje mišića gastrocnemiusa i soleusa
Izvor: PubMed 39195578
Česta pitanja
Šta pomaže kod Ahilova tendinopatija prema istraživanjima?
Istraživanja podržavaju: Kombinovano opterećenje (Silbernagelov protokol), Ekcentrično vežbanje (Alfredsonov protokol), Ekcentrično spuštanje pete (Alfredsonov protokol), Teški spori otpor (kod kuće), Teški spori trening otpora, Progresivno jačanje listova potkolenice. 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.
Šta ne pomaže kod Ahilova tendinopatija prema istraživanjima?
Istraživanja nisu utvrdila korist od rutinske primene: Noćna udlaga, Noćna udlaga, Terapijski ultrazvuk, Ekcentrično vežbanje + 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 tela. 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 smernice nisu zauzele jasan stav ili da za taj pristup postoji malo kontrolisanih studija. Stranica prikazuje celu sliku — ne samo redove koji laskaju.
Šta ako vežbe ne dovedu do poboljšanja?
Studije izveštavaju o rezultatima na nivou populacije — pojedinačni odgovori se razlikuju. Literatura opisuje i znakove koji zahtevaju lekarsku proveru (navedeni u odeljku 'Kada lekaru'), a za pojedinačnu procenu prava je adresa kliničar.
🚩 Kada lekaru
Neki simptomi zahtevaju lekarski pregled pre bilo kakvog vežbanja: jak bol posle povrede, trnci ili utrnulost, slabost, povišena temperatura uz bol, noćni bol koji ne popušta ili promene mokrenja/stolice. Ako je nešto od toga prisutno, prvo se obratite lekaru.
Više sigurnosnih znakova →Preuzmi Potpuni pregled za svoje stanje kao PDF
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Profesionalna platforma dodaje punu sledivost izvora — svaki podatak vodi do tačne stranice studije.
Edukativna informacija — PhysioSense je edukativni referentni alat baziran na objavljenim istraživanjima. NE zamenjuje lekarski pregled niti fizioterapeutsku procenu. Ako imate jake bolove, nove simptome ili niste sigurni — posetite lekara ili fizioterapeuta. Vi uvek donosite konačnu odluku o svom vežbanju. Bol je signal za stop.