ACHILLES RUPTURES AND RETURN TO SPORT IN GYMNASTICS: AN OVERVIEW

Authors

  • Megan Benzie Duke University School of Medicine

DOI:

https://doi.org/10.52165/sgj.16.1.29-41

Keywords:

gymnastics, Achilles Rupture, Return-to-Sport, Physical Therapy

Abstract

Achilles tendon ruptures in collegiate gymnastics have significantly increased in the past few years, with 20 ruptures in the first three weeks of competition alone in 2020 according to Bonanno et al., 2022. Female gymnasts are ten times more likely to tear their Achilles than any other college athletes, with an incidence of 16.73/100,000. Men’s basketball has the next highest incidence at 4.26/100,000 (Bonanno et al., 2022). Contributing factors for the increase in ruptures are not well researched or understood. This paper will explore the relevant literature on the risk factors of tears and return to sport protocols. It will touch on early rehab but mainly focus on return to sport testing and progression for gymnastics from a physical therapy perspective. It will explore topics discussed in interviews with numerous sports physical therapists with extensive gymnastics or collegiate athletics experience. Gymnastics is a very technical sport where each athlete has individual skills with different biomechanical requirements; therefore, needs vary between athletes. This paper aims to address the transition phase between the time when surgical protocols allow a return to sport and the actual return to performance during recovery. In this specific domain, there is an ongoing need for prospective, longitudinal studies to investigate testing and outcome measures tailored to gymnastics. These studies can play a crucial role in guiding athletes, trainers, coaches, and therapists in facilitating a safe and effective return to performance after surgery.

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References

Achilles Tendon Rupture Repair Return to Sport Protocol. Orthopedic Associates of Hartford.

Armstrong, R. (2018). Joint hypermobility in young gymnasts: implications for injury and performance. Journal of Education, Health and Sport. 2018: 8(11): 354-375. DOI:10.5281/zenodo.1493831

Barber, S., oral communication, Mar 2023

Baxter, J., Corrigan, P., Hullfish, T., O’Rourke, P., Silbernagel, K. (2021). Exercise Progression to Incrementally Load the Achilles Tendon. American College of Sports Medicine. Vol. 53, No. 1, pp. 124-130. doi: 10.1249/MSS.0000000000002459

Bonanno, J., Cheng, J., Tilley, D., Abutalib, Z., & Casey, E. (2022). Factors associated with achilles tendon rupture in women’s collegiate gymnastics. Sports Health, 2022 May-Jun; 14(3): 358.368. doi: 10.1177/19417381211034510

Clanton, T., Matheny, L., Jarvis, H., Jeronimus, A. (2012). Return to play in athletes following ankle injuries. Sports Health. doi: 10.1177/1941738112463347

Cook, G., Burton, L., Hoogenboom B., Voight, M. (2014). Functional movement screening: the use of fundamental movements as an assessment of function – part 1. The International Journal of Sports Physical Therapy. Volume 9, Number 3, Page 396.

Emerson, C., Morrissey, D., Perry, M., & Jalan, R. (2010). Ultrasonographically detected changes in achilles tendons and self reported symptoms in elite gymnasts compared with controls – an observational study. Manual Therapy Volume 15, Issue 1. Feb 2010, Pages 37-42. doi: 10.1016/j.math.2009.05.00

Hansen, O., Papson, A., Eble, S., & Drakos, M. (2022). Effect of blood flow restriction therapy following achilles rupture and repair: a randomized controlled trial. Foot Ankle Orthop. doi: 10.1177/2473011421S00032

Hughes, L., Paton, B., Rosenblatt, B., Gissane, C., & Patterson, S. (2017). Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis. Br. J Sports Med. Jul;51(13):1003-1011. doi: 10.1136/bjsports-2016-097071.

Johns, W., Walley, K., Seedat, R., Thordarson, D., Jackson, B., & Gonzalez, T. (2021). Career outlook and performance of professional athletes after Achilles tendon rupture: a systematic review. Foot Ankle Int. Apr; 42(4): 495-509. doi:10.1177/1071100720969633.

Kramer, W., oral communication, Mar 2023

Lentz, T. (2020). Development of concise physical performance test batteries in young athletes. Medicine & Science in Sports & Exercise. 52(12): p 2581-2589. doi: 10.1249/MSS.0000000000002422

Lukes, D., oral communication, Mar 2023

Mansfield, K., Dopke, K., Koroneos, Z., Bonaddio, V., Adeyemo, A., & Aynardi, M. (2022). Achilles tendon ruptures and repair in athletes – a review of sports-related achilles injuries and return to play. Musculoskeletal Medine. 2022 15: 353-361. doi: 10.1007/s12178-022-09774-3

McDougal, M., oral communication, Mar 2023

Powell, H., Silbernagel, K., Brorsson, A., Tranberg, R., & Willy, R. (2018). Individuals post achilles tendon rupture exhibit asymmetrical knee and ankle kinetics and loading rates during a drop countermovement jump. Journal of Orthopedic & Sports Physical Therapy. 2018. Volume 48, Number 1. DOI: 10.2519/jospt.2018.7684

Shamrock, A. & Varacallo, M. (2023). Achilles tendon rupture. StatPearls Publishing.

Starbuck, C., Bramah, C., Herrington, L., & Jones, R. (2021). The effect of speed on achilles tendon forces and patellofemoral joint stresses in high-performing endurance runners. Scandinavian Journal of Medicine & Science in Sports. Volume 31, Issue 8, p. 1657-1665. doi: 10.1111/sms.13972.

Tilley, D., oral communication, Feb 2023

Wertz, J., Galli, M., & Borchers, J. (2013). Achilles tendon rupture: risk assessment for aerial and ground athletes. Sports Health, 2013 Sep; 5 (5): 407-9. doi: 10.1177/1941738112472165.

Wortman, R., Brown, S., Savage-Elliot, I., Finley, Z., & Mulcahey, M. (2021). Blood flow restriction training for athletes: a systematic review. Am J Sports Med. 2021 June; 49(7): 1938-1944. doi: 10.1177/0363546520964454

Yeh, C., Calder, J., Antflick, J., Bull, A., & Kedgley, A. (2020). Maximum dorsiflexion increases achilles tendon forces during exercise for midportion achilles tendinopathy. Scand J Med Sci. Sports. 2021; 31: 1674-1682. DOI: 10.1111/sms.13974

Yoon, J., An, D., Oh, J. (2013). Plantarflexion and dorsiflexor activation during inclined walking with and without modified mobilization with movement using tape in women in limited ankle dorsiflexion. Journal of Physical Therapy Science. 2013 Aug: 25(8): 993-995. doi: 10.1589/jpts.25.993

(2015). Lower Quarter Y-Balance Test. Shirley Ryan.

(2018). Why you need to use the limb symmetry index. MAT.

(2019). Rehab guidelines. For achilles tendon repair. UW Health Sport Rehabilitation.

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Published

2024-02-28

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Articles

How to Cite

Benzie, M. (2024). ACHILLES RUPTURES AND RETURN TO SPORT IN GYMNASTICS: AN OVERVIEW. Science of Gymnastics Journal, 16(1), 29-41. https://doi.org/10.52165/sgj.16.1.29-41

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