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THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS

Rivista di Medicina, Traumatologia e Psicologia dello Sport


Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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CASE REPORT  SPORT INJURIES AND REHABILITATION


The Journal of Sports Medicine and Physical Fitness 2018 January-February;58(1-2):106-12

DOI: 10.23736/S0022-4707.17.06817-7

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Combined osteopathy and exercise management of Achilles tendinopathy in an athlete

Georgia ROSS 1, Chris MACFARLANE 1, Brett VAUGHAN 1, 2

1 College of Health and Biomedicine, Victoria University, Melbourne, Australia; 2 Institute of Sport, Exercise and Active Living, Victoria University, Melbourne, Australia


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Mid-portion Achilles tendinopathy is a common injury in sporting populations. There is conflicting evidence about the best approach to conservative management. This report focuses on the rehabilitation of an Achilles tendinopathy utilizing osteopathic manual therapy (OMT) and a structured exercise program in a semi-professional volleyballer. The patient presented with a 4-month history of right mid-portion Achilles tendon pain that began after a lateral inversion sprain of the right ankle. The primary complaint was pain impacting the patients vertical jump performance. The patient complained of pain that was greatest in the morning and at the beginning of a training session prior to warming up. The inventory therapy was a combination of OMT. The manual therapy was complemented with a rehabilitation program. Outcomes were assessed with the Victorian Institute of Sport Assessment - Achilles (VISA-A), visual analogue scales (VAS), painful arc, London Hospital Test, soleus lunge test and maximum vertical jump. This case presented many challenging management options including a resolving right ankle lateral inversion sprain, a past history of contralateral Achilles tendinopathy and a high training load. The case demonstrated the importance of patient-centered practice. It was integral that the patient’s role as a semi-professional athlete on the volleyball court was analyzed closely in order to replicate different facets of his game, so that the rehabilitation program could support a return to performance at the highest level. Once the initial deficits in mobility and strength were addressed, the rehabilitation program focus moved to injury prevention.


KEY WORDS: Manipulation, osteopathic - Rehabilitation - Exercise - Outcome assessment (health care)

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Publication History

Issue published online: November 29, 2017
Article first published online: April 13, 2017
Manuscript accepted: April 11, 2017
Manuscript revised: March 2, 2017
Manuscript received: June 30, 2016

Per citare questo articolo

Ross G, Macfarlane C, Vaughan B. Combined osteopathy and exercise management of Achilles tendinopathy in an athlete. J Sports Med Phys Fitness 2018;58:106-12. DOI: 10.23736/S0022-4707.17.06817-7

Corresponding author e-mail

brett.vaughan@vu.edu.au