| Abstract | Najjača tetiva u ljudskom tijelu je Ahilova tetiva. Ozljede tetive se događaju češće u sportskim aktivnostima koje zahtijevaju skakanje, trčanje te brze i nagle pokrete. Prekomjernom upotrebom Ahilove tetive dolazi do bolnosti, osjećaja žarenja ili pucketanja. Određene studije izjavljuju da je potrebno niz degenerativnih promjena prije rupture, ali veliki broj puknuća tetiva se događa bez ikakvih simptoma ili znakova. Ruptura Ahilove tetive se smatra jednom od najtežih ozljeda lokomotornog sustava. U trenutku kada nastupi ozljeda pacijent ne može stajati na prstima, hodanje mu postaje otežano te se pri palpaciji osjeti udubljenje i velika bol. Liječenje je kirurško kod mladih pacijenata, a konzervativno liječenje se provodi kod starijih osoba i osoba koje boluju od kardiovaskularnih, malignih i šećernih bolesti. Cilj liječenja se svodi na isto, vraćanje u stanje prije ozljede, osposobiti normalan hod bez abnormalnih obrazaca, vratiti opseg pokreta u zglobu te omekšati strukture. Rad opisuje fizioterapijski pristup, u kojeg spadaju pregled i procjena, testovi i mjerenja, plan fizioterapije te liječenje ozljeda. Adekvatna fizioterapija omogućuje bolji, brži i uspješniji oporavak pacijenta. |
| Abstract (english) | The strongest tendon in the human body is the Achilles’ tendon. Tendon injuries occur more often in sports activities that require jumping, running, and fast and sudden movements. Overuse of the Achilles’ tendon leads to soreness, a burning sensation, or a crackling sensation. Certain studies declare that a number of degenerative changes are required before rupture, but a large number of tendon ruptures occur without any symptoms or signs. Achilles’ tendon rupture is considered one of the most severe injuries to the musculoskeletal system. At the moment when the injury occurs, the patient cannot stand on his toes, walking becomes difficult, and when palpation is felt, a dent is felt. Treatment is surgical in young patients, and conservative treatment is carried out in the elderly and people suffering from cardiovascular, malignant, and diabetes diseases. The goal of treatment is to return to the same condition as before the injury, to enable normal gait without abnormal patterns, to restore the range of motion in the joint, and to soften the structures. The work describes the physiotherapy approach, which includes examination and assessment, tests and measurements, a physiotherapy plan, and injury treatment. Adequate physiotherapy allows for a better, faster, and more successful recovery for the patient. |
