ABSTRACT

INTRODUCTION. Patients who have been injured need an early start of rehabilitation measures. This is due to the fact that prolonged restriction of motor activity, lack of exercise, vascular and other changes lead to muscle atrophy, limited mobility in joints, impaired metabolic processes in the extremities, loss of functional conditions.

AIM. To optimize the complex of measures for early rehabilitation after surgery for Achilles tendon rupture, taking into account the assessment of pain syndrome.

MATERIAL AND METHODS. The research work was carried out at the Department of Medical Rehabilitation and Sports Medicine. To implement the tasks set, the following stages were introduced: a critical analysis of domestic and foreign sources, the development of an individual rehabilitation plan with an assessment of pain syndrome.

RESULTS AND DISCUSSION. For effective rehabilitation in the postoperative period, it is important to objectively control the patient's pain sensations, gradually increasing the load on the damaged tendon. The pain monitoring and weight load dosing scale based on the visual analog scale has found wide application. Visual analog scale consists of a horizontal line on which the extreme points correspond to 0 points (no pain) and 10 points (maximum unbearable pain). The patient marks a point on this line corresponding to his current pain level. The pain syndrome was assessed on the day of surgery, and then on the 7th, 14th, 21st, 35th, 42nd and 49th days of follow-up after surgery. If by the end of the second week after surgery, the pain syndrome is 0-2 points, this indicates a favorable healing process and the possibility to begin early mobilization of the tendon. During this period, you can gradually increase the weight load on the limb, starting with partial support on the foot. If the pain syndrome persists, it is more than 2 points according to visual analog scale by the end of the second week, which may indicate the development of complications that prevent normal healing: inflammation, failure of sutures, suppuration of the surgical wound.

CONCLUSION. The proposed technique using a visual analog scale is a tool for assessing pain and functional status in the preparation of a set of measures for early rehabilitation after surgery for rupture of the Achilles tendon. The assessment of pain symptoms is a determining factor in the introduction of early tendon mobilization.

KEYWORDS: achilles tendon rupture, pain syndrome, early rehabilitation

For citation: Aimetdinova A.B., Butko D.Yu. Assesment of Pain Syndrome in Rehabilitation Measures after Surgery for Rupture of the Achilles Tendon. Comorbidity Neurology. 2024; 1 (3): 26-31. https://doi.org/10.62505/3034-185x-2024-1-3-26-31

*For correspondence: Dmitriy Yu. Butko, Dr. Sci. (Med.), Professor, Director of Medical Rehabilitation and Sport Medicine Department, Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia, e-mail: prof.butko@mail.ru.

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ADDITIONAL INFORMATION

Alina B. Aimetdinova, Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia. E-mail: med_alina_bulatovna@mail.ru. ORCID: https://orcid.org/0000-0001-7718-5224

Dmitriy Yu. Butko, Dr. Sci. (Med.), Professor, Director of Medical Rehabilitation and Sport Medicine Department, Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia. E-mail: prof.butko@mail.ru. ORCID: https://orcid.org/0000-0001-6284-0943

Author contributions. All authors confirm the compliance of their authorship, according to international ICMJE criteria (all authors made a significant contribution to the development of the concept, research and preparation of the article, read and approved the final version before publication). Aimetdinova A.B. – searched for suitable literature; Butko D.Yu. – correcting the text in accordance with the basic requirements.

Funding. This study wasn`t supported by any external sources of funding.

Disclosure. The authors declare that they haven`t competing interests.

The content is available under the Creative Commons Attribution 4.0 License.

©2024. Alina B. Aimetdinova, Dmitriy Yu. Butko