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Increasing plantarflexion of the ankle decreases the stress on the Achilles tendon during ambulation in an ankle immobiliser, but how much stress is optimal in the various phases after an Achilles injury?
The atrophying effects of immobilisation and the strengthening effects of training and exercise on all musculoskeletal tissues (bone, cartilage, ligament, muscle, and tendon) are well known, and therefore much effort has been expended during recent decades on studies to clarify whether the old concept of post-traumatic immobilisation could be safely replaced by …