There are three things that need to be kept in mind while rehabilitating a ruptured Achilles: range of motion, functional strength, and sometimes orthotic support. Range of motion is important because it takes into mind the tightness of the repaired tendon. When beginning rehab a patient should perform stretches lightly and increase the intensity as time and pain permits. Putting linear stress on the tendon is important because it stimulates connective tissue repair, which can be achieved while performing the “runners stretch,” (putting your toes a couple inches up the wall while your heel is on the ground). Doing stretches to gain functional strength are also important because it improves healing in the tendon, which will in turn lead to a quicker return to activities. These stretches should be more intense and should involve some sort of weight bearing, which helps reorient and strengthen the collagen fibers in the injured ankle. A popular stretch used for this phase of rehabilitation is the toe raise on an elevated surface. The patient is to push up onto the toes and lower his or her self as far down as possible and repeat several times. The other part of the rehab process is orthotic support. This doesn’t have anything to do with stretching or strengthening the tendon, rather it is in place to keep the patient comfortable. These are custom made inserts that fit into the patients shoe and help with proper pronation of the foot, which is otherwise a problem that can lead to problems with the Achilles. [ citation needed ]
• Knee scooters or “knee walkers” – Knee walkers or Knee scooters, as they are commonly referred to, are becoming increasingly popular.
With a knee scooter, the user bends their injured leg 90 degrees at the knee and kneels on a platform that is attached to a frame which has four wheels. The user steers the knee scooter with handlebars, much like a bicycle.
For long distance mobility, knee scooters are a big improvement, but they do have some significant disadvantages. With a knee scooter, both hands are required to control the device, so scooters are quite restricting when performing your daily activities. Even something simple like going through a door can create quite a challenge.
Getting into a car requires that the heavy, bulky device be stowed in the trunk or back seat. The turning radius of scooters is limited, so trying to navigate or perform tasks in restricted areas, such as a kitchen, is limited.
You cannot use knee scooters on stairs, in small areas, on slopes, or uneven terrain.