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Bike Seat Tilt Reduces Low-Back Pain

Mortensen NHM, Skov 0, Jensen PE: Early motion of the ankle after operative treatment of a rupture of the Achilles tendon. J Bone Joint Surg (Am) 1999;81(7):983-990 excessive lengthening of the tendon, but the brace group achieved better results than the cast group, including fewer adhesions between the skin and repaired tendon, smaller initial loss of range of motion (20° vs 30°), and quicker return to work (43 vs 68 days) or sports (4 vs 7.5 months). In addition, more earlymotion patients than conventional patients rated their postoperative outcome excellent (84% [26/31) vs 63% [19/30)). Marker separation correlated with the initial tautness of the repair. The two groups had nearly equal separation (median, ll.5 mm in the early motion group vs 9 mm in the cast group), equal recovery of plantar flexion (median, 89%) compared with the uninjured limb, and nearly identical heel-rise tests. Compared with cast immobilization, braces that allow early restricted motion shorten rehabilitation time and produce equivalent outcome in patients who have ruptured Achilles tendons, a prospective study suggests. COMMENT