Welcome to episode number 3 of The Residents of the Roundtable Podcast. Join Joey, Rayce, and Robert, as they discuss the article "Exercise Progression to Incrementally Load the Achilles Tendon." The achilles tendon has to handle stressors/forces that are multiple times an individual's body weight. Many trainers and movement professionals will progress clients/patients based off intuition and symptom response; however, this article provides a tiered approach to incrementally load the achilles tendon in the hope to not under-load or overload. We also discuss the utilization of a concurrent training model in the various stages of the rehabilitation process.

Tier 1 (0.0-0.249):

• Seated heel raise (2-leg)
• Seated heel raise (1-leg)
• Squat
• Low step up (leading leg)
• High step up (leading leg)
• Standing heel raise (2-leg)

Tier 2 (0.25-0.49):

• Rebounding heel raise (2-leg)
• Lunge (leading leg)
• Low step down (leading leg)
• Low step up (trailing leg)
• High step down (trailing leg)
• Walk (stance)
• Low step down (trailing leg)
• Forward jump (2-leg)
• High step down (leading leg)
• High step up (trailing leg)
• Lunge (trailing leg)
• Counter movement jump (2-leg)
• Rebounding heel raise (1-leg)
• Standing heel raise (1-leg)

Tier 3 (0.50-0.74):

• Drop jump (2-leg)
• Hopping (2-leg)
• Run (stance)
• Forward hopping (2-leg)
• Counter movement jump (1-leg)
• Forward jump (1-leg)

Tier 4 (0.75-1.00):

• Hopping (1-leg)
• Drop jump (1-leg)
• Lateral hopping (1-leg)
• Forward hopping (1-leg)

Let us know what you think!

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@joeyscambia.dpt

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@santana_dpt

Baxter R, Corrigan P, Hullfish T, O'Rourke P, & Silbernagel K. (2020). Exercise Progression to Incrementally Load the Achilles Tendon. Medicine & Science in Sports & Exercise.