Using Dynamic Ultrasound with Biofeedback to Adapt Rehabilitation Exercises for Connective Tissue Injuries: A Case of “Tennis Leg”

Steeve Chiapolini Tennis Leg ProbeFix Dynamic Reduced Movement

Institute: Steeve Chiapolini, KineSport, I.CARE, Société Française de Thérapie Invasive Échoguidée (SFTIE), Val d'Oise

Steeve Chiapolini Tennis Leg ProbeFix Dynamic Reduced Movement

Summary

This report presents a case of a grade 3 rupture (type 4 on Pedret’s Classification) of the triceps surae with hematoma, managed using dynamic ultrasound and biofeedback. The primary goal was to limit shearing forces between the soleus and the medial gastrocnemius to promote tissue healing. Dynamic ultrasound allowed precise control of muscle contractions and joint amplitudes, minimizing the risk of complications. This case highlights the value of this approach in managing complex muscle injuries and emphasizes the importance of tailored strategies to optimize tissue repair.

Investigations with ProbeFix Dynamic
The use of ProbeFix Dynamic enabled precise evaluation of muscle and aponeurotic movements. Ultrasound imaging revealed significant displacement of the soleus relative to the GM during concentric and eccentric contractions. These findings confirmed the need to limit dorsiflexion amplitude to minimize shearing forces.Clinical configurations included standardized probe positioning to ensure consistent imaging and annotated ultrasound images to visualize muscle planes and evaluate their interaction during exercises.

Introduction Steeve Chiapolini

As a sports physiotherapist specialized in sports traumatology, Steeve Chiapolini works with elite athletes in professional football and Olympic athletes in BMX, basketball, and athletics. In addition to his own clinical practice, Steeve teaches at KineSport, focusing on ultrasound, blood flow restriction (BFR), dry needling, and electromyography (EMG). He is the co-founder of I.CARE, where he oversee various medical centers. Furthermore, he serves as the President of the Société Française de Thérapie Invasive Échoguidée (SFTIE) and is the physiotherapist for the elite handball club Val d’Oise.

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