Background: Achilles tendon rupture accounts for approximately 10.7% of all tendon injuries, and has been reported to be responsible for 47% of acute sports-related injuries. Although Achilles tendon rupture is more commonly observed in athletes, intrinsic factors such as body composition, age, and sex contribute to decreased tendon elasticity between the ages of 30–50, increasing the likelihood of injury. According to the World Health Organization, the annual incidence of Achilles tendon rupture ranges from 7 to 40 cases per 100,000 population. Aim: To investigate the relationship between ankle range of motion limitations and dynamic balance performance in patients following Achilles tendon rupture. Materials and Methods: Using a cross-sectional study design. A total of 60 patients who underwent surgical repair for Achilles tendon rupture at Songino-khairkhan District General Hospital were included. The Achilles Tendon Total Rupture Score (ATRS) questionnaire (10 items) was used to assess self-reported functional status. Ankle dorsiflexion range of motion was measured using an inclinometer, and dynamic balance was assessed using the modified Star Excursion Balance Test (mSEBT). Statistical analyses were performed using SPSS version 25.0. Results: The mean ATRS score among participants was 45.25±14.27, indicating a high level of functional limitation. The dorsiflexion range of motion of the injured limb was 11.12 ± 3.90 degrees, which was significantly reduced compared to the non-injured side (p < 0.05). A weak correlation was observed between dorsiflexion range of motion of the uninjured ankle and dynamic balance in the posterolateral and posteromedial directions (p < 0.05). Conclusion 1. The dorsiflexion range of motion in the injured ankle was three times lower than that of the uninjured side 2. The limited ankle dorsiflexion range of motion was not associated with dynamic balance performance.

BACKGROUND: According to the World Health Organization (WHO), 10-15% of couples of reproductive age have infertility. According to researcher D. Sukhe (1999), hormonal infertility in the reproductive age of women was 33.6%, which was a large part of the cause of infertility. In recent years, the number of cases of endocrine disorders, including malignancy and sexually transmitted infections, has been increasing year by year. According to WHO reports, thyroid disorders have a prevalence of 49.3% for active reproductive age (30-50). According to the report of the Health Development Center in 2016, since the thyroid disorders are the second most common disease in endocrine gland disease, our study found that the infertility in reproductive age of women can be substantial due to the loss of thyroid gland. METHODS: The study was carried out by the couple of 20-45 year-olds and modeled as an analytical study model. The questionnaire was used for the couple’s interviews and some of the measurement of body and serum use of TOSOH Corporation AIA-360, Tokyo, Japan. On the serum, anti-TPO and аnti-TG carbohydrates are identified by the Cobas e-411 analyzer under the manufacturer’s accompanying protocol. RESULTS: 76.7% of women were diagnosed with infertility euthyroid, 0.7% hyperthyroidism, 22.6% hypothyroidism (3.8% with overt hypothyroidism and 18.8% subclinical hypothyroidism). Prevalence of TAI, in 6.7% isolated positive anti-Tg were found, and 14.3% had isolated positive TPO, In 3.7% of cases, both types of autoantibodies were present. We analysed binary logistic regression for anti-TPO and anti-TG autoantibody in the positive and negative group in past obstetrics history, evidence of positive of anti-TPO and anti-Tg was increased risk of miscarriage 2.2 times (OR = 2.2, p <0.01). CONCLUSIONS: Women with disorders in our study have high percentage of subclinical hypothyroidism and have higher rate of thyroid autobodies in serum which may be a problem for women with infertility and pregnancy complications due to the loss of thyroid gland. There is a need to develop a principle of recovery and treatment.