Vertiefung - Konservative Therapie für Sportler mit Knorpelschaden

Zusammenfassung

Norwegisches Triple Wie Patienten mit Knorpelschäden im Kniegelenk nach einem dreimonatigen Rehabilitationsprogramm den Alltag wieder problemlos meistern konnten, untersuchte Barbara Wondrasch gemeinsam mit einer norwegischen Arbeitsgruppe in der Oslo CARE Study. Für die Sportphysio stellt sie den Rehabilitationsprozess vor. Das Akronym CARE steht für Cartilage active Rehabilitation and Education.

• Literatur

• 1 Bailey A. Rehabilitation After Oswestry Autologous-Chondrocyte Implantation: The Oscell Protocol. Journal of Sports Rehabilitation 2003; 12: 104-118
• 2 Barker MK, Seedhom BB. The relationship of the compressive modulus of articular cartilage with its deformation response to cyclic loading: does cartilage optimize its modulus so as to minimize the strains arising in it due to the prevalent loading regime?. Rheumatology (Oxford) 2001; 40: 274-284
• 3 Bennell KL, Hunt MA, Wrigley TV et al. Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial. Osteoarthritis Cartilage 2010; 18: 621-628
• 4 Bennell KL, Messier SP. Osteoarthritis: Strength training, self-management or both for early knee OA. Nat Rev Rheumatol 2010; 6: 313-314
• 5 Brittberg MIA, Madre H, Mandelbaum B. Cartilage repair – Current Concepts. DJO Publications; 2012
• 6 Buckwalter JA. Activity vs. rest in the treatment of bone, soft tissue and joint injuries. Iowa Orthop J 1995; 15: 29-42
• 7 Buckwalter JA. Effects of early motion on healing of musculoskeletal tissues. Hand Clin 1996; 12: 13-24
• 8 Chow JW. Knee joint forces during isokinetic knee extensions: a case study. Clin Biomech (Bristol, Avon) 1999; 14: 329-338
• 9 Clark AL, Herzog W, Leonard TR et al. Contact area and pressure distribution in the feline patellofemoral joint under physiologically meaningful loading conditions. J Biomech 2002; 35: 53-60
• 10 Cohen NP, Foster RJ, Mow VC et al. Composition and dynamics of articular cartilage: structure, function, and maintaining healthy state. J Orthop Sports Phys Ther 1998; 28: 203-215
• 11 Culav EM, Clark CH, Merrilees MJ. Connective tissues: matrix composition and its relevance to physical therapy. Phys Ther 1999; 79: 308-319
• 12 Eckstein F, Lemberger B, Stammberger T et al. Patellar cartilage deformation in vivo after static versus dynamic loading. J Biomech 2000; 33: 819-825
• 13 Escamilla RF. Knee biomechanics of the dynamic squat exercise. Med Sci Sports Exerc 2001; 33: 127-141
• 14 Escamilla RF, Fleisig GS, Lowry TM et al. A three-dimensional biomechanical analysis of the squat during varying stance widths. Med Sci Sports Exerc 2001; 33: 984-998
• 15 Escamilla RF, Fleisig GS, Zheng N et al. Effects of technique variations on knee biomechanics during the squat and leg press. Med Sci Sports Exerc 2001; 33: 1552-1566
• 16 Grelsamer RP, Klein JR. The biomechanics of the patellofemoral joint. J Orthop Sports Phys Ther 1998; 28: 286-298
• 17 Hangody L, Vasarhelyi G, Hangody LR et al. Autologous osteochondral grafting – technique and long-term results. Injury 2008; 39 Suppl 1 S32-39
• 18 Heegaard J, Leyvraz PF, Curnier A et al. The biomechanics of the human patella during passive knee flexion. J Biomech 1995; 28: 1265-1279
• 19 Hill PF, Vedi V, Williams A et al. Tibiofemoral movement 2: the loaded and unloaded living knee studied by MRI. J Bone Joint Surg Br 2000; 82: 1196-1198
• 20 Irrgang JJ, Pezzullo D. Rehabilitation following surgical procedures to address articular cartilage lesions in the knee. J Orthop Sports Phys Ther 1998; 28: 232-240
• 21 Jaggers JR, Simpson CD, Frost KL et al. Prehabilitation before knee arthroplasty increases postsurgical function: a case study. J Strength Cond Res 2007; 21: 632-634
• 22 Kean CO, Birmingham TB, Garland SJ et al. Preoperative strength training for patients undergoing high tibial osteotomy: a prospective cohort study with historical controls. J Orthop Sports Phys Ther 2011; 41: 52-59
• 23 Kellis E. Tibiofemoral joint forces during maximal isokinetic eccentric and concentric efforts of the knee flexors. Clin Biomech (Bristol, Avon) 2001; 16: 229-236
• 24 Lin F, Wilson NA, Makhsous M et al. In vivo patellar tracking induced by individual quadriceps components in individuals with patellofemoral pain. J Biomech 2010; 2: 235-241
• 25 Marlovits S. Möglichkeiten zur chirurgischen Therapie von Knorpeldefekten – Teil 1: Grundlagen der Knorpelbiologie und der Heilung von Knorpeldefekten. Acta Chirurgica Austriaca 2000; 32: 124-129
• 26 McConnell J. The physical therapist‘s approach to patellofemoral disorders. Clin Sports Med 2002; 21: 363-387
• 27 McGinty G, Irrgang JJ, Pezzullo D et al. Biomechanical considerations for rehabilitation of the knee. Clin Biomech (Bristol, Avon) 2000; 15: 160-166
• 28 Mithoefer K, Hambly K, Della Villa S et al. Return to sports participation after articular cartilage repair in the knee: scientific evidence. Am J Sports Med 2009; 37 Suppl 1 167S-176S
• 29 Mithoefer K, Hambly K, Logerstedt D et al. Current concepts for rehabilitation and return to sport after knee articular cartilage repair in the athlete. J Orthop Sports Phys Ther 2012; 42: 254-273
• 30 Mithoefer K, Scopp JM, Mandelbaum BR. Articular cartilage repair in athletes. Instr Course Lect 2007; 56: 457-468
• 31 Mithoefer K, Williams RJ 3rd, Wickiewicz TL et al. High-impact athletics after knee articular cartilage repair: a prospective evaluation of the microfracture technique. Am J Sports Med 2006; 34: 1413-1418
• 32 Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. J Orthop Sports Phys Ther 2003; 33: 639-646
• 33 Reinold MM, Wilk KE, Macrina LC et al. Current concepts in the rehabilitation following articular cartilage repair procedures in the knee. J Orthop Sports Phys Ther 2006; 36: 774-794
• 34 Risberg MA, Holm I, Myklebust G et al. Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: a randomized clinical trial. Phys Ther 2007; 87: 737-750
• 35 Salem GJ, Powers CM. Patellofemoral joint kinetics during squatting in collegiate women athletes. Clin Biomech (Bristol, Avon) 2001; 16: 424-430
• 36 Steinkamp LA, Dillingham MF, Markel MD et al. Biomechanical considerations in patellofemoral joint rehabilitation. Am J Sports Med 1993; 21: 438-444
• 37 Walker JM. Pathomechanics and classification of cartilage lesions, facilitation of repair. J Orthop Sports Phys Ther 1998; 28: 216-231
• 38 Wilk KE, Briem K, Reinold MM et al. Rehabilitation of articular lesions in the athlete’s knee. J Orthop Sports Phys Ther 2006; 36: 815-827
• 39 Williams GN, Chmielewski T, Rudolph K et al. Dynamic knee stability: current theory and implications for clinicians and scientists. J Orthop Sports Phys Ther 2001; 31: 546-566
• 40 Wingerden B. Connective Tissue in Rehabilitation. 1995
• 41 Wondrasch B, Aroen A, Rotterud JH et al. The feasibility of a 3-month active rehabilitation program for patients with knee full-thickness articular cartilage lesions: the Oslo Cartilage Active Rehabilitation and Education Study. J Orthop Sports Phys Ther 2013; 43: 310-324