Kreuzbandrehabilitation in der offenen Kette – Fakten und Mythen[1]

Zusammenfassung

In der Rehabilitation nach einer vorderen Kreuzbandruptur besteht Uneinigkeit darüber, ob in der offenen Kette trainiert werden darf oder ausschließlich das Training in der geschlossenen Kette zu bevorzugen ist.

Dieser Review untersuchte die Evidenz, ob es in der offenen Kette über eine verstärkte anteriore Tibiatranslation zu einer größeren Laxität des Transplantats und schlechteren funktionellen Nachbehandlungsergebnissen kommt. Als Resultat fanden sich widersprüchliche Beweise für eine vergrößerte Laxität bzw. kein Beweis für schlechtere funktionelle Nachbehandlungseffekte.

Abstract

In rehabilitation after anterior cruciate ligament reconstruction there is continued disagreement concerning the advisability of exercise in an open kinetic chain or whether exercise exclusively in the closed kinetic chain should be favoured.

This review examined the evidence concerning greater anterior tibia displacement during exercise in an open kinetic chain with resulting increase in the transplant’s laxity and poor functional rehabilitation outcome. The results were inconclusive concerning increased laxity and showed no evidence for poorer functional outcome.

Schlüsselwörter

vordere Kreuzbandruptur - offene Kette - geschlossene Kette - Laxität - funktionelle Nachbehandlungsergebnisse - Evidenz

Key words

anterior cruciate ligament rupture - open kinetic chain - closed kinetic chain - laxity - functional outcome - evidence

1 Die Arbeit wurde im Rahmen des Master-of-Science-Studiengangs Muskuloskelettale Physiotherapie an der Donau-Universität Krems erstellt.

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1 Die Arbeit wurde im Rahmen des Master-of-Science-Studiengangs Muskuloskelettale Physiotherapie an der Donau-Universität Krems erstellt.