Rehabilitation following total knee replacement. Conservative orthopedics and sport science

Der Orthopäde
S Rupp, G Wydra

Abstract

Total knee replacement (TKR) is a highly standardized procedure. However; many patients are not satisfied with the functional results. Surgery focuses initially on restoration of joint function. Based on the ICF classification (WHO) rehabilitation adds individual and social perspectives. The focus is not limited to body functions but includes abilities and participation. After surgery the patient suffers from pain, swelling, restricted blood circulation and a dramatic impairment of motor function. To prepare patients for activities of daily living it is important to analyze and understand the demands after TKR. Key qualities are the range of motion of the knee joint, functional joint stability, postural stability and muscle coordination. The paper describes a comprehensive rehabilitation protocol which is mainly based on the concept of functional training which consists of purposeful training preparing patients for activities of daily living and participation. It attempts to focus on multijoint movement as much as possible using closed chain muscle action (leg press, indoor cycling, gait training) and on sensorimotor training. A second focus is on postural stability (balance training). For clinical evaluation standardized score...Continue Reading

References

Sep 12, 2006·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·C Sunderkötter, G Riemekasten
Apr 6, 2011·Molecular and Cellular Neurosciences·Subathra PoopalasundaramUwe Drescher
Oct 3, 2012·Therapeutische Umschau. Revue thérapeutique·M Vetter, C Rochlitz

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