tailieunhanh - Phục hồi chức năng chấn thương đầu gối

Tham khảo tài liệu 'phục hồi chức năng chấn thương đầu gối', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Closed-Chain Rehabilitation for Upper and Lower Extremities w. Ben Kibler MD and Beven Livingston MS PT Abstract Closed-chain exercise protocols are used extensively in rehabilitation of knee injuries and are increasingly used in rehabilitation of shoulder injuries. They are felt to be preferable to other exercise programs in that they simulate normal physiologic and biomechanical functions create little shear stress across injured or healing joints and reproduce proprioceptive stimuli. Because of these advantages they may be used early in rehabilitation and have been integral parts of accelerated rehabilitation programs. The authors review the important components of a closed-chain rehabilitation program and provide examples of specific exercises that are used for rehabilitation of knee and shoulder injuries. J Am Acad Orthop Surg 2001 9 412-421 Orthopaedic surgeons are intimately involved in the rehabilitation process in that they establish the anatomic diagnosis of the injury determine the timing of entrance into and exit from the rehabilitation program and select the modalities and exercises that are used. Even though they usually do not physically demonstrate or personally supervise the exercises they must understand the basic concepts underlying the various types of exercises and the timing of exercise progressions in order to effectively communicate with the physical therapists and coordinate the best program for the individual patient s needs. Most current rehabilitation programs emphasize functional restoration of the injured part which requires not only repair and healing of injured tissues but also restoration of correct positioning and movement of joints as well as activation of muscles in the proper sequence so as to achieve normal function. Closed- chain protocols have been advocated in rehabilitation because they have characteristics that encourage more complete functional restoration. These exercises have been used extensively for anterior cruciate