Article

Post-traumatic osteoarthritis (PTOA) is a process resulting from direct forces
applied to a joint that cause injury and degenerative changes. An estimated 12%
of all symptomatic osteoarthritis (OA) of the hip, knee, and ankle can be
attributed to a post-traumatic cause. Neuromuscular prehabilitation is the
process of improving neuromuscular function to prevent development of PTOA after
an initial traumatic joint injury. Prehabilitation strategies include restoration
of normative movement patterns that have been altered as the result of traumatic
injury, along with neuromuscular exercises and gait retraining to prevent the
development of OA after an injury occurs. A review of the current literature
shows that no studies have been performed to evaluate methods of neuromuscular
prehabilitation to prevent PTOA after a joint injury. Instead, current research
has focused on management strategies after knee injuries, the value of exercise
in the management of OA, and neuromuscular exercises after total knee
arthroplasty. Recent work in gait retraining that alters knee joint loading holds
promise for preventing the development of PTOA after joint trauma. Future
research should evaluate methods of neuromuscular prehabilitation strategies in
relationship to the outcome of PTOA after joint injury.
CI - Copyright (c) 2012 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS