康复学外文文献Rehabilitation Common Problems and Solutions.pdfVIP

Rehabilitation Common Problems and Solutions Kevin E. Wilk, PT, DPT, FAPTAa,b, Christopher A. Arrigo, MS, PT, ATCc,d,* KEYWORDS Prevention Physical therapy Surgery Musculoskeletal Sports medicine KEY POINTS There are numerous complications that can occur following a musculoskeletal injury or surgery in the sporting population. Many of these complications include stiffness, pain, and/or movement dysfunction. Prevention of the most frequent complications is the key in any successful rehabilitation program, but occasionally problems do occur. A thorough well-designed postoperative or postinjury rehabilitation program may prevent most of these problems. However, if complications do arise, a team approach among all of the parties involved in the process (physician, physical therapist, athletic trainer, strength and conditioning specialist, coach, and athlete) working to develop an evidenced-based treatment program designed specifically for the underlying complication can successfully treat these issues. Rehabilitation plays a significant role in the successful results and positive out- comes following any orthopedic and sports medicine injury or surgical procedure. Complications following even what are generally regarded as the most successfully managed conditions are common and far more prevalent than desired. For example, following anterior cruciate ligament (ACL) surgery it has been reported that 7% to 15% of patients will exhibit a loss of normal motion.1,2 The authors of this article think the incidence of motion loss in these instances is much higher when range of motion (ROM) is carefully and accurately measured. The same complication is evident following rotator cuff (RTC) repair surgery. Koo and col- leagues3 have reported that 5% to 16% of patien