Rehabilitation of Sports Injuries: Current Concepts PDF
Preview Rehabilitation of Sports Injuries: Current Concepts
G. Puddu· A. Giombini . A. Selvanetti (Eds.) Rehabilitation of Sports Injuries Springer-Verlag Berlin Heidelberg GmbH G. Puddu· A. Giombini . A. Selvanetti (Eds.) Rehabilitation of Sports Injuries Current Concepts With 172 Figures in 212 Parts and 45 Tables + Springer Giancarlo Puddu, MD, Prof. Clinica "Valle Giulia" Via de Notaris 2 b, 00197 Rome, Italy Arrigo Giombini, MD Sports Science Institute, Department of Medicine Service ofRehabilitation and Functional Reconditioning Via dei Campi Sportivi 46, 00197 Rome, (Italy) Alberto Selvanetti, MD Sports Science Institute, Department of Medicine Service ofRehabilitation and Functional Reconditioning Via dei Campi Sportivi 46, 00197 Rome, (Italy) ISBN 978-3-642-08690-8 Library of Congress Cataloging-in-PubJication Data Rehabilitation of sports injuries : current concepts 1 [edited by] Giancarlo Puddu, Arrigo Giombini, Alberto Selvanetti. p.;cm. Includes biographical references and index. ISBN 978-3-642-08690-8 ISBN 978-3-662-04369-1 (eBook) DOI 10.1007/978-3-662-04369-1 1. Sports injuries. 2. Sports injuries - Patients - Rehabilitation. 3. Sports physical therapy. 1. Puddu, Giancarlo. H. Giombini, Arrigo, 1960 - III. Selvanetti, Alberto, 1962- [DNLM: 1. Athletic Injuries - rehabilitation. QT 261 R3447 2001] RD97.R438 2001 617.1'027 - dC21 00-061188 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this pubJication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag Berlin Heidelberg GmbH. Violations are liable for prosecution under the German Copyright Law. © Springer-Verlag Berlin Heidelberg 2001 Originally published by Springer-Verlag Berlin Heidelberg Ne w York in 2001 Softcover reprint of the hardcover 1st edition 2001 The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about the application of operative techniques and medications contained in this book. In every individ ual case the user must check such information by consulting the relevant literature. Cover Design: E. Kirchner, D-69121 Heidelberg Typesetting: FotoSatz Pfeifer GmbH, D-82166 Gräfelfing ° Printed on acid-free paper - SPIN: 10730055 24/3130 - 5 4 3 2 1 Preface Over the last few years, in the field of sports science and medicine, empirical theories about the treatment and rehabilitation of injured athletes have been gradually sup ported by a rapid growth of research data and scientific literature. This has permit ted a better knowledge of the healing process from injury and/or surgery, and a more appropriate understanding of the biomechanical behavior of several biological structures to load and exercise. We agree with the opinion that development and advancement through a rehabil itation program should be based on the type and severity of the lesion, healing time of the injured structures, individual pain tolerance level, possible adopted surgical procedure, and sport-specific biomechanical demands. Currently, the most re cent theories on rehabilitation of the injured athlete em phasize the concepts of a multidisciplinary approach, a functional recovery instead of symptomatic improvement, and an early mobilization with the implementation of an individualized program treating the entire body kinetic chains. Among different methods of rehabilitation, the physician should choose those re vealing their clinical appropriateness, founded on a validated scientific data and/or proven clinical efficacy. Our goal has been to provide a comprehensive coverage of principles and practi cal applications of the rehabilitation methods of the most common sports injuries, and we have tried to combine the variety of expertise and backgrounds of a multidis ciplinary group of contributing authors. The editors would like to thank each of the contributors and express their appre ciation and gratitude to the publisher for giving them the opportunity to develop and realize their ambitious project. Giancarlo Puddu, MD Arrigo Giombini, MD Alberto Selvanetti, MD Contents Ligaments of the Knee in Sports Injuries and Rehabilitation Savio L-Y. Woo, Eric K. Wong, f. Mi Lee, Masayoshi Yagi, Freddie H. Fu .... 2 Methods of Functional Testing During Rehabilitation Exercises Carrnelo Bosco ................................................... 11 3 Proprioceptive Training in the Prevention of Sports Injuries Giuliano Cerulli, Fabrizio Ponteggia, Auro Caraffa, GianCarlo Aisa . . . . . .. 23 4 Application of Electromyography in Sport Medicine Mario Larnontagne ............................................... 31 5 Rehabilitation of Rotator Cuff Injuries Alberto Selvanetti, Arrigo Giornbini, Ignazio Caruso ................... 43 6 Rehabilitation of the Unstable Shoulder fean-Pierre Liotard, Gilles Walch ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 61 7 Rehabilitation of Elbow Injuries Kevin E. Wilk, farnes R. Andrews ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 73 8 Rehabilitation of Hand and Wrist Injuries Antonio Castagnaro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 94 9 Rehabilitation of Low Back Pain Pierre A. d'Hernecourt, Lyle f. Micheli, Carl Gustafson .................. 108 10 Rehabilitation of the Knee After Anterior Cruciate Ligament Reconstruction Paolo Aglietti, Fabrizio Ponteggia, Francesco Giron .................... 118 11 Rehabilitation After Posterior Cruciate Ligament Injuries Enrico Giannl, Guglielrno Cerullo, Giancarlo Puddu . . . . . . . . . . . . . . . . . . .. 136 12 Anterior Knee Pain: An Overview of Management Options Nicola Maffulli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 148 13 Rehabilitation After Ankle Ligament Injury Lars Konradsen, Per F.A.H. Renströrn ................................ 154 14 Rehabilitation of the Foot Following Sports-Related Injuries and Surgical Treatment Andrea Scala. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 167 15 Rehabilitation of Muscle Injuries Donald T. Kirkendall, Williarn E. Prentice, Williarn E. Garrett. . . . . . . . . . .. 185 16 Isokinetics in Rehabilitation Kai-Ming Chan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 194 17 Eccentric Exercise in the Treatment ofTendon Injuries in Sport Nick A. Evans, Bai Rajagopalan, Williarn D. Stanish . . . . . . . . . . . . . . . . . . .. 203 VIII Contents 18 Aquatic Therapy in Rehabilitation Piero Faccini, Sabrina Zanolli, Dario Dalla Vedova 212 19 Hyperthermia and Shock Waves: New Methods in the Treatment of Sports Injuries Arrigo Giombini, Vittorio Franeo, Alberto Selvanetti ................... 221 Subject Index ....................................................... 235 Contributors Paolo Aglietti, MD, Prof. First Orthopaedic Clinic, University of Florence Largo P. Palagi 1, 50139 Florence, Italy GianCarlo Aisa, MD Orthopaedic Clinic Terni, Ospedale S. Maria, University of Perugia Piazzale T. di Joannuccio, 05100 Terni, Italy James R. Andrews, MD, Prof. American Sports Medicine Institute, 131313th Street South, Birmingham, AL 35205, USA Carmelo Bosco, PhD, DU, D Hon C School of Specialization in Physical Medicine and Rehabilitation University of Tor Vergata, c/o Fondazione Don Gnocchi ONLUS V. Maresciallo Caviglia 30, 00194 Rome, Italy Auro Caraffa, MD Orthopaedic Clinic of Terni, Ospedale S. Maria, University of Perugia Piazzale T. di Joannuccio, 05100 Terni, Italy Ignazio Caruso, MD, Prof. School of Specialization in Physical Medicine and Rehabilitation University of Tor Vergata, c/o Fondazione Don Gnocchi ONLUS V. Maresciallo Caviglia 30, 00194 Rome, Italy Antonio Castagnaro, MD Servizio Chirurgia Della Mano, Ospedale Be1colle, Strada Sanmarinese, 01100 Viterbo, Italy Giuliano Cerulli, MD, Prof. Director of Orthopaedic and Traumatology Department, Silvestrini Hospital University of Perugia, Piazzale T. di Joannuccio, 05100 Terni, Italy Guglielmo Cerullo, MD Clinica "Valle Giulia", Via G. De Notaris 2B, 00197 Rome, Italy Kai-Ming Chan, MD, Prof. The Chinese University of Hong Kong, Department of Orthopaedics and Trauma tology, Room 724029 5/F, Clinical Science Building, Prince of Wales Hospital Shatin, New Territories, Hong Kong Dario Dalla Vedova, PT Sports Science Institute, Department of Physiology, Via dei Campi Sportivi 46, 00197 Rome, Italy Nick A. Evans, BSc, FRCS (Orthop) Orthopaedic and Sports Medicine Clinic ofNova Scotia, 5595 Fenwick Street, Suite 311, Halifax, Nova Scotia B3H 4M2, Canada X Contributors Piero Faccini, MD Sports Science Institute, Department of Physiology, Via dei Campi Sportivi 46, 00197 Rome, Italy Vittorio Franco, MD Clinica "Valle Giulia", Via G. De Notaris 2b, 00197 Rome, Italy Freddie H. Fu, MD Musculoskeletal Research Center, Department of Orthopaedic Surgery University of Pittsburgh, Pittsburgh, PA 15213, USA William E. Garrett, Jr, MD, PhD Department of Orthopaedics, University of North Carolina, 236 Burnett -Womack Building, CB No. 7055, Chapel Hill, NC 27599, USA Enrico Gianni, MD Clinica "Valle Giulia", Via G. De Notaris 2B, 00197 Rome, Italy Arrigo Giombini, MD Sports Science Institute, Department of Medicine, Service of Rehabilitation and Functional Reconditioning, Via dei Campi Sportivi 46, 00197 Rome, Italy Francesco Giron, MD First Orthopaedic Clinic, University of Florence, Largo P. Palagi 1, 50139 Florence, Italy Carl Gustafson, PT Division of Sports Medicine, Boston Children's Hospital, 319 Longwood Avenue Boston, MA 02115, USA Pierre A. d'Hemecourt, MD Division of Sports Medicine, Boston Children's Hospital, 319 Longwood Avenue Boston, MA 02115, USA Donald T. Kirkendall, PhD Department of Orthopaedics, University of North Carolina, 236 Burnett -Womack Building, CB No. 7055, Chapel Hill, NC 27599, USA Lars Konradsen, MD Department of Orthopedic Surgery, Gentofte Hospital, University of Copenhagen Denmark Mario Lamontagne, PhD School of Human Kinetics and Department of Mechanical Engineering University of Ottawa, 125 University Street (MNT341), Ottawa, Ontario KIN 6N5, Canada Jean-Pierre Liotard, MD Clinique Sainte Anne Lumiere, 85 Cours Albert Thomas, 69003 Lyon, France Nicola Maffulli, MD, MS, PhD, FRCS (Orth) Department of Orthopaedic Surgery, University of Aberdeen Medical School Polwarth Building, Foresterhill, Aberdeen AB25 2ZD, UK Lee J. Mi, MD Musculoskeletal Research Center, Department of Orthopaedic Surgery University of Pittsburgh, Pittsburgh, PA 15213, USA Lyle J. Micheli, MD, Prof. Division of Sports Medicine, Boston Children's Hospital 319 Longwood Avenue, Boston, MA 02115, USA Contributors XI Fabrizio Ponteggia, MD Lecturer in Physical Medicine and Rehabilitation, CTO, University of Florence Largo P. Palagi 1, 50139 Florence, Italy Williarn E. Prentice, PhD Departrnent of Physical Education, Exercise and Sport Sciences, University ofNorth Carolina, Chapel Hill, NC 27599, USA Giancarlo Puddu, MD, Prof. Clinica "Valle Giulia", Via G. de Notaris 2B, 00197 Rorne, Italy BaI Rajagopalan, MD Orthopaedic and Sports Medicine Clinic Of Nova Scotia, 5595 Fenwick Street, Suite 311, Halifax, Nova Scotia B3H 4M2, Canada Per EA.H. Renströrn, MD, PhD Departrnent of Orthopedics, Sports Medicine and Arthroscopy Karolinska Hospital, SE-17176 Stockholrn, Sweden Andrea Scala, MD Departrnent of Orthopaedic, S. Carnillo Hospital, Via Portuense 332, 00152 Rorne, Italy Alberto Selvanetti, MD Sports Science Institute, Departrnent of Medicine, Service of Rehabilitation and Functional Reconditioning, Via dei Carnpi Sportivi 46, 00197 Rorne, Italy Williarn D. Stanish, MD, FRCS (C) Orthopaedic and Sports Medicine Clinic Of Nova Scotia, 5595 Fenwick Street, Suite 311, Halifax, Nova Scotia B3H 4M2, Canada Gilles Walch, MD, Prof. Clinique Sainte Anne Lurniere, 85 Cours Albert Thornas, 69003 Lyon, France Kevin E. Wilk, PT Arnerican Sports Medicine Institute, 1313 13th Street South, Birrningharn, AL 35205, USA Eric K. Wong, BS Musculoskeletal Research Center, Departrnent of Orthopaedic Surgery University of Pittsburgh, Pittsburgh, PA 15213, USA Savio L-Y. Woo, MD, PhD, DSc (Hon) Ferguson Professor and Director, Musculoskeletal Research Center, Departrnent of Orthopaedic Surgery, University of Pittsburgh, PO Box 71199, Pittsburgh, PA 15213, USA Masayoshi Yagi, MD Musculoskeletal Research Center, Departrnent of Orthopaedic Surgery University of Pittsburgh, Pittsburgh, PA 15213, USA Sabrina Zanolli, PT Sports Science Institute, Departrnent of Physiology, Via dei Carnpi Sportivi 46, 00197 Rorne, Italy
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