Jm. Walker, PATHOMECHANICS AND CLASSIFICATION OF CARTILAGE LESIONS, FACILITATION OF REPAIR, The Journal of orthopaedic and sports physical therapy, 28(4), 1998, pp. 216-231
Joint forces have a high potential to promote degenerative changes in
articular cartilage. Researchers have not yet developed a material tha
t simulates natural articular cartilage, and replacement procedures ha
ve finite lives. In all patients, regardless of diagnostic category, t
he impact of rehabilitative procedures on the integrity and health of
articular cartilage should be a consideration. In this paper, I will r
eview why articular cartilage breaks down, how cartilage lesions are c
lassified in vitro and in vivo, as well as cartilage's capacity for re
pair and repair enhancement The primary focus will be on processes and
procedures that impact physical therapy. Review sources included comm
on computer-based search instruments and literature in all languages.
This research showed that most studies have been conducted on animals,
which differ in important respects from humans. Such studies, however
, provide guidelines for physical therapists. Unloading and overloadin
g are detrimental to articular cartilage. Research indicates value in
controlled, progressive regimes that alternate load and non-load condi
tions.