PATHOMECHANICS AND CLASSIFICATION OF CARTILAGE LESIONS, FACILITATION OF REPAIR

Authors
Citation
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
Citations number
118
Categorie Soggetti
Orthopedics,"Sport Sciences",Rehabilitation
ISSN journal
01906011
Volume
28
Issue
4
Year of publication
1998
Pages
216 - 231
Database
ISI
SICI code
0190-6011(1998)28:4<216:PACOCL>2.0.ZU;2-N
Abstract
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.