文章基本信息

标题：KINESIOTHERAPY AFTER MEDIAL COLLATERAL LIGAMENT INJURY OF THE KNEE
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作者：Šklempe Kokić, Iva ; Uremović, Melita ; Kokić, Tomislav 等
期刊名称：Hrvatski Sportskomedicinski Vjesnik
印刷版ISSN：0354-0766
出版年度：2012
卷号：27
期号：1
页码：3-9
出版社：Croatian Olympic Committee
摘要：Injury of the medial collateral ligament of the knee is one of the most frequent knee injuries (1, 30, 37). Popularity of sports like skiing and soccer contributes toward high incidence of this type of injury (26, 30). Medial collateral ligament of the knee is primary static stabiliser of the medial part of the knee (49) and it's very important to determine optimal rehabilitation strategy after the injury. Lesion of the medial collateral ligament are followed by joint instability associated with damage and neuromuscular deficit (14). Purpose of this article is to describe guidelines for kinesiotherapy application after isolated injuries of the medial collateral ligament of all grades of severity. The most important features of rehabilitation program for three grades of severity, respectively, are described. There is consensus in literature regarding effectiveness of conservative treatment of isolated medial collateral ligament injuries of all grades because of its structural characteristics wich enable healing without surgical treatment. Surgical treatment is recommended for combined injuries of medial collateral ligament and other knee joint structures, injury of anterior cruciate ligament being the most frequent. Focus of rehabilitation protocol is on the kinesiotherapy, specifically graded application of therapeutic exercise. Although there are several descriptions of rehabilitation and kinesitherapeutic protocols in literature, these programs are based upon clinical experience and non randomized trials. Specific rehabilitation protocols based upon randomised clinical trials are still non existent. Understanding the mechanism and classification of injury and exclusion of other knee structures injuries is necessary to determine optimal rehabilitation program. It is important to start with graded therapeutic exercises from the earliest rehabilitation phase to prevent unnecessary muscular atrophy and loss of range of movement caused by oedema. With correct implementation of rehabilitation program return to previous level of functioning after injuries of I. and II. grade is relatively fast. For optimal rehabilitation success therapeutic exercises program should be individually adjusted to every athlete. In some cases, the use of functional orthosis during sports events is justified.
关键词：medial collateral ligament;knee;rehabilitation;kinesitherapy;therapeutic exercises