Activity vs. rest in the treatment of bone, soft tissue and joint injuries.

摘要: One of the most important advances in treatment musculoskeletal injuries has come from understanding that controlled early resumption activity can promote restoration function, and with prolonged rest may delay recovery adversely affect normal tissues. In last decade nineteenth century two widely respected orthopaedists extensive clinical experience strongly advocated opposing treatments injuries. Hugh Owen Thomas Liverpool believed enforced, uninterrupted produced best results. He noted movement injured tissues increased inflammation, that, "It would indeed be as reasonable to attempt cure a fever patient by kicking him out bed, benefit joint disease wriggling at articulation." Just Lucas-Championnier Paris took opposite position. argued active motion accelerated although he mobility had given limited doses. general, Thomas' views met greater acceptance part this century, but experimental studies several decades generally support Lucas-Championneir. They confirm help explain deleterious effects beneficial on have shown maintenance bone, tendon ligament, articular cartilage muscle structure composition require repetitive use, changes patterns tissue loading strengthen or weaken Although all respond loading, they vary magnitude type response specific activity. Furthermore, their responsiveness decline increasing age. Skeletal bone demonstrate apparent individuals any Cartilage dense fibrous also responses are more difficult measure. The been less extensively studied, available evidence indicates repair and, like immature tissues, sensitive cyclic than mature However, is not without risks. Premature excessive inhibit stop repair. Unfortunately, optimal methods facilitating healing application defined.(ABSTRACT TRUNCATED AT 400 WORDS)