Neuromuscular and Motor System Alterations After Knee Trauma and Knee Surgery

摘要: Knee trauma and operations have a high incidence economic relevance. They are among the most frequent injuries especially in sports. Recently, both diagnostic possibilities (such as MRT) surgical spectrum (meniscus suture, cartilage cell breeding) increased. Internationally, an increase minimal-invasive procedures can be observed, supported by improved equipment. Rehabilitation has changed, too, parallel to technical developments—it been characterized early-functional rehabilitation concepts since early 90s. In spite of advances diagnostics, physiotherapeutic rehabilitation, there short and/or long-term changes motoric function following surgery. The subject matter Motor System nothing common with movement. “In this way, is clear distinction between totality all regulating processes functions on one hand, adverse outcomes these processes, human movement, other hand.” (Marhold 1995 from Beyer 1992, 425). > Deficient activation musculature seen, knee extensors, consecutive atrophy—especially M. vastus medialis—and coordinative may occur. For posttraumatic postoperative changes—for deficits therapy- or training-related adaptations—the explanations meager. It therefore urgently necessary provide order establish adequate treatment. questions must answered: 1. How receptors joint supplied what structures mechanically damaged interior procedures? 2. What metabolic occur conjunction procedures? 3. Are any nervous disrupted procedures? 4. What measured complex motor after injury treatment? 5. Is pattern measurable changes? 6. What therapeutic consequences arise for rehabilitation?