Rehabilitation of Sports Injuries: Current Concepts

249 Pages·2001·23.84 MB·English

by  Savio L-Y. Woo

G. Puddu· A. Giombini . A. Selvanetti (Eds.)
Rehabilitation of Sports Injuries
Springer-Verlag Berlin Heidelberg GmbH
G. Puddu· A. Giombini . A. Selvanetti (Eds.)
Rehabilitation
of Sports Injuries
Current Concepts
With 172 Figures in 212 Parts and 45 Tables
+
Springer
Giancarlo Puddu, MD, Prof.
Clinica "Valle Giulia"
Via de Notaris 2 b, 00197 Rome, Italy
Arrigo Giombini, MD
Sports Science Institute, Department of Medicine
Service ofRehabilitation and Functional Reconditioning
Via dei Campi Sportivi 46, 00197 Rome, (Italy)
Alberto Selvanetti, MD
Sports Science Institute, Department of Medicine
Service ofRehabilitation and Functional Reconditioning
Via dei Campi Sportivi 46, 00197 Rome, (Italy)
ISBN 978-3-642-08690-8
Library of Congress Cataloging-in-PubJication Data
Rehabilitation of sports injuries : current concepts 1 [edited by] Giancarlo Puddu, Arrigo
Giombini, Alberto Selvanetti.
p.;cm.
Includes biographical references and index.
ISBN 978-3-642-08690-8 ISBN 978-3-662-04369-1 (eBook)
DOI 10.1007/978-3-662-04369-1
1. Sports injuries. 2. Sports injuries - Patients - Rehabilitation. 3. Sports physical therapy.
1. Puddu, Giancarlo. H. Giombini, Arrigo, 1960 - III. Selvanetti, Alberto, 1962-
[DNLM: 1. Athletic Injuries - rehabilitation. QT 261 R3447 2001]
RD97.R438 2001
617.1'027 - dC21 00-061188
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Originally published by Springer-Verlag Berlin Heidelberg Ne w York in 2001
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Preface
Over the last few years, in the field of sports science and medicine, empirical theories
about the treatment and rehabilitation of injured athletes have been gradually sup
ported by a rapid growth of research data and scientific literature. This has permit
ted a better knowledge of the healing process from injury and/or surgery, and a
more appropriate understanding of the biomechanical behavior of several biological
structures to load and exercise.
We agree with the opinion that development and advancement through a rehabil
itation program should be based on the type and severity of the lesion, healing time
of the injured structures, individual pain tolerance level, possible adopted surgical
procedure, and sport-specific biomechanical demands.
Currently, the most re cent theories on rehabilitation of the injured athlete em
phasize the concepts of a multidisciplinary approach, a functional recovery instead
of symptomatic improvement, and an early mobilization with the implementation of
an individualized program treating the entire body kinetic chains.
Among different methods of rehabilitation, the physician should choose those re
vealing their clinical appropriateness, founded on a validated scientific data and/or
proven clinical efficacy.
Our goal has been to provide a comprehensive coverage of principles and practi
cal applications of the rehabilitation methods of the most common sports injuries,
and we have tried to combine the variety of expertise and backgrounds of a multidis
ciplinary group of contributing authors.
The editors would like to thank each of the contributors and express their appre
ciation and gratitude to the publisher for giving them the opportunity to develop
and realize their ambitious project.
Giancarlo Puddu, MD
Arrigo Giombini, MD
Alberto Selvanetti, MD
Contents
Ligaments of the Knee in Sports Injuries and Rehabilitation
Savio L-Y. Woo, Eric K. Wong, f. Mi Lee, Masayoshi Yagi, Freddie H. Fu ....
2 Methods of Functional Testing During Rehabilitation Exercises
Carrnelo Bosco ................................................... 11
3 Proprioceptive Training in the Prevention of Sports Injuries
Giuliano Cerulli, Fabrizio Ponteggia, Auro Caraffa, GianCarlo Aisa . . . . . .. 23
4 Application of Electromyography in Sport Medicine
Mario Larnontagne ............................................... 31
5 Rehabilitation of Rotator Cuff Injuries
Alberto Selvanetti, Arrigo Giornbini, Ignazio Caruso ................... 43
6 Rehabilitation of the Unstable Shoulder
fean-Pierre Liotard, Gilles Walch ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 61
7 Rehabilitation of Elbow Injuries
Kevin E. Wilk, farnes R. Andrews ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 73
8 Rehabilitation of Hand and Wrist Injuries
Antonio Castagnaro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 94
9 Rehabilitation of Low Back Pain
Pierre A. d'Hernecourt, Lyle f. Micheli, Carl Gustafson .................. 108
10 Rehabilitation of the Knee After Anterior Cruciate Ligament Reconstruction
Paolo Aglietti, Fabrizio Ponteggia, Francesco Giron .................... 118
11 Rehabilitation After Posterior Cruciate Ligament Injuries
Enrico Giannl, Guglielrno Cerullo, Giancarlo Puddu . . . . . . . . . . . . . . . . . . .. 136
12 Anterior Knee Pain: An Overview of Management Options
Nicola Maffulli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 148
13 Rehabilitation After Ankle Ligament Injury
Lars Konradsen, Per F.A.H. Renströrn ................................ 154
14 Rehabilitation of the Foot Following Sports-Related Injuries
and Surgical Treatment
Andrea Scala. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 167
15 Rehabilitation of Muscle Injuries
Donald T. Kirkendall, Williarn E. Prentice, Williarn E. Garrett. . . . . . . . . . .. 185
16 Isokinetics in Rehabilitation
Kai-Ming Chan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 194
17 Eccentric Exercise in the Treatment ofTendon Injuries in Sport
Nick A. Evans, Bai Rajagopalan, Williarn D. Stanish . . . . . . . . . . . . . . . . . . .. 203
VIII Contents
18 Aquatic Therapy in Rehabilitation
Piero Faccini, Sabrina Zanolli, Dario Dalla Vedova 212
19 Hyperthermia and Shock Waves: New Methods in the Treatment
of Sports Injuries
Arrigo Giombini, Vittorio Franeo, Alberto Selvanetti ................... 221
Subject Index ....................................................... 235
Contributors
Paolo Aglietti, MD, Prof.
First Orthopaedic Clinic, University of Florence
Largo P. Palagi 1, 50139 Florence, Italy
GianCarlo Aisa, MD
Orthopaedic Clinic Terni, Ospedale S. Maria, University of Perugia
Piazzale T. di Joannuccio, 05100 Terni, Italy
James R. Andrews, MD, Prof.
American Sports Medicine Institute, 131313th Street South, Birmingham, AL 35205,
USA
Carmelo Bosco, PhD, DU, D Hon C
School of Specialization in Physical Medicine and Rehabilitation
University of Tor Vergata, c/o Fondazione Don Gnocchi ONLUS
V. Maresciallo Caviglia 30, 00194 Rome, Italy
Auro Caraffa, MD
Orthopaedic Clinic of Terni, Ospedale S. Maria, University of Perugia
Piazzale T. di Joannuccio, 05100 Terni, Italy
Ignazio Caruso, MD, Prof.
School of Specialization in Physical Medicine and Rehabilitation
University of Tor Vergata, c/o Fondazione Don Gnocchi ONLUS
V. Maresciallo Caviglia 30, 00194 Rome, Italy
Antonio Castagnaro, MD
Servizio Chirurgia Della Mano, Ospedale Be1colle, Strada Sanmarinese,
01100 Viterbo, Italy
Giuliano Cerulli, MD, Prof.
Director of Orthopaedic and Traumatology Department, Silvestrini Hospital
University of Perugia, Piazzale T. di Joannuccio, 05100 Terni, Italy
Guglielmo Cerullo, MD
Clinica "Valle Giulia", Via G. De Notaris 2B, 00197 Rome, Italy
Kai-Ming Chan, MD, Prof.
The Chinese University of Hong Kong, Department of Orthopaedics and Trauma
tology, Room 724029 5/F, Clinical Science Building, Prince of Wales Hospital
Shatin, New Territories, Hong Kong
Dario Dalla Vedova, PT
Sports Science Institute, Department of Physiology, Via dei Campi Sportivi 46,
00197 Rome, Italy
Nick A. Evans, BSc, FRCS (Orthop)
Orthopaedic and Sports Medicine Clinic ofNova Scotia, 5595 Fenwick Street,
Suite 311, Halifax, Nova Scotia B3H 4M2, Canada
X Contributors
Piero Faccini, MD
Sports Science Institute, Department of Physiology, Via dei Campi Sportivi 46,
00197 Rome, Italy
Vittorio Franco, MD
Clinica "Valle Giulia", Via G. De Notaris 2b, 00197 Rome, Italy
Freddie H. Fu, MD
Musculoskeletal Research Center, Department of Orthopaedic Surgery
University of Pittsburgh, Pittsburgh, PA 15213, USA
William E. Garrett, Jr, MD, PhD
Department of Orthopaedics, University of North Carolina, 236 Burnett -Womack
Building, CB No. 7055, Chapel Hill, NC 27599, USA
Enrico Gianni, MD
Clinica "Valle Giulia", Via G. De Notaris 2B, 00197 Rome, Italy
Arrigo Giombini, MD
Sports Science Institute, Department of Medicine, Service of Rehabilitation
and Functional Reconditioning, Via dei Campi Sportivi 46, 00197 Rome, Italy
Francesco Giron, MD
First Orthopaedic Clinic, University of Florence, Largo P. Palagi 1, 50139 Florence,
Italy
Carl Gustafson, PT
Division of Sports Medicine, Boston Children's Hospital, 319 Longwood Avenue
Boston, MA 02115, USA
Pierre A. d'Hemecourt, MD
Division of Sports Medicine, Boston Children's Hospital, 319 Longwood Avenue
Boston, MA 02115, USA
Donald T. Kirkendall, PhD
Department of Orthopaedics, University of North Carolina, 236 Burnett -Womack
Building, CB No. 7055, Chapel Hill, NC 27599, USA
Lars Konradsen, MD
Department of Orthopedic Surgery, Gentofte Hospital, University of Copenhagen
Denmark
Mario Lamontagne, PhD
School of Human Kinetics and Department of Mechanical Engineering
University of Ottawa, 125 University Street (MNT341), Ottawa, Ontario KIN 6N5,
Canada
Jean-Pierre Liotard, MD
Clinique Sainte Anne Lumiere, 85 Cours Albert Thomas, 69003 Lyon, France
Nicola Maffulli, MD, MS, PhD, FRCS (Orth)
Department of Orthopaedic Surgery, University of Aberdeen Medical School
Polwarth Building, Foresterhill, Aberdeen AB25 2ZD, UK
Lee J. Mi, MD
Musculoskeletal Research Center, Department of Orthopaedic Surgery
University of Pittsburgh, Pittsburgh, PA 15213, USA
Lyle J. Micheli, MD, Prof.
Division of Sports Medicine, Boston Children's Hospital
319 Longwood Avenue, Boston, MA 02115, USA
Contributors XI
Fabrizio Ponteggia, MD
Lecturer in Physical Medicine and Rehabilitation, CTO, University of Florence
Largo P. Palagi 1, 50139 Florence, Italy
Williarn E. Prentice, PhD
Departrnent of Physical Education, Exercise and Sport Sciences, University
ofNorth Carolina, Chapel Hill, NC 27599, USA
Giancarlo Puddu, MD, Prof.
Clinica "Valle Giulia", Via G. de Notaris 2B, 00197 Rorne, Italy
BaI Rajagopalan, MD
Orthopaedic and Sports Medicine Clinic Of Nova Scotia, 5595 Fenwick Street,
Suite 311, Halifax, Nova Scotia B3H 4M2, Canada
Per EA.H. Renströrn, MD, PhD
Departrnent of Orthopedics, Sports Medicine and Arthroscopy
Karolinska Hospital, SE-17176 Stockholrn, Sweden
Andrea Scala, MD
Departrnent of Orthopaedic, S. Carnillo Hospital, Via Portuense 332, 00152 Rorne,
Italy
Alberto Selvanetti, MD
Sports Science Institute, Departrnent of Medicine, Service of Rehabilitation
and Functional Reconditioning, Via dei Carnpi Sportivi 46, 00197 Rorne, Italy
Williarn D. Stanish, MD, FRCS (C)
Orthopaedic and Sports Medicine Clinic Of Nova Scotia, 5595 Fenwick Street,
Suite 311, Halifax, Nova Scotia B3H 4M2, Canada
Gilles Walch, MD, Prof.
Clinique Sainte Anne Lurniere, 85 Cours Albert Thornas, 69003 Lyon, France
Kevin E. Wilk, PT
Arnerican Sports Medicine Institute, 1313 13th Street South, Birrningharn, AL 35205,
USA
Eric K. Wong, BS
Musculoskeletal Research Center, Departrnent of Orthopaedic Surgery
University of Pittsburgh, Pittsburgh, PA 15213, USA
Savio L-Y. Woo, MD, PhD, DSc (Hon)
Ferguson Professor and Director, Musculoskeletal Research Center, Departrnent of
Orthopaedic Surgery, University of Pittsburgh, PO Box 71199, Pittsburgh, PA 15213,
USA
Masayoshi Yagi, MD
Musculoskeletal Research Center, Departrnent of Orthopaedic Surgery
University of Pittsburgh, Pittsburgh, PA 15213, USA
Sabrina Zanolli, PT
Sports Science Institute, Departrnent of Physiology, Via dei Carnpi Sportivi 46,
00197 Rorne, Italy