Die Anwendung äußerer Kniegelenkstabilisatoren - Einflussnahme auf mechanische Stabilisierung und körperliche Leistungsfähigkeit

Abstract

The aim of the study was, to assess the influence of a knee brace on the development of anterior instability after anterior cruciate ligament rupture and to test aptitude for physical strain. 46 subjects with arthroscopically proven anterior cruciate ligament rupture were divided equally in a randomised order into two groups. Both groups carried out a standardized physical therapy program, while one group (0) received additional stabilization by means of a functional knee brace (SofTec, Bauerfeind). In addition, important features of the brace (stabilization capacity, safety perception and physical performance) were tested and compared to the non-braced contralateral leg among 23 healthy physical education students by means of a standardized scaled questionnaire (observational study). 0 showed lower (p < 0.05) development of the anterior instability by 46 % and lower (p < 0.05) reduction in circumference of the femur muscles by 25 %. Increasing the time interval between accident and beginning of the brace treatment, increased the difference of the therapeutical effect of the brace. In the observational study, the brace received a better evaluation regarding all test parameters. The reduction of developing anterior instability by means of a brace should facilitate - apart from an individual operation-time-arrangement - especially a conservative approach within the framework of anterior instability and physical activity. Aside from the improvement of the mechanical stabilization, indications for suitability in strain situations could be detected for the tested brace.

Konservative Therapie der Arthrose

“…Weitere [45] beschrieben werden. So zeigten sich im WOMACScore Ver besserungen für die Scores Schmerz, ernsthafte Probleme, Steifheitsgefühl und den allgemeinen WOMACScore sowie die physikalische Funktion mit Verbesse rung der Unterscores F "social functioning", F "physical functioning", F "vitality", F "mental health", F "general health", F "perception", F "general medical health", F "emotional limitation", F "pain" und F "comparison with the previous".…”

“…Diese Orthese kommt von der Ent wicklung her primär aus dem Bereich der ACLOrthesen und hat neben einer spe ziellen Gestrickführung und dadurch zir kulären Kompression der Gewebe zusätz liche stabilisierende Elemente, u. a. uni lateral im Außenbereich positionierte längere Gelenkstrecken. Bei den ACL Orthesen konnten mittels dieses Orthe sentyps durchaus positive Vergleichser gebnisse zu den starren Rahmenorthe sen erreicht werden[40,45,50], die groß en Vorteile dieser Version sind der bessere Tragekomfort, die Kompressionswirkung und das fehlende Verrutschen durch die flächige Anlage.…”

Еpidemiology of "O'donoghue's Triad"

“…"O'Donoghue's triad" is most often associated with a car accident, industrial accident or sports injury. Intense contact sports, such as football and rugby, and sports involving sudden explosive changes in movements, such as skiing, martial arts, etc., are at particular risk of injuries involving the three components [4].…”