Joan M. Walker J oint forces have a high potential to promote degenerative changes in articular cartilage, which initially are subclinical and may not ever produce symptoms. Repetitive impulsive loading of activities throughout the lifespan, but especially in adolescence and young adulthood, has potential consequences in later life. An individual who runs or jogs 20 miles per week over 30 years delivers some 50 million shock waves through his/her body across joint surfaces (65). Workers in industry may spend decades standing and moving on unyielding concrete floors; they also subject joint surfaces to potentially damaging loads. This paper will review the knowledge of why articular cartilage breaks down, pathomechanics, how cartilage lesions are classified i n vitro and i n vivo, and its capacity for repair, with the primary focus on procedures that impact rehabilitation. Other papers in this issue (Cohen et al, Buckwalter, Gillogly et al) should be consulted for detail on the structure and function of articular cartilage, its response to injury, and surgical repair procedures. joint forces have a high potential to promote degenerative changes in articular cartilage. Researchers have not yet developed a material that simulates natural articular cartilage, and replacement procedures have finite lives. In all patients, regardless of diagnostic category, the impact of rehabilitative procedures on the integrity and health of articular cartilage should be a consideration. In this paper, I will review why articular cartilage breaks down, how cartilage lesions are classified in vitro and in vivo, as well as cartilage's capacity for repair and repair enhancement. The primary focus will be on processes and procedures that impact physical therapy. Review sources included common computer-based search instruments and literature in all languages. This research showed that most studies have been conducted on animals, which differ in important respects from humans. Such studies, however, provide guidelines for physical therapists. Unloading and overloading are detrimental to articular cartilage. Research indicates value in controlled, progressive regimes that alternate load and non-load conditions.