Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play.

For the treatment of large chondral and osteochondral defects of the knee, osteochondral allograft transplantation (OCA) is an effective solution with relatively high rates of return to sport. In professional athletes, rehabilitation following OCA is a critical component of the process of returning...

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Publicado en:International Journal of Sports Physical Therapy Vol. 16; no. 3; pp. 941 - 959
Autores principales: Patel, Snehal, Amirhekmat, Arya, Ryan Le, Williams III, Riley J., Dean Wang
Formato: diagnostic images pictorial protocol review tables/charts Journal Article
Publicado: North American Journal of Sports Physical Therapy 2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
      vid: 16
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      pub: North American Journal of Sports Physical Therapy
      place: Indianapolis, Indiana
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        10.26603/001c.22085
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        atl: Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play.
      aug:
        au:
          Patel, Snehal
          Amirhekmat, Arya
          Ryan Le
          Williams III, Riley J.
          Dean Wang
        affil: Sports Rehabilitation Center, Hospital for Special Surgery
      sug:
        subj:
          Rehabilitation, Athletic
          Sports Re-Entry
          Athletes, Professional
          Knee Injuries, Articular Cartilage Surgery
          Allografts
          Neuromuscular Control
          Blood Flow Restriction Training
          Recovery
          Protocols
      ab: For the treatment of large chondral and osteochondral defects of the knee, osteochondral allograft transplantation (OCA) is an effective solution with relatively high rates of return to sport. In professional athletes, rehabilitation following OCA is a critical component of the process of returning the athlete to full sports activity and requires a multidisciplinary team approach with frequent communication between the surgical and rehabilitation teams (physical therapists, athletic trainers, coaching staff). In this review, we describe our five-phase approach to progressive rehabilitation of the professional athlete after OCA, which takes into account the biological processes of healing and optimization of neuromuscular function required for the demands of elite-level sport. The principles of early range of motion, proper progression through the kinetic chain, avoidance of pain and effusion, optimization of movement, regimen individuation, and integration of sports-specific activities underlie proper recovery.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        protocol
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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