Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Stanford University, Stanford, CA, USA.
PM R. 2012 May;4(5 Suppl):S141-4. doi: 10.1016/j.pmrj.2012.01.004.
Post-traumatic osteoarthritis (PTOA) is a process resulting from direct forces applied to a joint that cause injury and degenerative changes. An estimated 12% of all symptomatic osteoarthritis (OA) of the hip, knee, and ankle can be attributed to a post-traumatic cause. Neuromuscular prehabilitation is the process of improving neuromuscular function to prevent development of PTOA after an initial traumatic joint injury. Prehabilitation strategies include restoration of normative movement patterns that have been altered as the result of traumatic injury, along with neuromuscular exercises and gait retraining to prevent the development of OA after an injury occurs. A review of the current literature shows that no studies have been performed to evaluate methods of neuromuscular prehabilitation to prevent PTOA after a joint injury. Instead, current research has focused on management strategies after knee injuries, the value of exercise in the management of OA, and neuromuscular exercises after total knee arthroplasty. Recent work in gait retraining that alters knee joint loading holds promise for preventing the development of PTOA after joint trauma. Future research should evaluate methods of neuromuscular prehabilitation strategies in relationship to the outcome of PTOA after joint injury.
创伤后骨关节炎（PTOA）是一种由直接作用于关节的力引起的损伤和退行性变化的过程。估计所有髋、膝和踝关节有症状的骨关节炎（OA）中，有 12%可归因于创伤后原因。神经肌肉预康复是指改善神经肌肉功能，以防止初始创伤性关节损伤后发生 PTOA。预康复策略包括恢复因创伤而改变的正常运动模式，以及神经肌肉锻炼和步态再训练，以防止受伤后发生 OA。对现有文献的回顾表明，尚无研究评估预防关节损伤后 PTOA 的神经肌肉预康复方法。相反，目前的研究集中在膝关节损伤后的管理策略、运动在 OA 管理中的价值以及全膝关节置换术后的神经肌肉锻炼。改变膝关节负荷的步态再训练的最新工作为预防关节创伤后 PTOA 的发展带来了希望。未来的研究应评估神经肌肉预康复策略与关节损伤后 PTOA 结果的关系。
