Rehabilitation after surgery
Cruciate ligament reconstruction
Rehabilitation after cruciate ligament replacement is planned mainly according to the instructions of the surgeon. Gait training, mobility improvement using soft-tissue techniques, gradual increase in weightbearing, and coordination training help prepare your knee for your return to normal daily life.
Rotator cuff surgery
The initial aim is to preserve, as far as possible, the strength and function of those muscles not affected in their normal tension and length until the operated muscle has been trained up and joint function has been fully restored to maximum functionality.
A new joint may initially only be subjected to partial weightbearing. Mobility is still very limited, and slowly develops towards full function in active and passive therapy.
The operated muscle will take time for the suture to become stable enough for full weightbearing. After that, normal muscle length is restored by muscle training, dilating the joint capsules involved. In addition, coordination training is required for optimum joint stabilisation.
Bone fracture fixation and repair
The body will need time for the bone to heal after surgery. The initial focus will be placed on muscle tension in the surrounding muscles as well as on mobility in the surrounding joints. Sustainable normal function is tested after the fracture has fully recovered and is stable.
Reconstruction after ligament injuries
Active training focuses on coordination and stabilisation while optimising joint and muscle function during training within the weightbearing limits set by the surgeon.
Meniscal repair and replacement
The initial focus is set on muscles surrounding the knee joint in soft-tissue treatment. The operated knee may only be subjected to partial load for a period of four to six weeks, with flexion only up to ninety degrees. Everyday function can also be trained in functional training as weightbearing capability increases.
Disc surgery patients mostly have a history of avoiding strain as well as pronounced muscular imbalance – a poor relationship between force and muscle length – due to symptoms long before surgery, and this hampers full recovery and return to normal everyday life in physiological terms. Rehabilitation mainly focuses on enhancing your confidence in your back, and restoring muscular balance by activation with power and endurance training as well as stretching exercises.
Sehnen sind schlecht durchblutet. Dementsprechend lange dauert es, bis sie verheilt sind. Vollständig gerissene Sehnen werden daher meist operiert. Die Rehabilitation findet begleitend statt – d. h. das Augenmerk wird auf die angrenzenden Gelenke und eventuell verspannte Muskulatur gelegt.