What is rehabilitation after surgery
Rehabilitation after an operation
Cruciate ligament surgery
After replacing a defective cruciate ligament, rehabilitation is primarily based on the surgeon's instructions. With gait training, improvement of mobility through soft tissue techniques as well as slow build-up of load and training of coordination, the knee is prepared for the return to normal everyday life.
Rotator cuff surgery
The initial aim is to maintain the unaffected muscles in strength and function as well as in their normal tension and length, until the operated muscle can be trained and the joint function can be maximized again.
A new joint may only be partially loaded at the beginning. Mobility is still severely restricted and is slowly restored to normal function with active and passive measures.
The operated muscle needs time until the suture is stable and can be fully loaded again. Then the muscles are strengthened, normal muscle length is restored and the capsules of the joints involved are expanded. In addition, coordination must be trained so that the joints are optimally stabilized.
Osteosynthesis / repair of broken bones
After the operation, the body needs time for the bone to heal. Initially, the focus is on the muscle tension of the surrounding muscles and the mobility of the adjacent joints. After the break has healed stably, it is checked whether normal function is guaranteed.
Reconstruction of ligament injuries
Work is coordinated and actively stabilized within the load permitted by the surgeon. The joint and muscle function is optimized accordingly.
Meniscus suture / artificial meniscus
At the beginning, the focus is on soft tissue techniques for the muscles surrounding the knee. The operated knee may only be partially loaded and bent to a maximum of 90 ° for a period of approx. 4–6 weeks. With increasing release of load, functional, i.e. everyday functions, are trained.
Intervertebral disc surgery
Usually, due to the long complaints before the procedure, there is an avoidance behavior and a pronounced muscular imbalance (= disproportion between strength and muscle length), which stand in the way of a return to physiological / "normal" everyday behavior. Rehabilitation is primarily about regaining confidence in the back and restoring muscular balance through activation in the sense of improving strength and endurance as well as stretching exercises.
Tendons are poorly supplied with blood. Accordingly, it takes a long time for them to heal. Completely torn tendons are therefore usually operated on. The rehabilitation takes place accompanying - d. H. the focus is on the adjacent joints and any tense muscles.
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