Physical and Rehabilitative Therapy for Knee Articular Cartilage Injury and Disease (original) (raw)

Springer eBooks, 2020

Abstract

Lifestyle modification and active physical therapy have been shown to be efficacious in cartilage repair following injury in reducing symptoms and possibly reducing disease progression to osteoarthritis (OA). Weight loss and moderate exercise are the most effective lifestyle modification modalities. Exercise can be classified as low impact exercise such as bicycling and high impact exercise such as running. For symptomatic patients, low impact exercises (such as on static bicycle) are preferable. Following knee articular cartilage injury, judicious application of cold in earliest phase to reduce inflammation and, later, heat to promote cartilage repair is used. Other physical modalities which may assist cartilage repair by facilitating fluid and metabolite flow through cartilage include continuous passive motion, low-energy laser therapy, and pulsed electromagnetic field (PEMF) therapy.

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