Sports and exercise in case of arthroses of the shoulder and knee joints -Discipline, dosage and therapeutic action

摘要

Arthroses may be of concrete origin or may occur idiopathically without any identifiable risk factors. If an arthrosis is identified by clinical and radiological signs, the patient must suitably adapt his sports activities. The aim must be to slow down the progression of the disorder. Impulsive and rotatory movements should be avoided as a matter of principle. Sports involving contacts must also be avoided, since they include rapid movements and an increased risk of injury-Sports should rather be in accordance wirh an extended physiotherapy. We recommend cycling, swimming, walking and classical long-distance running, improvng the mobility as well as good muscular guidance of the involved joints. If all the conservative therapeutic options have been exhausted, we may employ surgical options such as arthroscopic treatment of joints. In case of angulatory deformities, these may be surgically corrected. Young patients may be subjected to autogenous chondrocyte transplantation (ACT) with chondro-cytes being removed and re-cultivated in the laboratory.