Current Concepts for Rehabilitation and Return to Sport After Knee Articular Cartilage Repair in the Athlete

Return to running following knee osteochondral repair using an anti-gravity treadmill: A case report

“…33 The minimal perceptible clinical improvement (MPCI) of the KOOS was initially purported to be 8-10 points. 34 However, a recent study in knee cartilage repair patients has shown that the MCID varies across the KOOS subscales: Symptoms (9); Pain (14); Activities of Daily Living (ADL) (10); Sports and Recreation (Sport/Rec)(28); and Quality of Life (QoL) (28). 20 …”

“…13,28 The ability to run on a treadmill at 8km/h for more than 10 minutes is one of the criteria for progression from rehabilitation Phase 2 (Matrix production and A B C organisation) to Phase 3 (Repair cartilage maturation) following knee osteochondral repair. 28 An AlterG Anti-Gravity Treadmill P200 model was used to manipulate loading during a graduated phased return to running.…”

“…13,28 The ability to run on a treadmill at 8km/h for more than 10 minutes is one of the criteria for progression from rehabilitation Phase 2 (Matrix production and A B C organisation) to Phase 3 (Repair cartilage maturation) following knee osteochondral repair. 28 An AlterG Anti-Gravity Treadmill P200 model was used to manipulate loading during a graduated phased return to running. 7 The AlterG treadmill has been found to have minor deviations in unloading but these are less than 5% for 40-90% body weight 24 which is less than the typical deviations in accuracy in partial weight bearing with crutches after cartilage repair of the knee.…”

Exploring Cross-Curriculum Content of Undergraduate Musculoskeletal Therapy Courses Regarding Articular Cartilage; Implications of Surveying UK Healthcare Curriculum Providers

“…Generic rehabilitation protocols may fail to engender the nuances required for individuals [14,47]; the ability to recognise the necessary adaptations or specialisation may also be indicative of the complex processing developed at HE Level 7 and above [48]. Undergraduates are becoming increasingly expected to deal with uncertainty and complexity by potentially working with pedagogues as peers from early stages of HE [49].…”

Managing Knee Injuries: Keeping Up With Changes

“…20 Consequently, we are challenged to continue to adapt our clinical treatments to best complement recent advances in surgery. 13 We still have a long way to go, both surgically and with rehabilitation, before we can claim optimal long-term results with chondral injuries. But much progress has been made over the past 20 years and the future is promising.…”