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Isokinetic rehabilitation after surgery

A review of factors which are important for developing physiotherapeutic techniques after knee surgery

Human Performance Laboratory, Ball State University, Muncie, Indiana

David R. Pearson, MS

Human Performance Laboratory, Ball State University, Muncie, Indiana

Michael J. Plyley, PhD

Human Performance Laboratory, Ball State University, Muncie, Indiana

David L. Costill, PhD

Human Performance Laboratory, Ball State University, Muncie, Indiana

Alan J. Habansky, MD

Human Performance Laboratory, Ball State University, Muncie, Indiana

Donald A. Vogelgesang, ATC, RPT

Human Performance Laboratory, Ball State University, Muncie, Indiana

The postoperative rehabilitation of individuals who've had surgery has been a primary concern of all mem bers of the health care community. With the advent of new training devices for use during the rehabilitation period (i.e., isokinetic training devices) and new re search in sports medicine, there has been a renewed interest in how to best rehabilitate individuals following surgery (knee surgery, in particular). This paper briefly reviews basic muscle physiology as it relates to muscle fiber types and recruitment patterns. Sub sequently, it reviews studies that have investigated muscle atrophy and methods to reduce muscle dys function related to surgery, immobilization, and dis use. Finally, it reviews isokinetic training studies and examines the concept of "specificity of speed" train ing. These principles of muscle physiology and muscle plasticity are then applied to a proposed isokinetic rehabilitation program which might be adapted for use following joint surgery.

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