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Principles of Rehabilitation in Cartilage and Lesions

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Joint Function Preservation

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Abstract

Rehabilitation of osteochondral lesions is still under-researched with little scientific evidence, in particular from a clinical point of view. The continuous evolution of different surgical techniques and the complexity of individual clinical pattern make it difficult to reassume rehabilitation indications in standardized protocols. To understand and criticize the construction of a rehabilitation program it is necessary to refer to evidence and knowledge from available basic science. At the same time, it is clear the necessity to have a method that guides the rehabilitation staff and the patient in the treatment path: rehabilitation phases, criteria of progression between phases, objectives to be achieved, evaluation tests and constant clinical supervision are the keys for a successful rehabilitation, in particular in prolonged and complex paths such as recovery from osteochondral lesions. The possibility to measure clinical and functional parameters allows the clinician to build a customized plan and to improve monitoring of the rehabilitation process. Moreover, these data can be shared with the patient and the rehab staff with the aim of motivating and involving both in the rehabilitation treatment and in the achievement of the goals set. Psychological and communication aspects are fundamental in achieving good results and should be further developed, both in terms of scientific evidence and in daily clinical activity.

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Authors and Affiliations

  1. Isokinetic Medical Group, FIFA Medical Centre of Excellence, Milan, Italy

    Lorenzo Boldrini, Giacomo Lucenteforte & Furio Danelon

  2. Isokinetic Medical Group, Education and Research Department, Bologna, Italy

    Francesco Della Villa

Authors
  1. Lorenzo Boldrini
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  2. Giacomo Lucenteforte
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  3. Furio Danelon
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  4. Francesco Della Villa
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Corresponding author

Correspondence to Lorenzo Boldrini .

Editor information

Editors and Affiliations

  1. O.A.S.I. Bioresearch Foundation Gobbi NPO, Milan, Italy

    Alberto Gobbi

  2. Musculoskeletal and Joint Research Foundation, San Diego, CA, USA

    John G. Lane

  3. Orthopaedics and Traumatology Unit, University Campus Biomedico, Roma, Italy

    Umile Giuseppe Longo

  4. OASI Bioresearch Foundation Gobbi NPO, Milan, Italy

    Ignacio Dallo

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Boldrini, L., Lucenteforte, G., Danelon, F., Della Villa, F. (2022). Principles of Rehabilitation in Cartilage and Lesions. In: Gobbi, A., Lane, J.G., Longo, U.G., Dallo, I. (eds) Joint Function Preservation. Springer, Cham. https://doi.org/10.1007/978-3-030-82958-2_35

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  • DOI: https://doi.org/10.1007/978-3-030-82958-2_35

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