Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play
For the treatment of large chondral and osteochondral defects of the knee, osteochondral allograft transplantation (OCA) is an effective solution with relatively high rates of return to sport. In professional athletes, rehabilitation following OCA is a critical component of the process of returning...
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Format: | Article |
Language: | English |
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North American Sports Medicine Institute
2021-06-01
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Series: | International Journal of Sports Physical Therapy |
Online Access: | https://doi.org/10.26603/001c.22085 |
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author | Snehal Patel Arya Amirhekmat Ryan Le Riley J Williams III Dean Wang |
author_facet | Snehal Patel Arya Amirhekmat Ryan Le Riley J Williams III Dean Wang |
author_sort | Snehal Patel |
collection | DOAJ |
description | For the treatment of large chondral and osteochondral defects of the knee, osteochondral allograft transplantation (OCA) is an effective solution with relatively high rates of return to sport. In professional athletes, rehabilitation following OCA is a critical component of the process of returning the athlete to full sports activity and requires a multidisciplinary team approach with frequent communication between the surgical and rehabilitation teams (physical therapists, athletic trainers, coaching staff). In this review, we describe our five-phase approach to progressive rehabilitation of the professional athlete after OCA, which takes into account the biological processes of healing and optimization of neuromuscular function required for the demands of elite-level sport. The principles of early range of motion, proper progression through the kinetic chain, avoidance of pain and effusion, optimization of movement, regimen individuation, and integration of sports-specific activities underlie proper recovery. |
format | Article |
id | doaj-art-2e72d862af024efabd9ec684b8e361da |
institution | Kabale University |
issn | 2159-2896 |
language | English |
publishDate | 2021-06-01 |
publisher | North American Sports Medicine Institute |
record_format | Article |
series | International Journal of Sports Physical Therapy |
spelling | doaj-art-2e72d862af024efabd9ec684b8e361da2025-02-11T20:27:29ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962021-06-01163Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to PlaySnehal PatelArya AmirhekmatRyan LeRiley J Williams IIIDean WangFor the treatment of large chondral and osteochondral defects of the knee, osteochondral allograft transplantation (OCA) is an effective solution with relatively high rates of return to sport. In professional athletes, rehabilitation following OCA is a critical component of the process of returning the athlete to full sports activity and requires a multidisciplinary team approach with frequent communication between the surgical and rehabilitation teams (physical therapists, athletic trainers, coaching staff). In this review, we describe our five-phase approach to progressive rehabilitation of the professional athlete after OCA, which takes into account the biological processes of healing and optimization of neuromuscular function required for the demands of elite-level sport. The principles of early range of motion, proper progression through the kinetic chain, avoidance of pain and effusion, optimization of movement, regimen individuation, and integration of sports-specific activities underlie proper recovery.https://doi.org/10.26603/001c.22085 |
spellingShingle | Snehal Patel Arya Amirhekmat Ryan Le Riley J Williams III Dean Wang Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play International Journal of Sports Physical Therapy |
title | Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play |
title_full | Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play |
title_fullStr | Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play |
title_full_unstemmed | Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play |
title_short | Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play |
title_sort | osteochondral allograft transplantation in professional athletes rehabilitation and return to play |
url | https://doi.org/10.26603/001c.22085 |
work_keys_str_mv | AT snehalpatel osteochondralallografttransplantationinprofessionalathletesrehabilitationandreturntoplay AT aryaamirhekmat osteochondralallografttransplantationinprofessionalathletesrehabilitationandreturntoplay AT ryanle osteochondralallografttransplantationinprofessionalathletesrehabilitationandreturntoplay AT rileyjwilliamsiii osteochondralallografttransplantationinprofessionalathletesrehabilitationandreturntoplay AT deanwang osteochondralallografttransplantationinprofessionalathletesrehabilitationandreturntoplay |