Ziel des vorliegenden Artikels ist die Besprechung der Rehabilitation nach Sprunggelenk- und Fußoperationen. Die Bearbeitung dieses Themas erfolgt unter Berücksichtigung der neuesten Erkenntnisse über die Pathophysiologie der Fuß- und Sprunggelenkfunktion, der Physio- und Trainingstherapie und der besten Evidenz zur Wirksamkeit der einzelnen rehabilitativen Interventionen. Der erste Teil des Artikels beschreibt die rehabilitativen Möglichkeiten unmittelbar perioperativ und während der postoperativen Ruhigstellung nach Fuß- und Sprunggelenkoperationen. Der zweite Teil handelt die Rehabilitation nach Beendigung der Ruhigstellungsphase ab und geht auf Besonderheiten in der Rehabilitation häufiger Rück- und Vorfußoperationen ein.
Abstract
A review of current knowledge on rehabilitation following ankle and foot operations is presented. This article includes the latest pathophysiological findings of ankle and foot dysfunction. Physio- and training-therapeutic interventions that are based on the current knowledge of the sensory-motor control mechanisms are also included along with the best evidence on the clinical effectiveness of the different rehabilitation interventions. The first part of this article provides an overview on principles of the treatment and rehabilitation options in the perioperative phase and during „immobilization”. The second part discusses the rehabilitation interventions after immobilization and particularities of rehabilitation programs following hind- and forefoot operations.
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