[Sports and osteoarthrosis].
Many risk factors for developing osteoarthrosis exist. Osteoarthrosis is the most common cause of chronic disability in middle-aged and older people. On the one hand, physical exercise can lead to arthrosis; on the other hand, physical exercise is commonly used in preventing and treating it. Experimental and clinical studies have shown that increased high-impact running or competitive sports result in a higher risk for osteoarthrosis than moderate low-impact running. In particular, sudden-impact loading and twisting movements of the joints can result in premature osteoarthrosis. Also, sports with a high risk for injuries can lead to secondary osteoarthrosis. Preventive exercises to strengthen the skeletal muscles seem to have a pivotal role. There are different therapeutic approaches to osteoarthrosis, which will be more important in the future. Exercise should be a core treatment for people with osteoarthritis, irrespective of age, comorbidity, pain severity, or disability. Exercise should include local muscle strengthening and general aerobic fitness.
Schäfer
M
M
Klinik für Orthopädie und Unfallchirurgie, Medical Park Berlin Humboldtmühle, An der Mühle 2-9, 13507, Berlin, Deutschland. m.schaefer@medicalpark.de
Dreinhöfer
K
K
D000818:Animals; D001265:Athletic Injuries / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D006801:Humans; D010003:Osteoarthritis / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control / Q000534:rehabilitation*; D015207:Osteoarthritis, Hip / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control / Q000534:rehabilitation; D020370:Osteoarthritis, Knee / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control / Q000534:rehabilitation; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities; D012307:Risk Factors; D013177:Sports