Immobilization or early mobilization after an acute soft-tissue injury?
Experimental and clinical studies demonstrate that early, controlled mobilization is superior to immobilization for primary treatment of acute musculoskeletal soft-tissue injuries and postoperative management. Optimal treatment and rehabilitation follow four steps that address response to trauma. First is treating the damaged area with PRICES: protection, rest, ice, compression, elevation, and support. Second, during the first 1 to 3 weeks after the injury, immobilization of the injured tissue areas allows healing without extensive scarring. Third, when soft-tissue regeneration begins, controlled mobilization and stretching of muscle and tendons stimulate healing. Fourth, at 6 to 8 weeks postinjury, the rehabilitative goal is full return to preinjury level of activity.
Kannus
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Tampere Research Center of Sports Medicine, UKK Institute, Tampere, FIN-33501, FI. klpeka@uta.fi.