DÄ internationalArchive17/2019Sports Rehabilitation (“Rehabilitationssport”) Is Effective in Improving Motor Function
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According to current recommendations for physical exercising, between 2 and 3 exercise units per week are necessary for healthy individuals and patients with chronic disease alike (1). It is highly unlikely that a 45-minute sports therapy intervention, taking place once a week, will achieve improvements in strength, metabolic and cardiovascular parameters.

For orthopedic diseases, sports rehabilitation is not a concerted treatment that exclusively improves mobility and stability of the joint surrounding muscles after joint replacement. Rather, the goal after joint replacement is more activity to enable patients to resume an active lifestyle and to adequately load the new joint. However, to achieve the muscular goals described in the study, an exercise program tailored especially to patients’ muscular deficits would have been required. Such a program was aspired, but could not be realized.

Additionally, given the further protocol violations, the study cannot be regarded as a controlled trial. Because of these limitations, it should not be concluded that the currently offered sports rehabilitation for patients after total hip replacement is not effective.

During the more than 15 years we have been offering sports rehabilitation for patients with orthopedic diseases—currently about 500 patients are participating every week—, we have found that sports rehabilitation is effective in improving motor function and reducing pain (2). Therefore, these patients also experience a more active lifestyle, stronger social inclusion, and improved wellbeing in the long term. Further studies support the conclusion that especially previously less active patients could benefit from sports rehabilitation (3).

DOI: 10.3238/arztebl.2019.0298b

Stefan Krakor
Gesundheitszentrum in der Sportklinik Hellersen, Lüdenscheid, Germany

Dr. med. Ernst Jakob, i. R.
Abteilung Sportmedizin der Sportklinik Hellersen, Lüdenscheid, Germany
ernst.jakob@gmx.de

Conflict of interest statement

The authors declare no conflict of interest exists.

1.
ACSM: Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 43: 1334–59 CrossRef
2.
Krakor, S, Steinacker, T, Höltke, V, Jakob, E: Gelenk-Sportgruppen – Auswirkungen sporttherapeutischer Maßnahmen bei Arthrose auf motorische Parameter und subjektives Gesundheitsempfinden In: Ferrauti A, Remmert H, eds.: Trainingswissenschaft im Freizeitsport. dvs-Band 157. Ed. Czwalina, Hamburg. 2006: 179–182
3.
Krakor, S, Höltke, V, Steinacker, T, Steuer, M, Jakob, E: Wer nimmt am Gesundheitssport teil? Zur subjektiven Gesundheitswahrnehmung von Teilnehmern an Gelenk-Sportkursen, Dtsch Z Sportmed 2005; 56: 298.
4.
Beck H, Beyer F, Gering F, et al.: Sports therapy interventions following total hip replacement—a randomized controlled trial. Dtsch Arztebl Int 2019; 116: 1–8 VOLLTEXT
1. ACSM: Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 43: 1334–59 CrossRef
2.Krakor, S, Steinacker, T, Höltke, V, Jakob, E: Gelenk-Sportgruppen – Auswirkungen sporttherapeutischer Maßnahmen bei Arthrose auf motorische Parameter und subjektives Gesundheitsempfinden In: Ferrauti A, Remmert H, eds.: Trainingswissenschaft im Freizeitsport. dvs-Band 157. Ed. Czwalina, Hamburg. 2006: 179–182
3. Krakor, S, Höltke, V, Steinacker, T, Steuer, M, Jakob, E: Wer nimmt am Gesundheitssport teil? Zur subjektiven Gesundheitswahrnehmung von Teilnehmern an Gelenk-Sportkursen, Dtsch Z Sportmed 2005; 56: 298.
4.Beck H, Beyer F, Gering F, et al.: Sports therapy interventions following total hip replacement—a randomized controlled trial. Dtsch Arztebl Int 2019; 116: 1–8 VOLLTEXT

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