{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T10:30:36Z","timestamp":1789468236820,"version":"build-2803163510"},"reference-count":76,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sportverletz Sportschaden"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Der Wandel von einer rein zeitbasierten hin zu einer kriterienbasierten Rehabilitation nach operativen Eingriffen am Kniegelenk hat dazu gef\u00fchrt, dass f\u00fcr einzelne Funktionen, wie z.B. dem Wiedereinstieg in Laufbelastungen, klinische und funktionelle Kriterien aufgestellt wurden. Ziel dieser narrativen \u00dcbersichtsarbeit war es, empfohlene Kriterien aus Expertenbefragungen zu extrahieren und deren pr\u00e4diktive Validit\u00e4t darzustellen.<\/jats:p>\n                  <jats:p>Die Autoren f\u00fchrten eine Literaturrecherche in PubMed durch. Inkludiert wurden Studien, die Therapeuten und\/oder \u00c4rzte bez\u00fcglich der g\u00e4ngigen Praxis f\u00fcr einen kriterienbasierten Wiedereinstieg in Laufbelastungen befragten. Des Weiteren wurden Arbeiten analysiert, die die Aussagekraft dieser Kriterien in klinischen Studien bei Patienten nach operativen Eingriffen am Kniegelenk evaluierten.<\/jats:p>\n                  <jats:p>Die Literaturrecherche ergab ausschlie\u00dflich Daten f\u00fcr Betroffene nach einer Rekonstruktion des vorderen Kreuzbandes. In den Expertenbefragungen wird dabei der postoperative Zeitpunkt (\u226512.\u201316. Woche) am konsistentesten genannt. Dar\u00fcber hinaus werden klinische (Schmerz, Schwellung) und funktionelle (Beweglichkeit, Balancetests, dynamische Kontrolltests, Krafttestung des Quadrizeps) Kriterien \u00fcberbewertet. In den wenigen verf\u00fcgbaren Validierungsstudien zeigen viele der aufgestellten Kriterien und deren Cut-offs eine unzureichende pr\u00e4diktive Validit\u00e4t. Lediglich klinische Parameter (Schmerz 0\u20132 auf der numerischen Schmerzskala und Schwellung), ein suffizientes Range of Motion (0\u00b0 Extension, 130\u00b0 Flexion) und eine ausreichende Quadrizepskraft (Limb Symmetrie Index &gt;60% + 1,45\u20131,6Nm\/kg) scheinen eine Aussagekraft zu haben.<\/jats:p>\n                  <jats:p>Momentan in der Literatur beschriebene funktionelle Testbatterien und die entsprechenden Zielwerte im Bereich Balance und Sprungtestung sind kritisch zu sehen und sollten in zuk\u00fcnftigen Studien genauer \u00fcberpr\u00fcft werden. Bis dahin bieten sie keine verl\u00e4ssliche Direktive in der Entscheidungsfindung eines sicheren Wiedereinstiegs in Laufbelastungen.<\/jats:p>","DOI":"10.1055\/a-2808-1311","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:10:36Z","timestamp":1777525836000},"source":"Crossref","is-referenced-by-count":1,"title":["Return to Running (RTR) nach Rekonstruktionen des vorderen Kreuzbandes \u2013  ein narrativer Review"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8927-2999","authenticated-orcid":false,"given":"Frank","family":"Diemer","sequence":"additional","affiliation":[{"name":"DIGOTOR GbR, GERMANY","place":["Brackenheim"]},{"name":"QKG \u2013 Gesellschaft f\u00fcr Knorpelregeneration & Gelenkerhalt, Germany","place":["Dinslaken"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6173-5591","authenticated-orcid":false,"given":"Wolfgang","family":"Schoch","sequence":"additional","affiliation":[{"name":"QKG \u2013 Gesellschaft f\u00fcr Knorpelregeneration & Gelenkerhalt, Germany","place":["Dinslaken"]},{"name":"PULZ im Rieselfeld, Germany","place":["Freiburg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7583-6270","authenticated-orcid":false,"given":"Volker","family":"Sutor","sequence":"additional","affiliation":[{"name":"DIGOTOR GbR, GERMANY","place":["Brackenheim"]},{"name":"QKG \u2013 Gesellschaft f\u00fcr Knorpelregeneration & Gelenkerhalt, Germany","place":["Dinslaken"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0783-3702","authenticated-orcid":false,"given":"Jochen","family":"Zebisch","sequence":"additional","affiliation":[{"name":"Physio meets Science GmbH, Germany","place":["Leimen"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/j.pcad.2017.03.005","article-title":"Running as a Key Lifestyle Medicine for Longevity","volume":"60","author":"D-C Lee","year":"2017","journal-title":"Prog Cardiovasc Dis"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"898","DOI":"10.1136\/bjsports-2018-100493","article-title":"Is running associated with a lower risk of all-cause, cardiovascular and cancer mortality, and is the more the better? 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