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Adrian Peterson hopes to inspire

EDEN PRAIRIE, Minn. -- Russ Paine had never met anyone like Adrian Peterson.

Paine has done decades of work with professional athletes, and Peterson's return to the Minnesota backfield about 8½ months after reconstructive surgery on his left knee still left him amazed.

"This guy is in the top half of one percent of the human bodies in the world," said Paine, a longtime physical therapist in Houston who supervised much of Peterson's rehabilitation. "He's just an unbelievable physical specimen. Those guys tend to recover quicker, but I've had some guys who just weren't tough enough to do it. So you've got to suck it up."

Peterson also suffered a complete rupture of the medial collateral ligament, slightly delaying his ability to begin putting weight on the leg after the surgery, making restoration of his knee's range of motion more challenging. But, Paine said, Peterson had that movement back in no time.

Peterson's unwavering prediction that he'd play for the Vikings in their season opener after the injury last Christmas Eve proved to be an honest belief, not a competition-driven delusion.

"I hope that I inspire a lot of people. Just to change their mentality, I think that's the biggest part," said Peterson, who rushed for 84 yards and two touchdowns on 17 carries last Sunday in Minnesota's overtime win over Jacksonville. He added: "I understood that if I kept doing my therapy and kept working hard that it would be OK."

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Knee Replacements Soar Among US Older Folks

Increase driven partly by a desire to stay active

From: The Associated Press | October 1, 2012

Just like age-defying baby boomers, older folks have seen a surge in knee replacement surgeries, driven partly by a desire to stay active and by joint-damaging obesity.

The findings are in a study of more than 3 million Medicare patients, aged 65 and older, who got artificial knees from 1991 through 2010. Almost 10 percent of the operations were redos - replacing worn-out artificial joints.

The number of initial knee-replacement surgeries each year on these older patients more than doubled during that time, rising to nearly 244,000 in 2010. Patients were in their mid-70s on average when they had surgery; that age edged up slightly during the study.

The aging population and rising numbers of Medicare enrollees contributed to the increase. But the per capita rate also increased, from about 3 surgeries per 10,000 enrollees in 1991 to 5 per 10,000 in 2010.

 

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Banishing the Myth of Passive Knee Rehab

From: Duke Health.org

Connect with your health at Duke Medicine

Medicine is not immune to the seductions of tradition -- there are studies to prove it. “A lot of things that we do in medicine, we do because we’ve always done it, not because there are good data to support that practice,” says orthopaedic surgeon David Attarian, MD, who knows firsthand how difficult it can be to break “bad habits” in practice.

Knee replacement surgery has, for the past 30 years, made use of continuous passive motion (CPM) to aid recovery in patients.

The CPM machine -- a device that requires a fair amount of effort on the part of the nurse, therapist, or family member to put it on the patient without hurting the patient -- came into popularity after some data showed that it might help reduce drainage and increase a patient’s range of motion at discharge (which was, at that time, seven to 10 days after surgery).

Attarian estimates that CPM machines are still in use in as many as half of hospitals that perform total joint replacement. “Some hospitals use it as a way to control costs, because it reduces their need for therapists to be on hand,” he says. Moreover, patients have come to expect the CPM -- they hear previous patients talking about how it helped them recover, and they think they need it.

But here’s the thing -- current data don’t support it. Over the past 10 years, hospitals that specialize in total joint replacement have studied the use of CPM versus moving a patient rapidly into active therapy, says Attarian, and they’ve found that it is no better for a patient than introducing physical therapy shortly after the surgery.

Everything you need to know about New Knees by Beth Levine.

From AARP.org/bulletin March 2011;

More and more boomers are ptiong for knee replacement surgery earlier in life. The reason? Boomers like Emanuel are more active than any previous generation – and want to run, dance, and play basketball and, yes, tennis at the same level of intensity as they did in their 20’s.

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