周敬滨,马云,邹荣琪,贺忱,高奉,秦香琴,等.常见运动损伤的预防、评价与重返赛场——基于第64届美国运动医学会年会报告综述[J].北京体育大学学报,2017,40(8):48-52.
常见运动损伤的预防、评价与重返赛场——基于第64届美国运动医学会年会报告综述
Prevention, Evaluation and Return to Play of Common Sports Injuries:Review on the ACSM's 64th Annual Meeting
投稿时间:2017-07-21  
DOI:10.19582/j.cnki.11-3785/g8.2017.08.008
中文关键词:  关键词:ACSM  运动损伤  预防  评价  重返赛场
英文关键词:Keywords: ACSM  sports injury  prevention  evaluation  return to play
基金项目:
作者单位
周敬滨 国家体育总局运动医学研究所北京 100061中国人民解放军总医院骨科,北京 100853 
马云 国家体育总局运动医学研究所北京 100061 
邹荣琪 国家体育总局运动医学研究所北京 100061 
贺忱 国家体育总局运动医学研究所北京 100061 
高奉 国家体育总局运动医学研究所北京 100061 
秦香琴 国家体育总局运动医学研究所北京 100061 
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中文摘要:
      摘要:依据2017美国运动医学会(ACSM)学术年会的内容,结合以各种运动损伤的当前研究进展,针对运动员或健身人群常见的运动损伤如膝关节前交叉韧带(ACL)损伤、肩关节撞击症、肩袖损伤、髋关节撞击症和劳损性运动损伤的预防、评价和重返赛场进行总结与综述。根据ACSM年会和运动损伤领域的学术导向,研究重点仍然在膝、肩等部位上,而髋关节运动损伤也越来越受到重视,由于大众健身造成的慢性劳损(overuse)则以教育和功能锻炼治疗为主。ACL损伤仍然是运动医学的研究热点,青少年的发病率在增加,ACL损伤与术后的评价要重视旋转不稳评价,重返赛场在强调康复功能锻炼的同时,不要忽略机体组织的生物愈合规律。运动员或者健身人群肩关节疼痛需要重视肩胛节律失衡造成的撞击症,通过肩胛带肌群的功能锻炼能改善肩关节撞击症症状。以“网球肘”为代表的运动劳损性肌腱末端病,则慎重考虑注射治疗,功能锻炼为主的康复治疗长期有效率佳。
英文摘要:
      Abstract: Based on the content of the ACSM’s 64th Annual Meeting and the latest research evidence, this present review describes the prevention, evaluation and return to play of common sports injuries which happened in elite athletes and recreation people, such as anterior cruciate ligament injury (ACL), shoulder impingement syndrome, rotator cuff tear, FAI impingement and overuse injury. This review found that research focus is still on the knee and shoulder joints injuries, and hip joint injuries are more and more important; the education and functional exercises are the main treatments of overuse caused by physical exercise. ACL injury is still a hot topic in sports medicine, its incidence among adolescents is increasing; the knee rotation stability should be evaluated after ACL injury and operation; rehabilitation for the return to play after ACL reconstruction is important, but the biologic healing of the graft should not be ignored. Athletes or exercise people should pay attention to shoulder impingement syndrome, because pain in shoulder joint may be caused by it. Increasing evidences show that physical therapy for the scapular exercises can improve the symptoms of shoulder impingement syndrome. The treatment of tendinopathy such as tennis elbow should be carefully considered injection, and rehabilitation with functional exercise has better long-term effect.
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