用皮质类固醇注射治疗三项运动员膝盖疼痛的运动回归
Mackenzie B Norman1, Emily R Norman2, Gregory H Langer3
1Orthopedic Surgery, Yale New Haven Hospital, New Haven, USA.
Cureus
|July 7, 2023
概括
皮质类固醇注射对于膝盖疼痛的三项运动员来说很常见,为许多人提供主观改善和快速恢复体育运动. 然而,这项研究发现,与其他治疗方法相比,注射和更快地恢复运动之间没有显著的关联.
科学领域:
- 运动医学 运动医学
- 整形外科 整形外科 整形外科
- 运动生理学 运动生理学
背景情况:
- 膝盖疼痛在三项运动员中很普遍,影响了表现和训练.
- 皮质类固醇注射经常用于运动员膝盖疼痛,但它们在三项运动员中的特定疗效仍未得到充分研究.
研究的目的:
- 评估与皮质类固醇注射相关的态度,使用模式,主观有效性和恢复运动时间表,与三项运动员膝关节疼痛的替代治疗相比.
主要方法:
- 一项观察性研究利用在COVID-19大流行期间在线分发给三项运动员的13个问题调查.
- 来自61名三项运动员受访者收集的数据,涉及他们与膝关节疼痛治疗的经验.
主要成果:
- 97%的受访者经历了膝盖疼痛,63%接受了皮质类固醇注射,主要是年长的三项运动员 (平均年龄51岁).
- 大多数三项运动员在注射后报告主观疼痛改善,许多人经历了2-3个月或一年以上的缓解 (通常是多次注射).
- 虽然注射后一个月内80.6%的人恢复了运动,但这并不比替代方法 (73.7%在一个月内恢复) 快得多.
结论:
- 皮质类固醇注射经常被老年三项运动员用于膝盖疼痛,提供主观的疼痛缓解.
- 没有重要的证据支持皮质类固醇注射导致在这个人群中与替代治疗相比更快地恢复运动.
- 三项运动员应获得关于注射时间,潜在副作用和相关风险的全面咨询.
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