这是冰河时代的结束吗?
1Nicholas Institute of Sports Medicine and Athletic Trauma.
International journal of sports physical therapy
|July 10, 2023
概括
这是RICE协议.
科学领域:
- 运动医学 运动医学
- 肌肉骨损伤的恢复 肌肉骨损伤的恢复
背景情况:
- 休息,冰,压缩,提升 (RICE) 协议是急性肌肉骨损伤的长期治疗方法.
- 结冰对人类伤害恢复的有效性受到争论,一些趋势建议不要使用它.
- 动物研究表明,冰对恢复有潜在的益处,但也有因极度冷却而延迟修复和痕的风险.
研究的目的:
- 评估目前关于冰在肌肉骨损伤恢复中的疗效的证据.
- 根据受伤时间表和修复过程来确定最佳的冰应用.
主要方法:
- 关于RICE协议和肌肉骨损伤的结冰现有文献的审查.
- 对关于肌肉冷却效应的动物模型数据的分析.
- 考虑伤害级联和二次组织损伤.
主要成果:
- 关于结冰的好处和缺点,存在相互矛盾的证据.
- 冰可能会加速恢复,但极端冷却可能会阻碍修复并增加痕.
- 冰应用的最佳窗口是立即急性阶段,以减轻二次组织损伤.
结论:
- 应根据受伤时间线量身定制冰的应用,理想情况下在受伤后的前12小时内,每隔20-30分钟.
- 尽管有相互矛盾的证据,冰封仍然是运动医学中急性伤害的潜在有价值的组成部分.
- 需要进一步的研究,但结冰应该保持为主营治疗,直到证明相反.
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