武术:整形外伤和相关的生物力学
Alvin W Su1, William L Johns, Sonia Bansal
1From the Department of Orthopedics, Nemours (duPont) Children's Hospital, Delaware Valley (Su), the Rothman Orthopedics, Thomas Jefferson University Hospital, Philadelphia, PA (Johns), and the Department of Biomedical Engineering, University of Delaware, Newark, DE (Su, and Bansal).
The Journal of the American Academy of Orthopaedic Surgeons
|August 2, 2023
概括
武术从业者面临肌肉骨损伤,前十字带 (ACL) 破裂很常见. 有效的骨科管理和康复,专注于神经运动控制,可以帮助60%的运动员恢复他们以前的参与水平.
科学领域:
- 运动医学 运动医学
- 整形外科手术 整形外科手术
- 生物力学 生物力学
背景情况:
- 武术,包括打击和抓,在全球范围内实践,并融入体育和奥运会.
- 武术的强烈身体性使练习者倾向于各种肌肉骨损伤,包括带破裂,不稳定,骨折和脊柱损伤.
- 前十字带 (ACL) 断裂是参加武术延长时间损失的最常见原因.
研究的目的:
- 审查武术中肌肉骨损伤的临床和生物力学方面.
- 讨论针对武术从业者量身定制的骨科管理策略.
- 突出伤害预防和康复在优化恢复参与方面的重要性.
主要方法:
- 关于武术伤害的临床和生物机械研究的文献综述.
- 分析伤害发生率,常见的伤害类型,以及影响伤害风险的因素 (例如,经验水平,竞争).
- 检查骨科管理原则,包括手术和非手术方法,以及康复策略.
主要成果:
- 经验和竞争水平的提高与受伤率的增加有关.
- 前十字带 (ACL) 断裂是最常见的损伤,导致显著的参与损失.
- 大约60%的武术运动员在严重受伤后可以恢复到受伤前的参与水平.
结论:
- 整形治疗管理必须是个性化的,考虑武术家的需求和他们的风格的特定生物力学.
- 伤害预防和康复计划应强调神经运动控制和核心参与正确的身体机制.
- 在物理治疗中逐步恢复武术运动对于恢复和信心至关重要.
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