在阿基里斯肌破裂后持续的缺陷:叙述审查
Rikke Hoeffner1,2,3, Rene B Svensson1,2, Nicolai Bjerregaard1
1Institute of Sports Medicine Copenhagen, Department of Orthopedic Surgery, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Translational sports medicine
|April 24, 2024
概括
阿基里斯肌破裂往往导致持久的肌肉衰弱和肌延长,完全恢复需要一年以上. 恢复正常的肌长度可能会改善这种常见的体育伤害后的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 急性阿基里斯肌破裂经常导致持续的肌肉衰弱,肌延长和功能恢复不完全.
- 目前的文献缺乏基于证据的强有力的指导方针,用于在阿基里斯肌破裂后进行最佳康复.
研究的目的:
- 审查和讨论阿基勒斯肌破裂对肌肉,肌和功能的影响.
- 为了评估恢复程度,使用诸如阿基里斯完全破裂得分 (ATRS),肌肉强度,横截面积,肌长度和脚跟升高测试等措施来评估恢复程度.
主要方法:
- 对有关阿基勒斯肌破裂结果的现有文献进行系统审查.
- 分析患者报告的结果指标 (PROM),包括伤害后不同时间点的ATRS得分.
- 评估生物力学参数,如肌肉强度,横截面积,肌长度和起性能.
主要成果:
- 患者报告的结果表明,恢复时间超过六个月,ATRS得分在受伤后的一年内在100分之82左右停滞不前.
- 肌肉质量,力量和功能缺陷在某些情况下可能是永久的.
- 在受伤后的头六个月内肌延长与脚升高功能有负相关性.
结论:
- 阿基里斯肌破裂的恢复时间长,往往不完整,有可能导致永久的功能缺陷.
- 肌延长是影响功能恢复的重要因素之一.
- 需要进行进一步的研究,特别关注恢复正常肌长度的干预措施,以改善患者的治疗结果.
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