关于运动员骨压力损伤的国际德尔菲共识
Tim Hoenig1, Karsten Hollander2, Kristin L Popp3,4
1Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany t.hoenig@uke.de.
British journal of sports medicine
|December 5, 2024
概括
骨压力损伤,如压力反应和骨折,是影响运动员的过度使用损伤. 这项研究通过Delphi方法建立了关于它们的定义,风险因素和管理的国际共识.
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:
- 骨压力损伤 (压力反应和骨折) 是运动员过度使用的常见损伤.
- 这些伤害可能会导致严重的活动限制,并可能结束运动员的职业生涯.
- 目前在定义,风险因素和管理策略方面缺乏国际共识.
研究的目的:
- 通过修改的Delphi方法,在骨压伤问题上达成国际共识.
- 改善关于病理生理学,诊断,术语,分类,风险因素,查,预防,管理和恢复运动协议的协议.
主要方法:
- 采用了三部分修改后的Delphi方法.
- 一个多学科的指导委员会和由41名国际专家 (科学家,临床医生,运动员,教练) 组成的小组参加了会议.
- 进行了三轮投票,每轮投票由33,28和28名成员完成.
主要成果:
- 在58个关于骨压力损伤的陈述中,在41个方面达成了共识.
- 该研究概述了一种多因素的方法来识别和管理这些伤害.
- 制定了诊断工作和治疗的建议.
结论:
- 这种共识为运动员的临床护理和骨压伤害预防提供了一个框架.
- 它强调需要一个全面的,多因素的战略.
- 识别的知识差距将指导未来的研究,以促进运动员的骨健康.
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