前十字带重建康复:几十年的变化
Nicky van Melick1, Eric Hamrin Senorski2,3, Aleksandra Królikowska4
1Sports & Orthopedics Research Center, Anna TopSupport, Eindhoven, The Netherlands.
概括
目前前前十字带重建 (ACLR) 准则需要更新. 新证据支持开放的运动链练习,神经认知训练和心理支持,以更好地恢复和减少重伤风险.
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:
- 目前前前十字带重建 (ACLR) 康复指南需要在关键领域进行更新.
- 需要修订的关键领域包括开放动力链 (OKC) 四头骨强化,神经认知训练和心理干预.
- 现有的指导方针并没有充分纳入最近关于优化患者治疗结果的研究成果.
研究的目的:
- 突出需要更新ACLR康复指南的需要.
- 将最近关于OKC练习,神经认知训练和心理干预的研究纳入临床实践.
- 为基于证据的,以患者为中心的ACLR康复方案的开发提供信息.
主要方法:
- 关于ACLR康复的最新科学文献的综述.
- 分析开放动力链 (OKC) 练习与封闭动力链练习的有效性.
- 评估神经认知训练和心理干预在ACLR恢复中的作用.
- 欧洲体育创伤学,膝关节外科和关节透视学会 (ESSKA) 制定共识声明.
主要成果:
- 开放动力链 (OKC) 练习,当与闭合动力链练习相结合时,可以提高四头肌的强度,而不会损害移植完整性,只要监测膝盖疼痛和输液.
- 神经认知训练通过提高反应时间,视觉注意力和双重任务能力来降低重伤风险的潜力,但目前尚未充分利用.
- 心理反应在ACLR恢复中至关重要,需要个性化的支持策略,尽管目前解决这些问题的方法仍然不清楚.
结论:
- 更新的ACLR康复指南对于纳入强化,神经认知和心理干预方面的进展至关重要.
- 量身定制,以患者为中心的护理对于优化康复和最大限度地减少ACLR后重伤风险至关重要.
- 该ESSKA共识旨在提供可操作的,基于证据的指导方针,以改善ACLR康复结果.
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