在部和核心评估当前的概念,以减少ACL受伤的风险
Jeremy M Burnham1, Anthony T Drazick1, Ghislain Aminake1
1Orthopaedic Surgery & Sports Medicine Ochsner-Andrews Sports Medicine Institute.
International journal of sports physical therapy
|February 4, 2026
概括
加强部和干部肌肉可以显著降低前十字带 (ACL) 损伤风险. 将核心稳定性评估和练习纳入预防和康复计划对于运动员,特别是女性来说至关重要.
科学领域:
- 运动医学 运动医学
- 生物力学 生物力学
- 康复科学 康复科学 康复科学
背景情况:
- 部和干部 (核心) 肌肉功能障碍是与非接触前十字带 (ACL) 损伤相关的下肢生物力学的一个关键因素.
- 目前的临床实践越来越多地关注核心稳定性和控制,以预防伤害和术后康复.
- 在科学文献中缺乏针对ACL损伤缓解的核心导向策略的全面综合.
研究的目的:
- 综合当前关于关节和核心重点评估策略的证据,以减轻ACL损伤风险.
- 审查针对部和核心肌肉的康复策略,以预防ACL损伤.
主要方法:
- 在PubMed和谷歌学者 (2000年1月 - 2025年4月) 上进行了叙事文献搜索.
- 研究包括生物力学,前性,干预性和回归运动研究,检查部/骨干功能和ACL受伤风险或恢复.
- 结果被分为伤害机制,查/恢复游戏测试和干预措施,并关注性别特异性数据.
主要成果:
- 减少关节绑架/延伸强度和干部神经肌肉控制预测了动态的膝盖和增加的ACL应变.
- 功能和肌肉评估可靠地识别高风险运动员和ACL重建后 (ACLR) 患者.
- 专注于部和核心强化的神经肌肉项目,在年轻人中减少了20-60%的膝关节带损伤率,女性的效果更大. 早期整合康复改善了结果.
结论:
- 在ACL损伤缓解,康复和回归比赛协议中,支持对部和干部评估和加强的例行整合.
- 未来的研究应该完善干部特定的评估工具,并为不同性别和竞争水平建立最佳的运动参数.
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