髋关节手术后运动员重返赛场的物理治疗范例

IF 0.4 4区 医学 Q4 SPORT SCIENCES
Ashley M. Campbell , Michael Voight , JW Thomas Byrd
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引用次数: 0

摘要

髋关节镜已成为治疗股骨髋臼撞击症(FAI)及相关关节内病变的主要手术方法,尤其是在运动员中。尽管手术技术在不断进步,但康复方案,尤其是有关重返赛场(RTP)的康复方案在特异性和客观性方面却没有跟上步伐。本文回顾了当前的做法,并介绍了一个全面的、多因素的 RTP 连续体,该连续体超越了单纯的时间标准,还包括运动员的整体准备情况,包括身体和心理两方面。通过从术前阶段开始到完全恢复比赛的分阶段康复策略,本文旨在提出一个更细致的 RTP 连续体,该连续体考虑了运动员在时间基准之外的准备情况。所概述的阶段包括术前准备、术后即时护理、早期康复、修整、提高表现和最终重返赛场,每个阶段都根据临床里程碑与生物力学和社会心理因素相结合而量身定制。这种方法提倡向个性化康复方案转变,使之与成功重返运动场所必需的生物愈合过程和功能里程碑相一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physical Therapy Paradigms in Athletic Return to Play After Hip Surgery

Hip arthroscopy has become the predominant surgical approach for managing femoroacetabular impingement (FAI) and associated intra-articular pathologies, particularly in athletes. Despite advancements in surgical techniques, rehabilitation protocols, especially those governing return to play (RTP), have not kept pace in terms of specificity and objectivity. This article reviews current practices and introduces a comprehensive, multi-factorial continuum for RTP that extends beyond mere time-based criteria to include an athlete's overall readiness, encompassing both physical and psychological aspects. Through a phased rehabilitation strategy beginning in the preoperative phase and extending through to full return to competition, this paper aims to present a more nuanced continuum for RTP that accounts for an athlete's readiness beyond temporal benchmarks. The phases outlined include preoperative preparation, immediate postoperative care, early rehabilitation, reconditioning, performance enhancement, and final return to play, each phase tailored to integrate clinical milestones with biomechanical and psychosocial factors. This approach advocates for a shift towards personalized rehabilitation protocols that align with the biological healing processes and functional milestones essential for a successful return to sports.

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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
46
审稿时长
93 days
期刊介绍: Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.
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