Enhancing Return to Alpine Skiing: Integrating Perceptual-Motor-Cognitive Considerations in Testing and Progressions: A Clinical Commentary.

IF 1.6 Q3 SPORT SCIENCES International Journal of Sports Physical Therapy Pub Date : 2024-07-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.120285
Conor Smith, Dustin R Grooms, Helen Bradley
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Abstract

Alpine skiing poses significant risks for anterior cruciate ligament (ACL) injury at both recreational and professional levels, which is compounded by high rates of re-injury. Despite the existence of return to sport (RTS) and return to snow protocols, the frequency of ACL re-injury has not been mitigated, raising doubts about protocol effectiveness. Current RTS protocols primarily focus on biomechanical and neuromuscular factors in isolation, neglecting the important perceptual-motor-cognitive changes associated with ACL injuries and the high cognitive demands of skiing. The purpose of this clinical commentary is to address the perceptual-motor-cognitive demands specific to alpine skiing, evaluate RTS testing for skiers, and propose updated standards for testing and return to snow progressions that incorporate these considerations.

Level of evidence: 5.

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提高高山滑雪的恢复能力:将感知-运动-认知因素纳入测试和练习:临床评论。
高山滑雪对休闲和专业水平的前十字韧带(ACL)损伤造成了极大的风险,而再次损伤的高发率又加剧了这一风险。尽管已经制定了重返运动场(RTS)和重返雪场方案,但前十字韧带再次损伤的频率并未降低,这让人对方案的有效性产生了怀疑。目前的恢复训练方案主要关注生物力学和神经肌肉因素,而忽视了与前交叉韧带损伤相关的重要感知-运动-认知变化,以及滑雪运动对认知的高要求。本临床评论旨在探讨高山滑雪运动特有的感知-运动-认知需求,评估滑雪者的 RTS 测试,并结合这些考虑因素提出测试和重返雪场进展的最新标准:5.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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