The Envelope of Function: Revisiting the Theory With New Concepts-A Narrative Review.

IF 2.6 2区医学 Q1 ORTHOPEDICS Journal of the American Academy of Orthopaedic Surgeons Pub Date : 2024-11-01 Epub Date: 2024-07-16 DOI:10.5435/JAAOS-D-23-00433

Iberê P Datti, Renata Silva, Leandro Ejnisman

{"title":"The Envelope of Function: Revisiting the Theory With New Concepts-A Narrative Review.","authors":"Iberê P Datti, Renata Silva, Leandro Ejnisman","doi":"10.5435/JAAOS-D-23-00433","DOIUrl":null,"url":null,"abstract":"<p><p>Musculoskeletal injuries are a complex multifactorial phenomenon, and several factors can contribute to their occurrence. This review aimed to discuss some relevant and often unexpected elements involved in musculoskeletal injuries and rehabilitation. One of the main factors discussed is the role of physiological adaptation to training in musculoskeletal injury susceptibility. This is probably the most modifiable factor in preventing and treating musculoskeletal injuries. Other factors discussed are the role of genetics in injury susceptibility; the effect of stressors and environmental factors and the way we deal with setbacks; anabolic steroid use as aesthetic and performance-enhancement drugs; nutrition, sleeping, and the imbalance between rest, energy intake, and training; anatomic and biomechanical factors; and the role of systemic disease. Moreover, the topic of unknown factors keeps an open door for future discoveries. This review highlights the importance of understanding the various factors contributing to musculoskeletal injuries and the need for an individualized approach to injury prevention and rehabilitation, from both a historical and a physiological point of view.</p>","PeriodicalId":51098,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons","volume":" ","pages":"e1090-e1101"},"PeriodicalIF":2.6000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Academy of Orthopaedic Surgeons","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5435/JAAOS-D-23-00433","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/16 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Musculoskeletal injuries are a complex multifactorial phenomenon, and several factors can contribute to their occurrence. This review aimed to discuss some relevant and often unexpected elements involved in musculoskeletal injuries and rehabilitation. One of the main factors discussed is the role of physiological adaptation to training in musculoskeletal injury susceptibility. This is probably the most modifiable factor in preventing and treating musculoskeletal injuries. Other factors discussed are the role of genetics in injury susceptibility; the effect of stressors and environmental factors and the way we deal with setbacks; anabolic steroid use as aesthetic and performance-enhancement drugs; nutrition, sleeping, and the imbalance between rest, energy intake, and training; anatomic and biomechanical factors; and the role of systemic disease. Moreover, the topic of unknown factors keeps an open door for future discoveries. This review highlights the importance of understanding the various factors contributing to musculoskeletal injuries and the need for an individualized approach to injury prevention and rehabilitation, from both a historical and a physiological point of view.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

功能包络：用新概念重温理论--叙事评论》。

肌肉骨骼损伤是一种复杂的多因素现象，多种因素都可能导致其发生。本综述旨在讨论与肌肉骨骼损伤和康复有关的一些相关因素，这些因素往往出人意料。讨论的主要因素之一是训练的生理适应在肌肉骨骼损伤易感性中的作用。这可能是预防和治疗肌肉骨骼损伤中最容易改变的因素。讨论的其他因素包括：遗传在损伤易感性中的作用；压力和环境因素的影响以及我们应对挫折的方式；合成类固醇作为美容和提高成绩药物的使用；营养、睡眠以及休息、能量摄入和训练之间的不平衡；解剖和生物力学因素；以及全身性疾病的作用。此外，未知因素这一话题也为未来的发现敞开了大门。这篇综述从历史和生理学的角度强调了了解导致肌肉骨骼损伤的各种因素的重要性，以及采用个性化方法进行损伤预防和康复的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of the American Academy of Orthopaedic Surgeons 医学-整形外科

CiteScore

6.10

自引率

6.20%

发文量

529

审稿时长

4-8 weeks

期刊介绍： The Journal of the American Academy of Orthopaedic Surgeons was established in the fall of 1993 by the Academy in response to its membership’s demand for a clinical review journal. Two issues were published the first year, followed by six issues yearly from 1994 through 2004. In September 2005, JAAOS began publishing monthly issues. Each issue includes richly illustrated peer-reviewed articles focused on clinical diagnosis and management. Special features in each issue provide commentary on developments in pharmacotherapeutics, materials and techniques, and computer applications.