Zacharias Flore, Karen Hambly, Kyra De Coninck, Götz Welsch
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引用次数: 0
摘要
外侧踝关节扭伤(LAS)是职业足球运动员最常见的损伤类型之一,复发风险很高。职业足球运动员在外侧踝关节扭伤后的康复治疗通常仍以时间为基础,并依赖于临床医生的轶事经验。在职业足球运动员接受 LAS 治疗后,仍然缺乏基于标准的康复理念。这篇临床评论的目的是:(1)批判性地讨论职业足球运动员LAS术后基于标准的康复理念的必要性;(2)强调目前缺乏这些方法的现状;(3)提出一种新颖的基于临床指南的康复算法。短时间损失(15 天)和高复发率(17%)提出了职业足球运动员 LAS 无足轻重的问题。尽管这对许多利益相关者(球员、球队、俱乐部、保险公司)都有影响,但目前仍缺乏基于标准、循序渐进的方法。使用基于标准的康复方法可能会降低职业足球运动员 LAS 后的高复发率,进而提高球员的长期可用性。作者的实践经验证明了这种方法的可行性。这种新型康复算法的有效性仍有待今后的研究进行评估。证据等级:5.
A Rehabilitation Algorithm After Lateral Ankle Sprains in Professional Football (Soccer): An Approach Based on Clinical Practice Guidelines.
Lateral ankle sprain (LAS) is one of the most common types of injury in professional football (soccer) players with high risk of recurrence. The rehabilitation after LAS in professional football players is often still time-based and relies on anecdotal experience of clinicans. There is still a lack of utilization of criteria-based rehabilitation concepts after LAS in professional football. The aims of this clinical commentary are (1) to critically discuss the need for criteria-based rehabilitation concepts after LAS in professional football players, (2) to highlight the current lack of these approaches and (3) to present a novel clinical guideline-based rehabilitation algorithm. Short time-loss (15 days) and high recurrence rate (17%) raise the question of trivialization of LAS in professional football. Despite consequences for many stakeholders involved (players, teams, clubs, insurers), there is still a lack of of criteria-based, step-by-step approaches. The use of a criteria-based rehabilitation approach might reduce the high recurrence rate after LAS in professional football players and will lead, in turn, to increased long-term player availability. Practical experiences of he authors demonstrate the feasibility of such an approach. The effectiveness of this novel rehabilitation algorithm remains to be evaluated in future studies. Level of Evidence: 5.