大腿肌腱再损伤的挑战:专家意见。

Q3 Pharmacology, Toxicology and Pharmaceutics Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2024-10-24 DOI:10.1515/jbcpp-2024-0177
Stefano Palermi, Filippo Vittadini, Giulio Pasta, Marcello Zappia, Alessandro Corsini, Carles Pedret, Luca Vergani, Italo Leo, Gianni Nanni, Marco Vecchiato, Andrea Demeco, Immacolata Belviso, Felice Sirico, Aleksi Jokela, Lasse Lempainen
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引用次数: 0

摘要

本综述借鉴运动医学的最新进展和不同观点,对运动员大腿肌腱再损伤问题进行了批判性研究。研究结果强调了早期准确诊断的重要性,因为这将极大地影响治疗效果和康复结果。我们探讨了肌腱解剖的复杂性和损伤的内在机制,强调了这些因素如何与运动员特有的风险特征相互作用,从而影响再损伤率。本综述的一个主要发现是,有必要采用将传统方法与新兴技术相结合的个性化康复方法。这些技术有望加强监测,促进康复方案的精确调整,从而改善康复轨迹。此外,综述还指出了当前实践中的一个共同不足--过早比赛(RTP)--这往往是由于没有充分坚持量身定制的康复策略或低估了损伤的严重程度造成的。这种过早的 RTP 会大大增加进一步受伤的风险。通过对当代研究和专家意见的综述,本综述主张采用多学科方法来处理大腿肌腱损伤,强调需要不断进行研究,以完善 RTP 标准并优化康复技术。最终目标是支持运动员实现更安全、更有效的康复,从而降低肌腱再次损伤的可能性。
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The challenge of thigh tendon reinjuries: an expert opinion.

This review critically examines the issue of thigh tendon reinjury in athletes, drawing on recent advancements and diverse perspectives in sports medicine. The findings underscore the paramount importance of an early and accurate diagnosis, which significantly influences treatment efficacy and rehabilitation outcomes. We explore the intricacies of tendon anatomy and the mechanisms underlying injuries, highlighting how these factors interplay with athlete-specific risk profiles to affect reinjury rates. A major finding from the review is the necessity for individualized rehabilitation approaches that integrate both traditional methods and emerging technologies. These technologies show promise in enhancing monitoring and facilitating precise adjustments to rehabilitation protocols, thus improving recovery trajectories. Additionally, the review identifies a common shortfall in current practices - premature to play (RTP) - which often results from inadequate adherence to tailored rehabilitation strategies or underestimation of the injury's severity. Such premature RTP significantly heightens the risk of further injury. Through this synthesis of contemporary research and expert opinion, the review advocates for a multidisciplinary approach in managing thigh tendon injuries, emphasizing the need for ongoing research to refine RTP criteria and optimize rehabilitation techniques. The ultimate goal is to support athletes in achieving safer and more effective recoveries, thereby reducing the likelihood of tendon reinjury.

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来源期刊
Journal of Basic and Clinical Physiology and Pharmacology
Journal of Basic and Clinical Physiology and Pharmacology Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
3.90
自引率
0.00%
发文量
53
期刊介绍: The Journal of Basic and Clinical Physiology and Pharmacology (JBCPP) is a peer-reviewed bi-monthly published journal in experimental medicine. JBCPP publishes novel research in the physiological and pharmacological sciences, including brain research; cardiovascular-pulmonary interactions; exercise; thermal control; haematology; immune response; inflammation; metabolism; oxidative stress; and phytotherapy. As the borders between physiology, pharmacology and biochemistry become increasingly blurred, we also welcome papers using cutting-edge techniques in cellular and/or molecular biology to link descriptive or behavioral studies with cellular and molecular mechanisms underlying the integrative processes. Topics: Behavior and Neuroprotection, Reproduction, Genotoxicity and Cytotoxicity, Vascular Conditions, Cardiovascular Function, Cardiovascular-Pulmonary Interactions, Oxidative Stress, Metabolism, Immune Response, Hematological Profile, Inflammation, Infection, Phytotherapy.
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