总结了国家高水平羽毛球运动员踝关节韧带损伤手术及术后个性化精准康复治疗临床实践。治疗前进行多方会诊，成立专家医疗保障团队，为羽毛球运动员实施踝关节断裂韧带修复手术。康复师与术者、体能教练、技术教练团队协作，共同制定重返赛场康复训练方案。康复方案包括理疗，镇痛治疗，关节护具的使用，减重练习，关节活动度治疗，肌肉力量训练，非伤部位体能训练和其他功能训练，并根据手术后时间与康复进程修定康复方案。通过以上个性化精准康复方案的有效实施，运动员4周实现完全无痛负重、步态正常，6周时患侧踝关节提踵高度与健侧接近，8周回归队伍进行场地训练，伤后14周顺利重返赛场，首场国际比赛进入决赛。伤后手术、康复方案切实有效，完成功能康复与参赛保障目标。
This paper analyzes the ankle surgery and the rehabilitation program of a top-level badminton athlete. Multi-party consultation was held and an expert support team was set up for the treatment of this athlete's ankle joint injury. The therapist and the surgeon cooperated as a team for the comprehensive treatment plan from multiple angles. The treatment includes the modalities, the analgesia treatment, the use of joint protective devices, the joint mobility treatment, the muscle strength training, the weight-bearing training, the physical training and other treatment. Under a close supervision, the function of the athlete improved gradually. 4 weeks after the surgery, the athlete could bear the full body weight and had a normal gait. 8 weeks after the surgery he returned to training and 14 weeks after the surgery he returned to the competition successfully. In the first match he entered the final. Post-operation rehabilitation programs were practical, effective, and reached the guarantee goals.
[1] 陈璐. 体育活动中羽毛球运动损伤与康复的研究[J]. 体育时空, 2015(17):139.
[2] Neuschwander T B, Indresano A A, Hughes T H, et al. Footprint of the lateral ligament complex of the ankle[J]. Foot & Ankle International, 2013, 34(4):582-586.
[3] Miyamoto W, Takao M, Yamada K, et al. Accelerated versus traditional rehabilitation after anterior talofibular ligament reconstruction for chronic lateral instability of the ankle in athletes[J]. The American Journal of Sports Medicine, 2014, 42(6):1441-1447.
[4] Speck M, Klaue K. Early weight bearing and functional treatment after surgical repair of acute achilles tendon rupture[J]. The American Journal of Sports Medicine, 1998, 26(6):789-793.
[5] 赵丰超. 羽毛球运动员的身体素质训练探讨[J]. 科技信息, 2010(9):112.
[6] 胥皞, 李志端, 焦晨, 等. 优秀花样滑冰运动员双踝手术后康复疗效个案研究[J]. 中国运动医学杂志, 2019, 38(9):793-801.
[7] 施忠民, 陈城, 马燕红, 等. 中国慢性踝关节外侧不稳定术后康复专家共识[J]. 中华骨与关节外科杂志, 2019(10):747-753.
[8] White W J, Mccollum G A, Calder J D F. Return to sport following acute lateral ligament repair of the ankle in professional athletes[J]. Knee Surgery, Sports Traumatology, Arthroscopy, 2016, 24(4):1124-1129.
[9] Kelley M J, Shaffer M A, Kuhn J E, et al. Shoulder pain and mobility deficits:Adhesive capsulitis[J]. The Journal of Orthopaedic and Sports Physical Therapy, 2013, 43(5):1-31.
[10] 陈昕, 施少云, 陈秀清, 等. 运动疗法在踝关节损伤康复治疗中的应用[J]. 中国骨与关节损伤杂志, 2018(8):892-893.
[11] Doherty C, Bleakley C, Hertel J, et al. Recovery from a first-time lateral ankle sprain and the predictors of chronic ankle instability:A prospective cohort analysis[J]. The American Journal of Sports Medicine, 2016, 44(4):995-1003.
[12] 何颖, 徐明. 高水平运动员运动损伤的心理康复研究[J]. 成都大学学报(自然科学版), 2012(3):103-105.
