专题:冬奥医学

冬季项目运动员膝关节运动损伤术后功能恢复进程及重返赛场分析

  • 印钰 ,
  • 王琪 ,
  • 孟令宇 ,
  • 苗欣 ,
  • 王成 ,
  • 张辛 ,
  • 黄洪杰 ,
  • 王健全
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  • 1. 北京大学第三医院运动医学科, 北京 100191;
    2. 北京大学医学部基础医学院, 北京 100191
印钰,副主任医师,研究方向为运动损伤诊疗,电子信箱:13501174894@qq.com;王琪(共同第一作者),康复治疗师,研究方向为运动损伤康复,电子信箱:979559854@qq.com

收稿日期: 2021-11-12

  修回日期: 2021-12-07

  网络出版日期: 2022-03-05

基金资助

国家自然科学基金青年科学基金项目(81902205)

Functional recovery process and return to the field of winter athletes after sports injury

  • YIN Yu ,
  • WANG Qi ,
  • MENG Lingyu ,
  • MIAO Xin ,
  • WANG Cheng ,
  • ZHANG Xin ,
  • HUANG Hongjie ,
  • WANG Jianquan
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  • 1. Department of Sports Medicine, Peking University Third Hospital, Beijing 100191, China;
    2. Peking University School of Medicine Sciences, Beijing 100191, China

Received date: 2021-11-12

  Revised date: 2021-12-07

  Online published: 2022-03-05

摘要

为探讨冬季项目运动员膝关节运动损伤修复术后功能恢复进程以及重返赛场情况,选取2007年1月至2021年1月在北京大学第三医院运动医学科进行膝关节损伤修复手术的冬季项目专业运动员的恢复情况进行回顾性分析。通过对患者的基本信息和随访结果进行分析,探讨冬季运动员术后功能恢复和重返赛场进程。回顾性分析36例冬季项目运动员的随访结果,男性13例,女性23例。91.67%(33例)的患者能在1年内恢复正常生活,86.11%(31例)的患者能够在术后1年内重返运动。术后1年Tegner评分8(5~8),IKDC评分72.77±7.91(46~82),Lysholm评分83.29±12.84(50~100),相较于术前有显著提升。重返赛场比率为66.67%(24/例)。4例术后再次损伤。冬季项目运动员下肢运动损伤多以膝关节韧带为主,术后整体功能恢复情况好,重返赛场比率较高。术后进行科学、规范、精准化的术后康复训练,有利于运动员术后功能的恢复与重返赛场的表现。

本文引用格式

印钰 , 王琪 , 孟令宇 , 苗欣 , 王成 , 张辛 , 黄洪杰 , 王健全 . 冬季项目运动员膝关节运动损伤术后功能恢复进程及重返赛场分析[J]. 科技导报, 2022 , 40(2) : 65 -70 . DOI: 10.3981/j.issn.1000-7857.2022.02.009

Abstract

To explore the functional recovery process and the return to the competition of the winter athletes and to provide reference for the rehabilitation and the prevention of related injuries in China, a retrospective review is made of all winter sports athletes operated at Department of Sports Medicine, Peking University Third Hospital between January 2007 and January 2021. The functional recovery and the return to the field of winter athletes are explored by analyzing the basic patient information and the follow-up results, including a total of 36 follow-up results of winter program athletes, 13 males and 23 females. 91.67% (33) of the patients return to the normal life within 1 year and 86.11% (31) return to exercise within 1 year after the surgery. Oneyear postoperative Tegner score 8 (5~8), IKDC score 72.77±7.91(46~82) and Lysholm score 83.29±12.84 (50~100) compared to preoperative improvement. The rate of return to competition is 66.67% (24/36). Four people suffer from another injury after the surgery. The postoperative functional recovery is generally good and the rate of return to sport in winter athletes is high. It is necessary to carry out the scientific and standardized postoperative rehabilitation training, so as to promote the recovery of the athletes' postoperative functions and the performance after their return to the competition field.

参考文献

[1] 伍斌. 中国滑雪产业白皮书(2019年度报告)[EB/OL]. (2020-11-06)[2020-02-18]. https://www.vanat.ch/2019-china-ski-industry-white-book-Chinese.pdf.
[2] 杨渝平, 孔思敏, 邓佳良, 等. 休闲滑雪和滑雪运动员急性运动损伤的比较[J]. 北京大学学报(医学版), 2021, 9(15):1-16.
[3] Engebretsen L, Steffen K, Alonso J M, et al. Sports injuries and illnesses during the Winter Olympic Games 2010[J]. British Journal of Sports Medicine, 2010, 44(11):772-780.
[4] Soligard T, Steffen K, Palmer-Green D, et al. Sports injuries and illnesses in the Sochi 2014 Olympic Winter Games[J]. British Journal of Sports Medicine, 2015, 49(7):441-447.
[5] Soligard T, Palmer D, Steffen K, et al. Sports injury and illness incidence in the PyeongChang 2018 Olympic Winter Games:A prospective study of 2914 athletes from 92 countries[J]. British Journal of Sports Medicine, 2019, 53(17):1085-1092.
[6] Sekir U, Gur H, Akova B. Early versus late start of isokinetic hamstring-strengthening exercise after anterior cruciate ligament reconstruction with patellar tendon graft[J]. The American Journal of Sports Medicine, 2010, 38(3):492-500.
[7] 刘星辰. 早期康复训练对男子篮球运动员前交叉韧带重建后功能恢复的效果[D]. 北京:北京体育大学, 2017.
[8] 曾春, 蔡道章, 王昆, 等. 关节镜下前交叉韧带重建术后的康复干预[J]. 中国临床康复, 2005(14):1-3.
[9] 马燕红, 程安龙, 江澜, 等. 半腱肌半膜肌重建前交叉韧带术后早期康复[J]. 中华物理医学与康复杂志, 2002(6):14-16.
[10] Erickson B J, Harris J D, Fillingham Y A, et al. Performance and return to sport after anterior cruciate ligament reconstruction in X-Games skiers and snowboarders[J]. Orthopaedic Journal of Sports Medicine, 2013, 1(6):2325967113511196.
[11] Erickson B J, Harris J D, Cole B J, et al. Performance and return to sport after anterior cruciate ligament reconstruction in national hockey league players[J]. Orthopaedic Journal of Sports Medicine, 2014, 2(9):2325967114548831.
[12] Haida A, Coulmy N, Dor F, et al. Return to sport among French alpine skiers after an anterior cruciate ligament rupture:Results from 1980 to 2013[J]. The American Journal of Sports Medicine, 2016, 44(2):324-330.
[13] Shelbourne K D, Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstruction[J]. The American Journal of Sports Medicine, 1990, 18(3):292-299.
[14] Beynnon B D, Uh B S, Johnson R J, et al. Rehabilitation after anterior cruciate ligament reconstruction:A prospective, randomized, double-blind comparison of programs administered over 2 different time intervals[J]. The American Journal of Sports Medicine, 2005, 33(3):347-359.
[15] Sekir U, Gur H, Akova B. Early versus late start of isokinetic hamstring-strengthening exercise after anterior cruciate ligament reconstruction with patellar tendon graft[J]. The American Journal of Sports Medicine, 2010, 38(3):492-500.
[16] 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.
[17] Wiggins A J, Grandhi R K, Schneider D K, et al. Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction:A systematic review and meta-analysis[J]. The American Journal of Sports Medicine, 2016, 44(7):1861-1876.
[18] Myer G D, Ford K R, Brent J L, et al. Differential neuromuscular training effects on ACL injury risk factors in "high-risk" versus "low-risk" athletes[J]. BMC Musculoskelet Disord, 2007, 8:39.
[19] Hewett T E, Ford K R, Myer G D. Anterior cruciate ligament injuries in female athletes:Part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention[J]. The American Journal of Sports Medicine, 2006, 34(3):490-498.
[20] Magnussen R A, Lawrence J T, West R L, et al. Graft size and patient age are predictors of early revision after anterior cruciate ligament reconstruction with hamstring autograft[J]. Arthroscopy, 2012, 28(4):526-531.
[21] Myer G D, Faigenbaum A D, Chu D A, et al. Integrative training for children and adolescents:Techniques and practices for reducing sports-related injuries and enhancing athletic performance[J]. The Physician and Sportsmedicine, 2011, 39(1):74-84.
[22] Myer G D, Ford K R, Palumbo J P, et al. Neuromuscular training improves performance and lower-extremity biomechanics in female athletes[J]. Journal of Strength and Conditioning Research, 2005, 19(1):51-60.
[23] 孔令华, 李令岭. 神经肌肉训练对运动员ACL损伤康复与预防的研究综述[J]. 中国体育科技, 2019, 55(10):62-67.
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