Plastaras Christopher T, Rittenberg Joshua D, Rittenberg Kathryn E, Press Joel, Akuthota Venu
Rehabilitation Institute of Chicago, Spine and Sports Rehabilitation Center, 1030 North Clark Street, Suite 500 Chicago, IL 60610, USA.
Phys Med Rehabil Clin N Am. 2005 Aug;16(3):623-49. doi: 10.1016/j.pmr.2005.02.005.
In most cases, a detailed history provides the information that is necessary for the clinician to diagnose the injured runner correctly; however, to treat the injury and guide a successful rehabilitation program, the physical examination must go beyond the standard regional musculoskeletal examination. The victims (tissue injury) and the culprits (biomechanical deficits) must be identified to facilitate treatment (Table 3). Gait and other dynamic assessments help to reveal underlying deficits in function that may have contributed to injury. In short, the entire functional kinetic chain must be considered and weak links identified.
在大多数情况下,详细的病史能为临床医生正确诊断受伤的跑步者提供必要信息;然而,为了治疗损伤并指导成功的康复计划,体格检查必须超越标准的局部肌肉骨骼检查。必须识别受害者(组织损伤)和罪魁祸首(生物力学缺陷)以促进治疗(表3)。步态和其他动态评估有助于揭示可能导致损伤的潜在功能缺陷。简而言之,必须考虑整个功能动力链并识别薄弱环节。