Barry University, Miami, FL.
J Athl Train. 1999 Oct;34(4):390-6.
To present clinical techniques for managing class I brachial plexus neurapraxia (BPN) in collegiate football players.
During a football career, up to 50% of college football players develop BPN. It is difficult to return the player to practice and competition without many recurrences during the same season. Postseason reconditioning programs may improve the outcome by allowing the injured nerves a chance to heal adequately. Flexibility and strength of the neck and shoulder girdle are the focus of this proposed postseason BPN reconditioning program. This clinical technique is designed to reduce or eliminate inflammation, weakness, and hypomobility that contribute to reinjury of the brachial plexus and the resulting class I BPN.
After the football season, the team physician performs a mandatory follow-up examination. Any pathology that may be exacerbated is ruled out before beginning this program. Conservative management is prescribed during the first 4 weeks postseason. Then an 8-week period of aggressive reconditioning is initiated. Players begin manual resistance and Nautilus neck machine exercises 3 times per week. A cervical spine mobilization and modified shoulder resistance program is performed 2 days per week. Subsequently, players proceed with modification of the general neck and shoulder program used by the rest of the squad. Shoulder pad and neck orthoses selection should be reviewed to ensure that the best protection against reinjury is used when the athlete returns to play. To minimize any chance of recurrence, a progressive pattern of gradually increasing collision work is employed after the athlete is cleared by the physician.
Postseason observation of players after 1 year should reveal decreased recurrence of brachial plexus injury. The reconditioning program format, together with protective equipment considerations, may have a significant effect in reducing or eliminating the recurrence of BPN in football players.
介绍治疗大学生美式足球运动员 I 型臂丛神经麻痹（BPN）的临床技术。
在足球生涯中，多达 50%的大学生足球运动员会发生 BPN。如果在同一赛季多次复发，球员很难重返练习和比赛。季末康复计划可通过为受伤神经提供充分愈合机会来改善结果。该拟议的季末 BPN 康复计划侧重于颈部和肩部的灵活性和力量。该临床技术旨在减少或消除炎症、虚弱和活动度降低，这些因素会导致臂丛神经再次受伤，并导致 I 型 BPN。
在足球赛季结束后，队医进行强制性的随访检查。在开始此计划之前，排除可能加重的任何病理。在季末的前 4 周，采用保守治疗。然后启动 8 周的强化康复期。运动员每周进行 3 次手动阻力和诺得士颈部训练机锻炼。每周进行 2 天的颈椎活动度和改良肩部阻力训练。随后，运动员根据其他队员使用的一般颈部和肩部训练计划进行修改。应审查肩垫和颈部矫形器的选择，以确保运动员重返赛场时使用最佳防护措施来防止再次受伤。为了最大限度地减少复发的机会，在运动员被医生批准后，采用逐渐增加碰撞工作的渐进模式。
1 年后对运动员的季末观察应显示臂丛神经损伤的复发率降低。康复计划格式以及防护设备的考虑因素可能会显著减少或消除足球运动员 BPN 的复发。
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