Stalzer Steve, Wahoff Michael, Scanlan Molly
Howard Head Sports Medicine Center, 181 West Meadow Drive, Vail, CO 81657, USA.
Clin Sports Med. 2006 Apr;25(2):337-57, x. doi: 10.1016/j.csm.2005.12.008.
The management of hip injuries has evolved significantly in recent years with the advancement of arthroscopic techniques. These recent surgical advances require establishment of rehabilitation protocols that follow several basic principles including (1) consideration of soft-tissue healing constraints, (2) control of swelling and pain to limit muscular inhibition and atrophy, (3) early range of motion, (4) limitations of weight bearing, (5) early initiation of muscle activity and neuromuscular control, (6) progressive lower extremity strengthening and proprioceptive retraining, (7) cardiovascular training, and (8) sport-specific training. The following protocols should not be considered a cookbook approach to rehabilitation, rather guidelines that are used to achieve consistent outcomes. These guidelines will continue to evolve as we learn more about the hip joint and surrounding musculature.
近年来，随着关节镜技术的进步，髋部损伤的治疗方法有了显著发展。这些最新的手术进展要求制定遵循若干基本原则的康复方案，包括：（1）考虑软组织愈合的限制因素；（2）控制肿胀和疼痛，以限制肌肉抑制和萎缩；（3）早期进行关节活动度训练；（4）限制负重；（5）早期开始肌肉活动和神经肌肉控制训练；（6）逐步进行下肢强化训练和本体感觉再训练；（7）心血管训练；（8）专项运动训练。以下方案不应被视为康复的固定方法，而应是用于实现一致治疗效果的指导原则。随着我们对髋关节及周围肌肉组织的了解不断深入，这些指导原则也将不断发展。
