Shrier Ian
Centre for Clinical Epidemiology and Community Studies, SMBD-Jewish General Hospital, Montreal, QC.
Can Fam Physician. 2006 Jun;52(6):727-31.
To review the basic principles underlying treatment of injuries in active people.
Basic science texts and reports of observational and randomized trials on treatment of musculoskeletal injuries were retrieved during previous exhaustive systematic reviews published by the author on a variety of musculoskeletal injury topics.
After an injury, further damage or re-injury can be prevented either by decreasing the stress on the tissue or increasing the stress the tissue can withstand. Regardless of the type of injury, clinicians should aim to restore function; aim to increase activity without increasing pain; recommend that patients start slowly and increase activity gradually; revisit diagnosis and treatment if patients are not responding; and treat the patient, not the condition.
Most musculoskeletal injuries in the general population can be managed effectively by family physicians. Management should follow the basic principles of exercise training.
回顾活跃人群损伤治疗的基本原则。
在作者先前发表的关于各种肌肉骨骼损伤主题的详尽系统评价中，检索了基础科学文献以及关于肌肉骨骼损伤治疗的观察性和随机试验报告。
受伤后，可通过减轻组织压力或增加组织能承受的压力来预防进一步损伤或再次受伤。无论损伤类型如何，临床医生应致力于恢复功能；旨在在不增加疼痛的情况下增加活动量；建议患者缓慢开始并逐渐增加活动量；如果患者无反应则重新评估诊断和治疗；治疗患者本身，而非仅仅治疗病情。
普通人群中的大多数肌肉骨骼损伤可由家庭医生有效处理。处理应遵循运动训练的基本原则。
