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风险评估的新视角。

A new perspective on risk assessment.

作者信息

Mottram Sarah, Comerford Mark

机构信息

Performance Stability, Lower Mill Street, Ludlow, Shropshire SY81BH, UK.

出版信息

Phys Ther Sport. 2008 Feb;9(1):40-51. doi: 10.1016/j.ptsp.2007.11.003.

DOI:10.1016/j.ptsp.2007.11.003
PMID:19083703
Abstract

Pre-season screening is routinely promoted as part of either an injury risk management strategy or as a performance enhancement strategy. Many of these processes focus on testing joint range, muscle strength (both power and endurance) and testing muscle extensibility. Although some functional tests based on work specific tasks and sport specific skills are applied they are specific to one task or a sport specific skill. It seems that the clinical outcomes of asymptomatic function, normal range of joint motion (isolated testing) and normal muscle strength (isolated testing) are not adequate rehabilitation end points to prevent recurrence. This Masterclass explores assessment and retraining from a new perspective in an attempt to address multiple muscle interactions acting on multiple joints in functionally orientated tasks. The assessment is based on the specific assessment of the site and direction of uncontrolled movement, under low and high threshold loading at different joint systems within functionally orientated tasks. From this assessment, a specific retraining programme can be developed and implemented.

摘要

季前筛查通常作为损伤风险管理策略或性能提升策略的一部分被推广。这些流程很多都侧重于测试关节活动范围、肌肉力量(爆发力和耐力)以及肌肉伸展性。尽管应用了一些基于特定工作任务和特定运动技能的功能测试,但它们只针对一项任务或一项特定运动技能。无症状功能、正常关节活动范围(单独测试)和正常肌肉力量(单独测试)的临床结果似乎并不是预防复发的充分康复终点。本大师班从一个新的角度探索评估和再训练,试图解决在功能导向任务中作用于多个关节的多种肌肉相互作用问题。该评估基于在功能导向任务中不同关节系统在低阈值和高阈值负荷下对不受控制运动的部位和方向进行的特定评估。基于这一评估,可以制定并实施一个特定的再训练计划。

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