Howard Head Sports Medicine, Denver, CO, USA.
J Orthop Sports Phys Ther. 2012 Apr;42(4):313-25. doi: 10.2519/jospt.2012.4024. Epub 2012 Mar 30.
Alpine skiing is a high-risk sport for injuries to the anterior cruciate ligament (ACL). While descending a hill, a skier must resist large centrifugal forces at a high velocity, while the knees are positioned in postures that place the ACL at risk of injury. Skiers who undergo ACL reconstructive surgery are prone to a high rate of reinjury to the same knee and even ACL injury in the uninjured knee. A rehabilitation program that integrates the best current evidence of ACL rehabilitation and the science of skiing is essential to a successful return to alpine skiing. Unlike rehabilitation programs developed for court or field athletes, a skiing program must place a large emphasis on slow eccentric-loading and weight-bearing (closed-chain) power and endurance. The purpose of this clinical commentary is to provide the rehabilitation specialist such a program directed toward safely returning the athlete to alpine skiing.
高山滑雪是一种高风险的运动，容易导致前交叉韧带（ACL）受伤。在下山过程中，滑雪者必须在高速下抵抗巨大的离心力，同时膝盖的姿势使 ACL 容易受伤。接受 ACL 重建手术的滑雪者容易对同一膝盖再次受伤，甚至对未受伤的膝盖造成 ACL 损伤。一个将 ACL 康复最佳现有证据和滑雪科学结合起来的康复计划对于成功重返高山滑雪至关重要。与为法庭或场地运动员制定的康复计划不同，滑雪计划必须非常强调缓慢的离心加载和承重（闭链）力量和耐力。本临床评论的目的是为康复专家提供这样一个计划，旨在安全地让运动员重返高山滑雪。
