Horschig Aaron D, Neff Travis E, Serrano Ambrose J
Boost Physical Therapy & Sports Performance, Lee's Summit, MO, USA.
Lake Placid Olympic Training Center, Lake Placid, NY, USA.
Int J Sports Phys Ther. 2014 Oct;9(5):691-8.
The Autoregulatory Progressive Resistance Exercise (APRE) model of periodization is an effective form of resistance training programming for short-term training cycles in healthy athletic populations that has yet to be effectively described in literature in application for rehabilitation purposes. The purposes of this case report are to: 1) review the periodization concepts outlined in the APRE model, 2) to detail the use of the APRE periodization programming through the rehabilitation of a high school football player using the back squat exercise after anterior cruciate ligament reconstruction (ACLR) and 3), to examine the applicability of this method in the transitional period from skilled rehabilitation to strength and conditioning for which a current disconnect exists.
Starting at 20 weeks post-operatively, a 17-year-old male high school football player recovering from ACLR was able to show a 10 lb daily average increase with the 10 RM protocol, a 6 lb daily average increase during the 6RM protocol, and a 6.3 lb average increase with the 3RM protocol.
A two-repetition maximum of 390 lbs was performed in the back squat at the conclusion of the program at 39 weeks post-operatively.
The results of this case report strengthen the current limited knowledge regarding periodization during the later phases of rehabilitation and the transition back to sport participation time period, while at the same time providing new insights for future protocol considerations in rehabilitating athletes. The APRE method of periodization provides an individualized progressive resistive protocol that can be used to safely and effectively increase strength in both healthy populations and individuals recovering from injury during short-term training cycles.
Therapy, Level 4-Case report.
周期性训练的自动调节渐进性抗阻训练（APRE）模型是一种有效的抗阻训练计划形式，适用于健康运动员群体的短期训练周期，但在康复应用方面尚未在文献中得到有效描述。本病例报告的目的是：1）回顾APRE模型中概述的周期性训练概念；2）详细介绍通过一名高中足球运动员在进行前交叉韧带重建（ACLR）后使用后深蹲练习进行APRE周期性训练计划的应用情况；3）检验该方法在从熟练康复过渡到力量与体能训练这一目前存在脱节的阶段的适用性。
一名17岁的高中男性足球运动员在ACL手术后20周开始恢复训练，在10RM方案中，其每日平均增加10磅，在6RM方案中每日平均增加6磅，在3RM方案中平均增加6.3磅。
在术后39周的训练结束时，该运动员后深蹲的最大重复次数为2次，重量达到390磅。
本病例报告的结果强化了目前关于康复后期和恢复运动参与阶段周期性训练的有限知识，同时为未来康复运动员的方案考量提供了新的见解。APRE周期性训练方法提供了一种个性化的渐进性抗阻方案，可用于在短期训练周期内安全有效地增加健康人群和受伤恢复个体的力量。
治疗，4级——病例报告。
