Yoshiya Shinichi
Department of Orthopaedic Surgery Hyogo College of Medicine, Japan.
Clin Calcium. 2017;27(1):39-43.
Exercise and sports activities can afford mechanical stimuli to the bone and joint tissues which are required to maintain the tissue properties. Moreover, physical exercise is an important part of the management of bone and joint morbidities such as osteoporosis, osteoarthritis, and low back pain. On the other hand, excessive mechanical load involved in exercise and sports activities can be harmful potentially causing overuse injuries of the musculoskeletal tissues. Especially, safety margin for the amount of acceptable mechanical stress is narrow in the elderly due to preexisting musculoskeletal problems. Preparticipation medical checkup and construction of appropriate exercise program based on the physical assessment are mandatory to prevent overload applied to the bone and joint tissues.
运动和体育活动可为骨骼和关节组织提供维持组织特性所需的机械刺激。此外,体育锻炼是骨质疏松症、骨关节炎和腰痛等骨骼和关节疾病管理的重要组成部分。另一方面,运动和体育活动中涉及的过度机械负荷可能有害,潜在地导致肌肉骨骼组织的过度使用损伤。特别是,由于存在肌肉骨骼问题老年人可接受机械应力量的安全范围较窄。进行运动前医学检查并根据身体评估制定适当的运动计划,对于防止骨骼和关节组织承受过载至关重要。