Milani Carlo J E, Moley Peter J
Department of Physiatry, Hospital for Special Surgery, Darien, CT.
Department of Physiatry, Hospital for Special Surgery, New York, NY.
Curr Sports Med Rep. 2018 Jun;17(6):199-207. doi: 10.1249/JSR.0000000000000492.
Hip and groin injuries comprise up to 17% of athletic injuries and can pose rehabilitation challenges for many athletes. Injuries involving abnormal femoral acetabular morphology, reduced range of motion, and decreased lumbopelvic strength and endurance also may increase the risk of injury to lower extremities and delay return to play if proper rehabilitation does not take place. The rehabilitation of athletic hip injuries requires a multifaceted interdisciplinary approach that manages the interplay of multiple factors to restore preinjury function and facilitate return to play. Emphasis should be placed on activity modification, preservation of the arcs of range of motion, functional strengthening of the lumbopelvic core, and optimization of proprioceptive and neuromechanical strategies. Communication between providers and the injured athlete also is crucial to ensure that proper therapeutic approaches are being applied.
髋部和腹股沟损伤占运动损伤的比例高达17%，会给许多运动员带来康复挑战。涉及股骨髋臼形态异常、活动范围减小以及腰骨盆力量和耐力下降的损伤，如果没有进行适当的康复治疗，也可能增加下肢受伤的风险，并延迟重返赛场的时间。运动性髋部损伤的康复需要多方面的跨学科方法，以管理多种因素之间的相互作用，恢复伤前功能并促进重返赛场。应强调调整活动、保留活动范围弧度、对腰骨盆核心进行功能性强化，以及优化本体感觉和神经力学策略。医疗服务提供者与受伤运动员之间的沟通对于确保采用适当的治疗方法也至关重要。
