Edgar Michael, Kazemi Mohsen
Canadian Memorial Chiropractic College.
J Can Chiropr Assoc. 2020 Dec;64(3):248-257.
This case is designed to aid practitioners in understanding the potential role of multi-modal care with vibration rehabilitative exercise for a complete ACL tear in a high-level Poomsae athlete.
A 16-year-old male world-class Poomsae athlete presented with a right ACL rupture and LCL sprain. An extensive clinical examination and imaging confirmed a right grade 3 ACL tear. Due to the complete tear and impending participation in World Championships, a pre-operative rehabilitation strategy was implemented with treatment modalities aimed to accelerate return-to-play.
An appropriate clinical history and physical examination of the knee is required when instability is present. Imaging is indicated when testing criteria are positive. Clinicians should be aware that multiple therapies can each serve a role in conservative care to better suit patient demands, especially at high levels of sport. In the article, the author proposes a tailored protocol using vibration rehabilitative exercise, bracing, vibration therapy, neuromuscular electrical stimulation, and laser to improve healing and sport-specific outcomes.
本病例旨在帮助从业者理解多模式护理结合振动康复训练对一名高水平套路运动员完全性前交叉韧带撕裂的潜在作用。
一名16岁的世界级套路运动员男性，出现右前交叉韧带断裂和外侧副韧带扭伤。广泛的临床检查和影像学检查证实为右3级前交叉韧带撕裂。由于完全撕裂且即将参加世界锦标赛，因此实施了术前康复策略，采用旨在加速重返赛场的治疗方式。
当存在膝关节不稳定时，需要进行适当的临床病史询问和体格检查。当测试标准呈阳性时，需进行影像学检查。临床医生应意识到，多种疗法在保守治疗中均可发挥作用，以更好地满足患者需求，尤其是在高水平运动中。在本文中，作者提出了一种定制方案，使用振动康复训练、支具、振动疗法、神经肌肉电刺激和激光来改善愈合情况和特定运动的结果。
