Yung Kate K, Ardern Clare L, Serpiello Fabio R, Robertson Sam
Institute for Health and Sport, Victoria University, Melbourne, Australia.
Musculoskeletal and Sports Injury Epidemiology Centre, Department of Health Promotion Science, Sophiahemmet University, Stockholm, Sweden.
Sports Med Open. 2022 Feb 22;8(1):24. doi: 10.1186/s40798-021-00405-8.
Complex systems are open systems consisting of many components that can interact among themselves and the environment. New forms of behaviours and patterns often emerge as a result. There is a growing recognition that most sporting environments are complex adaptive systems. This acknowledgement extends to sports injury and is reflected in the individual responses of athletes to both injury and rehabilitation protocols. Consequently, practitioners involved in return to sport decision making (RTS) are encouraged to view return to sport decisions through the complex systems lens to improve decision-making in rehabilitation. It is important to clarify the characteristics of this theoretical framework and provide concrete examples to which practitioners can easily relate. This review builds on previous literature by providing an overview of the hallmark features of complex systems and their relevance to RTS research and daily practice. An example of how characteristics of complex systems are exhibited is provided through a case of anterior cruciate ligament injury rehabilitation. Alternative forms of scientific inquiry, such as the use of computational and simulation-based techniques, are also discussed-to move the complex systems approach from the theoretical to the practical level.
复杂系统是由许多组件组成的开放系统，这些组件之间以及与环境之间可以相互作用。新的行为形式和模式往往由此产生。人们越来越认识到，大多数体育环境都是复杂适应系统。这种认识也延伸到运动损伤领域，并体现在运动员对损伤和康复方案的个体反应中。因此，鼓励参与恢复运动决策（RTS）的从业者通过复杂系统的视角来看待恢复运动决策，以改善康复过程中的决策制定。明确这一理论框架的特征并提供从业者能够轻松理解的具体例子非常重要。本综述在以往文献的基础上，概述了复杂系统的标志性特征及其与恢复运动研究和日常实践的相关性。通过一个前交叉韧带损伤康复案例，展示了复杂系统的特征是如何体现的。还讨论了科学探究的替代形式，如使用基于计算和模拟的技术，以使复杂系统方法从理论层面走向实践层面。
