Ekizos Antonis, Santuz Alessandro
Olympic Training Center of Berlin, Berlin, Germany.
Max-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.
Front Physiol. 2023 Jun 12;14:1185556. doi: 10.3389/fphys.2023.1185556. eCollection 2023.
Elite athletes are regularly exposed to high and repetitive mechanical stresses and impacts, resulting in high injury rates. The consequences of injury can range from time lost from training and competition to chronic physical and psychological burden, with no guarantee that the athlete will return to preinjury levels of sport activity and performance. Prominent predictors include load management and previous injury, highlighting the importance of the postinjury period for effective return to sport (RTS). Currently, there is conflicting information on how to choose and assess the best reentry strategy. Treating RTS as a continuum, with controlled progression of training load and complexity, seems to provide benefits in this process. Furthermore, objectivity has been identified as a critical factor in improving the effectiveness of RTS. We propose that assessments derived from biomechanical measurements in functional settings can provide the objectivity needed for regular biofeedback cycles. These cycles should aim to identify weaknesses, customize the load, and inform on the status of RTS progress. This approach emphasizes individualization as the primary determinant of RTS and provides a solid foundation for achieving it.
精英运动员经常面临高强度和重复性的机械应力及冲击,导致受伤率很高。受伤的后果从训练和比赛时间的损失到慢性身体和心理负担不等,而且不能保证运动员能恢复到受伤前的运动活动和表现水平。突出的预测因素包括负荷管理和既往损伤,这凸显了伤后时期对于有效恢复运动(RTS)的重要性。目前,关于如何选择和评估最佳重返运动策略存在相互矛盾的信息。将RTS视为一个连续过程,控制训练负荷和复杂性的逐步增加,似乎在此过程中会带来益处。此外,客观性已被确定为提高RTS有效性的关键因素。我们认为,在功能环境中通过生物力学测量得出的评估可以提供定期生物反馈循环所需的客观性。这些循环应旨在识别弱点、定制负荷,并告知RTS进展情况。这种方法强调个性化是RTS的主要决定因素,并为实现这一目标提供了坚实的基础。
Front Physiol. 2023-6-12
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