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跟腱修复术后的康复与重返运动

Rehabilitation and Return to Sports after Achilles Tendon Repair.

作者信息

Marrone William, Andrews Robert, Reynolds Aaron, Vignona Patrick, Patel Snehal, O'Malley Martin

机构信息

Connecticut Children's.

Sports Medicine Institute Hospital for Special Surgery.

出版信息

Int J Sports Phys Ther. 2024 Sep 1;19(9):1152-1165. doi: 10.26603/001c.122643. eCollection 2024.

DOI:10.26603/001c.122643
PMID:39246413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11379499/
Abstract

Rehabilitation protocols post-Achilles tendon repair vary widely, particularly regarding weight bearing (WB) and immobilization duration, impacting recovery trajectories significantly. This commentary focuses on rehabilitation strategies following acute Achilles tendon repair (ATR), emphasizing early mobilization and progressive loading. Techniques such as blood flow restriction training (BFRT) and progressive loading to restore strength and tendon mechanical properties are discussed in the context of optimizing recovery, minimizing tendon elongation and facilitating safe return to sport (RTS). This manuscript highlights current evidence and clinical insights to guide practitioners in optimizing rehabilitation protocols for athletes recovering from ATR, aiming to improve functional outcomes and support safe return to athletic activity.

摘要

跟腱修复术后的康复方案差异很大，尤其是在负重和固定时间方面，这对恢复轨迹有显著影响。本评论重点关注急性跟腱修复（ATR）后的康复策略，强调早期活动和渐进性负荷。在优化恢复、最小化肌腱延长以及促进安全重返运动（RTS）的背景下，讨论了诸如血流限制训练（BFRT）和渐进性负荷以恢复力量和肌腱力学性能等技术。本文突出了当前的证据和临床见解，以指导从业者为从ATR恢复的运动员优化康复方案，旨在改善功能结果并支持安全重返体育活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/82bd6aa15f17/ijspt_2024_19_9_122643_242453.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/3cdac7d4700f/ijspt_2024_19_9_122643_242444.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/fc1d2368e751/ijspt_2024_19_9_122643_242445.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/3b3245a3ec7b/ijspt_2024_19_9_122643_242446.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/82fc2d86e34c/ijspt_2024_19_9_122643_242447.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/69eaab092dd4/ijspt_2024_19_9_122643_242448.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/7f347be117fe/ijspt_2024_19_9_122643_242449.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/ecd0ebecb9df/ijspt_2024_19_9_122643_242450.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/b5bbb3ee08f7/ijspt_2024_19_9_122643_242451.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/e393b0a163d6/ijspt_2024_19_9_122643_242452.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/82bd6aa15f17/ijspt_2024_19_9_122643_242453.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/3cdac7d4700f/ijspt_2024_19_9_122643_242444.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/fc1d2368e751/ijspt_2024_19_9_122643_242445.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/3b3245a3ec7b/ijspt_2024_19_9_122643_242446.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/82fc2d86e34c/ijspt_2024_19_9_122643_242447.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/69eaab092dd4/ijspt_2024_19_9_122643_242448.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/7f347be117fe/ijspt_2024_19_9_122643_242449.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/ecd0ebecb9df/ijspt_2024_19_9_122643_242450.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/b5bbb3ee08f7/ijspt_2024_19_9_122643_242451.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/e393b0a163d6/ijspt_2024_19_9_122643_242452.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f481/11379499/82bd6aa15f17/ijspt_2024_19_9_122643_242453.jpg

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