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别忽视睡眠:来自一名一级七项全能运动员的临床病例报告

Don't Sleep on Sleep: A Clinical CASE Report From a Division I Heptathlete.

作者信息

Allen Shawn M F, Bartaczewicz Brianna L, Molenhouse Annie E, Redinger Allen L, Spokely Nicholas J, Anderson Olivia K, Montgomery Sloane A, White Grace E, Moore Jason R, Joyce Jillian M, Baker Breanne S

机构信息

Musculoskeletal Adaptations to Aging and eXercise (MAAX) Laboratory.

Sports Medicine, University of Virginia, Charlottesville.

出版信息

J Athl Train. 2025 Apr 1;60(4):296-300. doi: 10.4085/1062-6050-0537.24.

DOI:10.4085/1062-6050-0537.24
PMID:39731214
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12057738/
Abstract

A female National Collegiate Athletic Association Division I track athlete experienced nonlocalized shin pain midway through her first season, which was diagnosed as medial tibial stress syndrome. Treatments included strengthening and range of motion exercises, reduced training volume, and pain control modalities, but symptoms worsened. It was revealed she had been suffering from severe sleep deprivation (<3 hours/night) contributing to bilateral tibial and fibular stress reactions. Months of trial and error eventually resulted in the implementation of sleep interventions which improved her total body bone mineral density and bilateral stress reactions. Two years after successful sleep interventions, this athlete has remained injury-free and continues to set personal bests in her events. Our standard injury screening protocols did not include questioning sleep quality and quantity early in the process, and in this case, we highlight the need for these measures to be considered initially and throughout the treatment and recovery phases of sports-related injuries.

摘要

一名美国大学体育协会(NCAA)一级女子田径运动员在她第一个赛季进行到一半时,出现了非局限性的胫骨疼痛,被诊断为胫骨内侧应力综合征。治疗方法包括加强锻炼和进行关节活动度练习、减少训练量以及采用疼痛控制方法,但症状仍恶化。结果发现她一直患有严重的睡眠剥夺(每晚<3小时),这导致双侧胫骨和腓骨出现应力反应。经过数月的反复试验,最终实施了睡眠干预措施,这改善了她的全身骨密度以及双侧应力反应。成功进行睡眠干预两年后,这名运动员一直没有受伤,并继续在她的项目中创造个人最好成绩。我们的标准伤病筛查方案在过程早期并未包括询问睡眠质量和时长,在这个案例中,我们强调在运动相关损伤的治疗和恢复阶段,从一开始就需要考虑这些措施。

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本文引用的文献

1
Does Relative Energy Deficiency in Sport (REDs) Syndrome Exist?运动性相对能量不足(REDs)综合征是否存在?
Sports Med. 2024 Nov;54(11):2793-2816. doi: 10.1007/s40279-024-02108-y. Epub 2024 Sep 17.
2
Criteria and Guidelines for Returning to Running Following a Tibial Bone Stress Injury: A Scoping Review.胫骨骨应力损伤后恢复跑步的标准和指南:范围综述。
Sports Med. 2024 Sep;54(9):2247-2265. doi: 10.1007/s40279-024-02051-y. Epub 2024 Aug 14.
3
Medial Tibial Stress Syndrome: A Review Article.胫骨内侧应力综合征:一篇综述文章。
Cureus. 2022 Jul 7;14(7):e26641. doi: 10.7759/cureus.26641. eCollection 2022 Jul.
4
Bone Turnover Markers After Six Nights of Insufficient Sleep and Subsequent Recovery Sleep in Healthy Men.健康男性六晚睡眠不足及随后恢复性睡眠后的骨转换标志物。
Calcif Tissue Int. 2022 Jun;110(6):712-722. doi: 10.1007/s00223-022-00950-8. Epub 2022 Feb 8.
5
Do we need to change the guideline values for determining low bone mineral density in athletes?我们是否需要改变运动员低骨矿物质密度测定的指导值?
J Appl Physiol (1985). 2022 May 1;132(5):1320-1322. doi: 10.1152/japplphysiol.00851.2021. Epub 2022 Jan 21.
6
Sleep and Injury Risk.睡眠与受伤风险。
Curr Sports Med Rep. 2021 Jun 1;20(6):286-290. doi: 10.1249/JSR.0000000000000849.
7
Sleep Hygiene for Optimizing Recovery in Athletes: Review and Recommendations.优化运动员恢复的睡眠卫生:综述与建议
Int J Sports Med. 2019 Aug;40(8):535-543. doi: 10.1055/a-0905-3103. Epub 2019 Jul 9.
8
Insights into the Role of Circadian Rhythms in Bone Metabolism: A Promising Intervention Target?探讨昼夜节律在骨代谢中的作用:一个有前途的干预靶点?
Biomed Res Int. 2018 Sep 27;2018:9156478. doi: 10.1155/2018/9156478. eCollection 2018.
9
The Epworth Sleepiness Scale: Validation of One-Dimensional Factor Structure in a Large Clinical Sample.嗜睡量表(Epworth Sleepiness Scale):大样本临床研究中对其一维结构的验证。
J Clin Sleep Med. 2018 Aug 15;14(8):1293-1301. doi: 10.5664/jcsm.7258.
10
IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update.国际奥委会关于运动中相对能量缺乏症(RED-S)的共识声明:2018年更新版
Br J Sports Med. 2018 Jun;52(11):687-697. doi: 10.1136/bjsports-2018-099193.