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加速康复:一名铁人三项运动员半月板手术后通过远程康复重返赛场的病例报告

Accelerating Recovery: A Case Report on Telerehabilitation for a Triathlete's Post-Meniscus Surgery Comeback.

作者信息

Galasso Olimpio, Calabrese Mariaconsiglia, Scanniello Giuseppe, Garofano Marina, Pepe Lucia, Budaci Luana, Ungaro Gaetano, Fimiani Gianluca, Bramanti Placido, Schiavo Luigi, Corallo Francesco, Pagano Maria, Cappadona Irene, Crinisio Alessandro, Bramanti Alessia

机构信息

Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 43, 84081 Baronissi, Italy.

Department of Computer Science, University of Salerno, Via Giovanni Paolo II, 132, 84084 Fisciano, Italy.

出版信息

Healthcare (Basel). 2025 Feb 13;13(4):406. doi: 10.3390/healthcare13040406.

DOI:10.3390/healthcare13040406
PMID:39997281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11855331/
Abstract

Meniscus injuries are common among endurance athletes, requiring structured rehabilitation to restore function and facilitate a safe return to sport. Traditional in-person rehabilitation may not always be accessible or feasible for high-performance athletes. Telerehabilitation, incorporating virtual reality, motion tracking, and telemonitoring, offers an innovative approach to guided recovery. However, evidence supporting its effectiveness in elite athletes remains limited. This case report explores the application of an innovative telerehabilitation program for a 49-year-old triathlete recovering from partial meniscectomy following a medial meniscus tear. The program was structured into three progressive phases over 12 weeks, focusing on restoring range of motion (ROM), muscle strength, and functional stability while gradually reintroducing sports-specific activities. By the end of the rehabilitation, the patient achieved full ROM and muscle strength (scoring 5/5 on the Medical Research Council scale for the vastus medialis), along with a pain-free state in both static and dynamic conditions. The integration of telemonitoring devices facilitated detailed monitoring and feedback, enabling personalized adjustments to the rehabilitation protocol. Key milestones included a return to swimming and cycling in Phase 2, reintroduction of running in Phase 3, and a full resumption of triathlon training by week 12. Despite the positive results, the study highlights the need for further research to validate these findings across larger cohorts and establish standardized telerehabilitation protocols for athletes. This case underscores the potential of digital health technologies in enhancing recovery trajectories for high-demand athletes post-meniscus surgery, paving the way for supervised, accelerated, and effective sports reintegration.

摘要

半月板损伤在耐力运动员中很常见,需要进行结构化康复以恢复功能并促进安全重返运动。对于高性能运动员来说,传统的面对面康复并不总是可行或可及的。结合虚拟现实、运动追踪和远程监测的远程康复提供了一种创新的引导康复方法。然而,支持其对精英运动员有效性的证据仍然有限。本病例报告探讨了一种创新的远程康复计划在一名49岁的铁人三项运动员身上的应用,该运动员在内侧半月板撕裂后接受了部分半月板切除术后正在康复。该计划在12周内分为三个渐进阶段,重点是恢复关节活动范围(ROM)、肌肉力量和功能稳定性,同时逐步重新引入特定运动活动。康复结束时,患者实现了完全的关节活动范围和肌肉力量(股内侧肌在医学研究委员会量表上得分为5/5),并且在静态和动态条件下均处于无痛状态。远程监测设备的整合便于进行详细监测和反馈,从而能够对康复方案进行个性化调整。关键里程碑包括在第二阶段恢复游泳和骑自行车,在第三阶段重新开始跑步,以及在第12周时完全恢复铁人三项训练。尽管取得了积极成果,但该研究强调需要进一步研究,以在更大的队列中验证这些发现,并为运动员建立标准化的远程康复方案。本病例强调了数字健康技术在提高半月板手术后高要求运动员恢复轨迹方面的潜力,为有监督、加速且有效的运动重新融入铺平了道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b405/11855331/8764b1185672/healthcare-13-00406-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b405/11855331/0cb8878dc213/healthcare-13-00406-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b405/11855331/bf001726a494/healthcare-13-00406-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b405/11855331/217549e7c9fd/healthcare-13-00406-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b405/11855331/e8e39f48e28f/healthcare-13-00406-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b405/11855331/8764b1185672/healthcare-13-00406-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b405/11855331/0cb8878dc213/healthcare-13-00406-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b405/11855331/bf001726a494/healthcare-13-00406-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b405/11855331/217549e7c9fd/healthcare-13-00406-g003.jpg
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