Lephart S M, Henry T J
Department of Orthopaedic Surgery, University of Pittsburgh, Pennsylvania, USA.
Orthop Clin North Am. 1995 Jul;26(3):579-92.
Functional rehabilitation is an extension of the traditional elements of physical therapy, the purpose of which is to return the athlete to highly complex movement patterns such as athletics. As well as the traditional elements of physical therapy such as strength and flexibility, the functional rehabilitation program incorporates agility and proprioceptive/kinesthetic training, which enables the athlete to participate at preinjury levels of activity while reducing the risk of recurrent injury. The functional rehabilitation program is designed to progress the athlete from simple activities, such as walking or jogging, to highly complex sport-specific activities that require refined levels of proprioceptive acuity. The final phase of the functional rehabilitation program is determining when the athlete is ready to resume participation in their respective sport. This is a very important and sometimes overlooked component of the functional rehabilitation program. The decision for returning an athlete to participation should be made using objective assessments of function that simulate sport activity whenever possible. Last, return to sport activity should be done gradually. Progression into the sport activity is essential to a full and healthy return to participation.
功能康复是传统物理治疗要素的延伸，其目的是让运动员恢复到如田径运动等高度复杂的运动模式。除了力量和灵活性等传统物理治疗要素外，功能康复计划还纳入了敏捷性以及本体感觉/动觉训练，这能使运动员在降低再次受伤风险的同时，以受伤前的活动水平参与运动。功能康复计划旨在让运动员从简单活动，如步行或慢跑，逐步过渡到需要精细本体感觉敏锐度的高度复杂的特定运动活动。功能康复计划的最后阶段是确定运动员何时准备好恢复参与各自的运动项目。这是功能康复计划中一个非常重要且有时被忽视的组成部分。让运动员恢复参赛的决定应尽可能基于模拟运动活动的客观功能评估来做出。最后，恢复运动活动应循序渐进。逐步融入运动活动对于全面且健康地恢复参赛至关重要。
