Seto J L, Brewster C E
Department of Physical Therapy, Kerlan-Jobe Orthopaedic Clinic, Inglewood, California.
Clin Sports Med. 1994 Oct;13(4):695-718.
A complete and effective rehabilitation program begins with a thorough subjective and objective evaluation of the problem and injury presented. Biomechanical changes, whether they are anatomically induced or as a result of a form of compensation, must be identified and properly addressed. During the initial phase of rehabilitation, the issues of pain and swelling often must be resolved before full range of motion and return to normal strength can be achieved successfully during the more advanced stages. It is important to incorporate the entire lower quadrant in exercises that are designed to improve proprioception and function, using both in open and closed kinetic chain exercises. Finally, the demands to which the patient is returning to must be recognized to successfully complete the recovery phase.
一个完整且有效的康复计划始于对所呈现的问题和损伤进行全面的主观和客观评估。必须识别并妥善处理生物力学变化，无论这些变化是解剖学上引起的还是某种代偿形式导致的。在康复的初始阶段，通常必须先解决疼痛和肿胀问题，之后才能在更高级阶段成功实现全范围活动并恢复正常力量。在旨在改善本体感觉和功能的练习中纳入整个下半身是很重要的，可使用开链和闭链运动练习。最后，必须认识到患者即将回归的需求，以便成功完成恢复阶段。
