中英文-Muscle_injury_China__Joyce_2015.pptxVIP

Rehabilitation of muscle injuries in elite sport精英体育运动中肌肉损伤的康复 David Joyce 大卫·乔伊斯 BPhty (hons), MPhty (Sports), MSc, CSCS, MCSP Head of Athletic Performance, GWS Giants, Australia Outline 概要 Normal muscle function 正常肌肉功能 Mechanisms of muscle injury 肌肉损伤机制 Classifying muscle strain and determining prognosis 肌肉拉伤和确诊的分类 Phased rehabilitation of a muscle injury 一次肌肉损伤的阶段性康复 Normal muscle function 正常肌肉功能 The muscle-tendon unit (MTU) is a force amplifier or a force absorber 肌肉-肌腱单元是一个力放大器或一个力吸收器 Muscle aims to act isometrically 肌肉的目标是进行等长收缩 Much of the lengthening and recoiling of MTU length takes place in the tendon 肌肉-肌腱单元长度的大部分拉长和回缩发生在肌腱中 Normal muscle structure 正常肌肉结构 Large variations in muscle size, fibre composition, architecture, orientation, fibre length, tendon size. 肌肉在体积、纤维成分、构造、定向、纤维长度、肌腱体积上存在着很大变化。 Muscle function is determined by this structure. 肌肉功能是由这种结构决定的。 Muscles are plastic and rapidly adaptable肌肉具有可塑性和快速可适应性 The Problem 问题 One of the most common injuries in sprinting sports 冲刺性体育运动中最常见的损伤之一 Big cause of time lost from training and competition 训练和比赛时间损失的重要原因 Significant performance deficits 重大运动成绩亏损 Mechanisms of Injury 损伤机制 Contraction 收缩 Over stretch 过度牵拉 Laceration / contusion 刺伤/挫伤 Tissues involved 所涉及的组织 Aponeurosis / surrounding areas 腱膜/周围区域 Musculotendinous junction 肌肉肌腱结合点 How bad is it doc?医生，这该有多么糟糕？ More proximal 更加靠近身体中央 Contraction or stretch based 基于收缩还是牵拉 Large lesion 重大损害 Time to walk pain free 到能够无痛行走的时间 Extent of ROM and strength loss 动作范围和力量丧失程度 MTJ or central tendon MTJ或中心肌腱 Predicting Repetition 预测重复 Force loss 力量丧失 Previous Injury 以前的损伤 Range of motion loss 动作范围丧失 Lower myoelectical activity 更低的肌电活动 Inadequately rehabilitated 不充分的康复 Assessment 评估 Changes in performance (eg. running) 成绩变化（例如跑） Range of motion 动作范围 Strength 力量 Confidence 信心 MRI 核磁共振成像 Case study 个案研究 22 year old soccer player 22岁足球运动员 Acute hamstring injury sustained when sprinting for a ball 在冲刺跑追球时