Muscle injuries in athletes: enhancing recovery through scientific understanding and novel therapies.
Muscle injuries in athletes: enhancing recovery through scientific understanding and novel therapies.
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DOI：
10.1177/1941738113480934
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发表时间：
2013-07
期刊：
影响因子：
3.3
通讯作者：
Rodeo SA
中科院分区：
文献类型：
--
作者：
Delos D;Maak TG;Rodeo SA
肌肉损伤在运动员中非常常见，通常会产生疼痛，功能障碍以及无法返回练习或比赛。适当的诊断和管理可以优化恢复，并最大限度地减少时间返回发挥。当代论文，基础科学和临床医学，调查肌肉愈合进行了审查。进行了Medline/PubMed检索，包括1948年至2012年。对于大多数损伤，通常可以根据病史和体格检查进行诊断。虽然数据有限，但对于更高级别的损伤，最初的保守治疗强调RICE原则和肢体固定数天通常是所需的。注射皮质类固醇可在临床上增强急性肌肉拉伤后的功能。增强肌肉愈合和限制瘢痕形成的其他连续性治疗（非甾体抗炎药、富血小板血浆等）显示出希望，但需要更多的数据来更好地定义它们的作用。保守的治疗建议通常会导致肌肉损伤后的成功结果。支持大多数预防性治疗的证据有限。
Muscle injuries are extremely common in athletes and often produce pain, dysfunction, and the inability to return to practice or competition. Appropriate diagnosis and management can optimize recovery and minimize time to return to play. Contemporary papers, both basic science and clinical medicine, that investigate muscle healing were reviewed. A Medline/PubMed search inclusive of years 1948 to 2012 was performed. Diagnosis can usually be made according to history and physical examination for most injuries. Although data are limited, initial conservative management emphasizing the RICE principles and immobilization of the extremity for several days for higher grade injuries are typically all that is required. Injection of corticosteroids may clinically enhance function after an acute muscle strain. Additional adjunctive treatments (nonsteroidal anti-inflammatory drugs, platelet-rich plasma, and others) to enhance muscle healing and limit scar formation show promise but need additional data to better define their roles. Conservative treatment recommendations will typically lead to successful outcomes after a muscle injury. There is limited evidence to support most adjunctive treatments.