tailieunhanh - Musculoskeletal Injuries: Diagnosis, Treatment, and Rehabilitation

These sections summarize international consensus for managing musculoskeletal injuries. The guidelines herein are intended for use by physicians everywhere, including team physicians in developing countries, who are the primary audience for whom this text was conceived. Appropriate management depends on a proper diagnosis, which in most cases starts with a proper history and a thorough clinical examination. As a team physician your specialty and competence may vary. If you are not an orthopedic specialist but feel confident to handle these injuries by yourself, your main task is to handle the acute situation, distinguish “emergencies” from “benign” conditions and to determine where, when, and to whom the athlete should be referred. | Introduction Musculoskeletal Injuries Diagnosis Treatment and Rehabilitation Christer G. ROLF MD Angela D. SMITH MD Introduction Musculoskeletal Injuries Diagnosis Treatment and Rehabilitation Christer G. ROLF Angela D. SMITH These sections summarize international consensus for managing musculoskeletal injuries. The guidelines herein are intended for use by physicians everywhere including team physicians in developing countries who are the primary audience for whom this text was conceived. Appropriate management depends on a proper diagnosis which in most cases starts with a proper history and a thorough clinical examination. As a team physician your specialty and competence may vary. If you are not an orthopedic specialist but feel confident to handle these injuries by yourself your main task is to handle the acute situation distinguish emergencies from benign conditions and to determine where when and to whom the athlete should be referred for proper treatment. You will most likely be asked by the athlete when and how training can be resumed. This chapter therefore concerns itself with addressing such issues keeping in mind that competence and regimen may vary significantly among different countries and sports. The approach to managing most sports injuries includes several components in addition to the treatment of the injured anatomic region. Immobilization should be minimized to decrease the severity of disuse atrophy and general deconditioning. The athlete should perform crosstraining activities if possible to maintain cardiopulmonary fitness and the strength and flexibility of uninjured regions. Even among some relatively elite athletes strength of the core trunk muscles may be inadequate or weakness may have resulted from decreased activity during the early phases of injury healing so core strengthening is an important part of rehabilitation of almost all sports injuries. The athlete should strengthen not only the core muscles but the entire kinetic chain .