20 hours ago in Gao Kang.

What is sports rehabilitation? Germany's MTT (medical training therapy) explains that through systematic and targeted functional exercise training, relevant tissue structures and whole body organs are stimulated under the condition of fully considering the physiological recovery cycle of tissues, so as to achieve positive adaptation of biological morphology and function. Generally speaking, through pathological inquiry, imaging analysis, posture evaluation, exercise test and palpation, and then with the help of certain external tools (such as resistance bands, dumbbells, barbells and other fixed instruments), taking into account the repair cycle of the injury, the method of targeted muscle training with appropriate training amount, supplemented by manual release of joints when necessary, can restore the injured part and make the body recover. Sports rehabilitation is a kind of rehabilitation therapy, which is suitable for posture imbalance, sports injury, preoperative preparation, postoperative recovery, prenatal preparation and postpartum recovery.

In order to diagnose the root of the injury problem, we don't just look at film, X-ray, CT and MRI. Any image information has invisible problems, such as soft tissue injuries such as muscles, tendons, some ligaments and cartilage. Imaging analysis only accounts for one-fifth of the diagnosis, and relying too much on imaging can not find the root cause, which is too one-sided and easy to be misdiagnosed.

A complete evaluation of sports rehabilitation includes:

1: Full-body posture assessment, comprehensive understanding of posture problems, measuring whether the joint position of the whole body is correct, posture problems of static standing posture, and finding hidden dangers are probably the root causes of injuries. This static observation belongs to visual diagnosis.

2. Dynamic posture evaluation, including gait analysis, FMS motor function screening test (adapting to no injury and finding the risk of sports injury), flexibility test, muscle strength test, etc. Observe whether there are problems such as disjointed movements, imbalance and muscle compensation. In sports, we should further fully understand physical fitness, analyze the current situation and find the root cause.

3. Palpation, which can only be found by manual touch, can accurately find the pain injury point and help diagnose specific problems, which requires rich experience.

4. Imaging analysis, the way and angle of sports rehabilitation filming should not only consider the clinical observation points of orthopedics, but also analyze the main reasons behind soft tissue injuries such as muscles, ligaments and cartilage. In addition, the report is for reference only.

5. Consultation requires enough time to communicate with patients and ask about medical history, symptoms, induced causes, living habits, diet, work nature, etc. And make records, combined with the above results to comprehensively judge the problem. Of course, we should also rule out some problems that can't be solved by sports rehabilitation, such as lumbar process compressing the spinal cord and other conditions that meet the surgical indications.

These five evaluation methods are all aimed at finding the root of the problem accurately, and the order is as follows: first, consultation, imaging analysis, and then basic examination, such as visual examination, palpation, and action examination (action examination is divided into single action examination and repeated action examination), all of which take a long time to truly and comprehensively understand all physical conditions. Generally, each patient will be given one to two hours to make a full and comprehensive test and evaluation, so as to prepare for targeted training in the future. At the same time,

For example, chondromalacia patellae is a common disease among middle-aged and elderly people, athletes and sports enthusiasts over 40 years old [1]. Generally speaking, MRI can show the cartilage damage of patella or the joint between femur and patella. Of course, sometimes the film only shows the problem of effusion, so the film is just for reference. Doctors usually judge whether the patient has chondromalacia patellae through the patient's chief complaint, such as whether the knee hurts when going up and down the stairs, whether the legs are weak, and whether they can't squat under their own weight. , and passed the grinding test and other inspection methods. Before reaching the surgical standard (such as patellar cartilage fracture and joint mice), oral and external analgesic drugs or chondroitin sulfate are often given to nourish cartilage. In medicine, cartilage has no blood vessels, and its nutrition comes directly from joint fluid, so the direct effect of drugs on cartilage is minimal. Moreover, cartilage absorbs nutrients in a way similar to that of sponge, which requires physical extrusion. Excessive rest caused by sliding and rolling of patellofemoral joint and tibiofemoral joint without squeezing will not bring benefits to cartilage absorption of nutrients. The following picture shows four different grades of patellar cartilage injury.

If you can't find the root cause, you can't cure the pain. Sports rehabilitation teachers analyze and judge the cause of chondromalacia patellae from another angle according to the patient's posture evaluation (such as whether there are X-legs or O-legs) and action test (testing muscle strength, endurance, flexibility and coordination of actions, etc.). ), combined with tactile syndrome (feeling whether the muscles have atrophy, spasm, etc. ).

For example, when standing, the knee is overstretched, the force line changes, and more pressure is concentrated on the patellar cartilage. If this happens for a long time, it will inevitably wear out.

For example, the muscle strength of X-leg, O-leg and big leg is unbalanced, then some or all problems will occur in the medial and lateral meniscus, medial and lateral collateral ligament and patellar cartilage of the knee joint.

For example, in sports examination, when the person on the left squats, his knees are everted, and when the person on the right squats, his knees are everted, which will cause damage to the soft tissues around the knee joint, such as medial and lateral ligaments, meniscus and articular cartilage.

In general, in addition to the causes of patella softening caused by excessive exercise and overload, a considerable number of patients with chondromalacia patellae will show a decrease in quadriceps femoris muscle strength. The test results also pointed out one of the improvement directions: improving the muscle strength of quadriceps femoris to enhance joint stability.

So even if patella softening's film only reflects the effusion in the knee joint, it is only the result and appearance. Only by finding the root cause problem can we really solve the problem. Modern medicine often encounters the following situations: first, the body structure is abnormal and the function is abnormal, and both doctors and patients think there is a problem; Second, the patient feels uncomfortable and has dysfunction, but the doctor can't find the problem, and the structure and function don't seem to correspond, which may be a problem of the level and means of medical diagnosis; Third, the doctor found structural problems, but the patient did not feel abnormal; Fourth, doctors and patients have not found or felt that there is a problem, but it does not mean that there is really no harm. [2]MTT exercise rehabilitation follows evidence-based medicine, and its diagnosis and treatment ideas and vision have its outstanding advantages, so it has been favored by many public hospitals and private rehabilitation institutions.

So how to consult the sports rehabilitation teacher correctly? Although the internet is very developed, but due to physical assessment, action test, touch card and other reasons, remote consultation and guidance can not be completely completed. Even if the patient's ability to learn movements is fast, his exercise level is high, and his later training movements are correct, the effectiveness of his own suggestions is debatable and very limited. Therefore, the correct way of consultation is for patients to carry hospital-related examinations and have direct contact with sports rehabilitation teachers and face-to-face communication, so as to have more accurate sports suggestions suitable for patients themselves.

Thank you for reading. Whether you like sports or not, I hope you can consciously improve your body control ability in your daily life, avoid some bad habits, learn the correct basic movements such as sitting and walking and stick to them, which will certainly benefit a lot.

Because the devil is in the details, and God is in the details.

Editor Zhang Changjie. Musculoskeletal rehabilitation [M]. Second edition. People's Health Publishing House 20 13.5: 283.

[2] Bob Chen. Accurately grasp the relationship between body structure and function. [J] China physical fitness coach, 20 15(3)

Sports rehabilitation sports medicine sports injury

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Corydalis yanhusuo, Nanxiacheng, Li Yifei, Zhang Xiaofeng, Xu Xu

7 comments

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Qian Fang

thank you

/kloc-reply to the favorable report 0/7 hours ago.

depth

Where can I find these professional rehabilitation teachers?

12 hours ago, two likes replied and liked the report.

Zheng guanying

Excuse me, where is this service in China now?

1 1 hour ago, reply to the favorable report.

Danielle Dong

It's so well written! I have benefited a lot ... I would like to ask that domestic fitness coaches want to specialize in the field of sports rehabilitation. In addition to short-term training courses, is there any industry certification qualification, or is there a way to learn systematically and get authoritative certification? If you don't have a high degree, what are your future employment choices? Thank you very much

Reply to the praise report 10 hours ago

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(The author) replied to Zheng.

Mainly concentrated in the north, Guangzhou and Shenzhen, mostly private institutions, I am also engaged in sports rehabilitation in Beijing.

Reply to the favorable report 9 hours ago

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Gao Kang (author) replies to Danielle Dong.

Sports rehabilitation is an interdisciplinary subject between medicine and training, and the learning threshold is relatively high. At present, what China does is mostly short-term training. The certification qualification of rehabilitation treatment industry is the qualification of rehabilitation therapist stipulated by the National Health Bureau. However, there is still a gap between the practical content of sports rehabilitation and that of foreign countries. Now, if you are qualified for MTT sports rehabilitation in Germany, you can go to work in various countries in the European Union. You can learn about it.

Reply to the favorable report 9 hours ago

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Ryan replies to Gao Kang's author)