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首页> 美国卫生研究院文献>The Journal of Manual Manipulative Therapy >Treatment of a female collegiate rower with costochondritis: a case report
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Treatment of a female collegiate rower with costochondritis: a case report

机译：一位女性大学划船者治疗肋软骨炎的病例报告

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摘要

Rib injuries are common in collegiate rowing. The purpose of this case report is to provide insight into examination, evaluation, and treatment of persistent costochondritis in an elite athlete as well as propose an explanation for chronic dysfunction. The case involved a 21 year old female collegiate rower with multiple episodes of costochondritis over a 1-year period of time. Symptoms were localized to the left third costosternal junction and bilaterally at the fourth costosternal junction with moderate swelling. Initial interventions were directed at the costosternal joint, but only mild, temporary relief of symptoms was attained. Reexamination findings included hypomobility of the upper thoracic spine, costovertebral joints, and lateral ribs. Interventions included postural exercises and manual therapies directed at the lateral and posterior rib structures to improve rib and thoracic spine mobility. Over a 3-week time period pain experienced throughout the day had subsided (visual analog scale – VAS 0/10). She was able to resume running and elliptical aerobic training with minimal discomfort (VAS 2/10) and began to reintegrate into collegiate rowing. Examination of the lateral ribs, cervical and thoracic spine should be part of the comprehensive evaluation of costochondritis. Addressing posterior hypomobility may have allowed for a more thorough recovery in this case study.
机译：肋骨受伤在大学划船中很常见。该病例报告的目的是为深入了解精英运动员持续性软骨炎的检查，评估和治疗，并提出慢性功能障碍的解释。该病例涉及一名21岁的女性大学赛艇运动员，在1年的时间内患有多发性软骨炎。症状局限于左肋骨第三交界处，双侧症状位于肋骨第四交界处，伴有中等肿胀。最初的干预措施是针对肋骨肋关节，但仅能轻度，暂时缓解症状。复查发现包括上胸椎活动不全，肋椎关节和外侧肋骨。干预措施包括针对肋骨外侧和后部的姿势锻炼和手动疗法，以改善肋骨和胸椎的活动性。在3周的时间内，一天中经历的疼痛减轻了（视觉模拟评分-VAS 0/10）。她能够以最小的不适感（VAS 2/10）恢复跑步和椭圆有氧训练，并开始重新融入大学划船。肋骨，颈椎和胸椎的检查应作为肋软骨炎综合评估的一部分。在本案例研究中，解决后部运动不足的问题可能有助于更彻底的康复。

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