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首页> 外文期刊>Journal of athletic training >A Contemporary Approach to Patellofemoral Pain in Runners
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A Contemporary Approach to Patellofemoral Pain in Runners

机译：跑步者Patelloforal疼痛的当代方法

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Patellofemoral pain (PFP) is among the most common injuries in recreational runners. Current evidence does not identify alignment, muscle weakness, and patellar maltracking or a combination of these as causes of PFP. Rather than solely investigating biomechanics, we suggest a holistic approach to address the causes of PFP. Both external loads, such as changes in training parameters and biomechanics, and internal loads, such as sleep and psychological stress, should be considered. As for the management of runners with PFP, recent research suggested that various interventions can be considered to help symptoms, even if these interventions target biomechanical factors that may not have caused the injury in the first place. In this Current Concepts article, we describe how the latest evidence on education about training modifications, strengthening exercises, gait and footwear modifications, and psychosocial factors can be applied when treating runners with PFP. The importance of maintaining relative homeostasis between load and capacity will be emphasized. Recommendations for temporary or longer-term interventions will be discussed. A holistic, evidence-based approach should consist of a graded exposure to load, including movement, exercise, and running, while considering the capacity of the individual, including sleep and psychosocial factors. Cost, accessibility, and the personal preferences of patients should also be considered.
机译：髌股疼痛（PFP）是休闲跑步者最常见的损伤之一。目前的证据并没有确定对齐、肌肉无力和髌骨撕裂或这些因素的组合是PFP的原因。我们建议采用整体方法来解决PFP的原因，而不是仅仅研究生物力学。既要考虑外部负荷，如训练参数和生物力学的变化，也要考虑内部负荷，如睡眠和心理压力。至于PFP跑步者的管理，最近的研究表明，可以考虑采取各种干预措施来改善症状，即使这些干预措施的目标是生物力学因素，而这些因素可能并不是最初导致损伤的原因。在这篇最新的概念文章中，我们描述了在治疗PFP跑步者时，如何应用有关训练调整、强化训练、步态和鞋类调整以及心理社会因素的教育方面的最新证据。将强调维持负荷和容量之间相对稳态的重要性。将讨论关于临时或长期干预措施的建议。一个整体的、基于证据的方法应该包括对负荷的分级暴露，包括运动、锻炼和跑步，同时考虑个人的能力，包括睡眠和心理社会因素。还应考虑成本、可及性和患者的个人偏好。

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