前十字韌帶復康 | ACL Rehab
前十字韌帶受傷的數據
The Nightmare of ACL injury
4x 倍
退化風險
Faster degeneration
A higher risk (4 times) for osteoarthritis and total knee replacement
5-25年
長遠影響
Prolong influence
Affecting knee-related quality of life at 5 to 25 years after injury.
10-25%
再次受傷
High risk of reinjury
Risk for a second ACL injury is 10%, can reach up to 25% if returned to preinjury sports
1-2年
復康時間
Long recovery time
The recovery time for ACL injury could range from 1 - 2 years and about 45% may not return to competitive sport.
普遍性 Prevalence
非碰撞性的前十字韌帶受傷多出現於15至40歲。十字韌帶撕裂常見於涉及大量轉向的運動,例如足球、籃球、排球和手球。每年大概有3%的業餘運動員傷及前十字韌帶,在職業運動員層面更可高達15%。女性前十字韌帶受傷的數字是男性的二到八倍。
Non-contact type of ACL injuries are common in athletes between 15 to 40 years old. For sports that involved a lot of pivoting , change of direction movement (basketball, soccer, handball, volleyball) are with higher risk. Up to 3% of leisure sports participants could injured their ACL in a year. The percentage could be up to 15% for elite athletes. Females are having higher risk (2 to 8 times) than male.
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前十字韌帶復康需要
ACL Rehab Need to be
因人而異,循序漸進
Case Specific - Criterion Based Approach
為個案設定一系列復康目標或關卡,建立良好的基底進入下一個目標。研究指出如個案能夠完成不同階段的指標,通過各個能力檢測才重返賽場,再受傷機會能降低84%。
Patient with ACL will need to go through rehabilitation on a step by step , criterion based approach. Sports medicine team will decide and provide assist on achieving key milestones of different stages of rehab. Research indicated that by passing all major milestones before return to play could reduce the reinjury rate by 84%
前十字韌帶復康的四個階段 Four Key Stages of ACL rehabilitation
活動關節
MOVE WELL
消腫止痛
提升關節幅度
激活大腿肌肉
增加受力能力
恢復自然行走
肌肉訓練
TRAIN WELL
增加下肢柔韌性
平衡能力提升
膝關節穩定及力量
大腿前後肌肉平衡
解決患側無力問題
更有效地上下樓梯
跑跳轉衝彈*
JOG JUMP TURN SPRINT HOP WELL
*緩步跑、雙腳跳、轉向、衝刺、單腳彈跳
讓關節適應衝擊
動態膝關節穩定
重心轉移及變向
提升靈活及敏捷
相關運動的準備
活動關節
MOVE WELL
消腫止痛
提升關節幅度
激活大腿肌肉
增加受力能力
恢復自然行走