共查询到18条相似文献，搜索用时 970 毫秒
1.
治疗肘关节脱位一般采用复位后加压固定、包扎及功能锻炼等传统治疗方法。在采用传统治疗方法的基础上，配合一整套中医推拿手法进行治疗，并在肘关节正确复位后早期即实行推拿手法，与只采用传统方法治疗患者相对照，发现前者的疗效明显优于后者，能加速肘关节运动功能与肌力的恢复，早日达到康复目的，并对其机理作了初步探讨。 相似文献
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病例:张××,男,23岁,体操运动员,专项训练6年。七八年十一月十一日晚在墨西哥蒙特来体育馆参加表演赛。首项跳马第一次试跳翻腾两周落地不稳,前冲向左左手摸地,当时听到响声,见运动员右手托着左肘。检查:肘关节变形,患者不能屈伸及握拳,诊为肘关节后脱位,当即给予手法复位。复位时令患者坐在靠背椅上,由助手一人用双手卡住患者上臂(骨肱上1/3处),医者右手握住患者手腕,同时用力向下轻拉,左手掌托住伤肘,同时用拇指腹向下 相似文献
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肩关节脱位的治疗宜早,巧,好。然而病人由于种种原因,常常延误治疗时机,形成了肩关节脱位的陈旧性阶段。这一阶段血瘀凝集,筋聚挛缩,关节窝满盛,甚至因为合并肱骨头骨折产生畸形,给复位造成很大困难。而手术往往影响肩关节功能,特别是有些病人不能忍受手术刺激,也还有些病人不愿手术。这类病人均要求我们给以手法复位。 相似文献
4.
韦桂富 《武汉体育学院学报》2004,38(5):62-63
通过67例儿童严重移位的肱骨髁上骨折的手法整复治疗，认为骨折的尽早良好复位、合理的外固定和尽可能的缩短固定时间，肘部软组织损伤的及时有效处理，医生指导下的功能锻炼贯穿于治疗的全过程，解除固定后功能康复的综合治疗，可减少肱骨髁上骨折所引起的肘 相似文献
5.
肱骨内上髁骨折的治疗 总被引：1，自引：0，他引：1
王锡敏 《山东体育学院学报》1999,(3)
对５４ 例肱骨内上髁骨折患者经手法整复位。用超肘关节弹性小夹板及丁字托板固定稳妥,有利于早期进行功能锻炼,配合中药辨证施治,进行综合治疗,加速机体内成骨活动,有利于骨折愈合和促进功能恢复,防止并发症的发生。 相似文献
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7.
标枪训练中最常见的创伤主要是肘关节损伤.准备活动不充分、投掷动作错误、训练方法错误等,是造成肘关节损伤的主要原因.伤后治疗应根据肘关节结构原理和损伤症状,找出致伤原因.除药物治疗外应以局部功能恢复为主要手段. 相似文献
8.
目的：通过对一例患有肘关节僵硬的优秀运动员的治疗和康复经过随访，探索优秀运动员肘关节僵硬的治疗以及康复方案，获得重返赛场经验。方法：选取2018年5月国家体育总局运动医学研究所收治的一例肘关节僵硬患者，进行关节镜下松解联合开放性松解的手术治疗、康复及专项体能训练干预。结果：该患者肘关节症状有明显缓解，功能明显改善，运动表现相比治疗前有显著提高，成功重返赛场并在全国锦标赛中获得冠军。结论：结合运动员特点进行治疗与康复，能够提高临床效果，有助于重返赛场，提高运动表现。 相似文献
9.
外伤性肘关节挛缩在临床上颇为常见,属于祖国医学“筋急”、“筋挛”、“关节强直”的范围。我们在临床中采用中医针刺等综合疗法治疗这一类病人,收到较好的效果。一般资料: 本组病人20例,男16例,女4例,平均年龄16—25岁。诊断标准:肘关节有过脱位以及附近有过骨折或肘部软组织有过严重损伤史,现肘部有肿胀,挛缩,屈伸功能受限,活动范围在40°以内。其中损伤类型为单纯性软组织损伤9例;桡骨头骨折3例;尺骨鹰嘴骨折 相似文献
10.
高山滑雪运动员骨折后的功能锻炼 总被引：2，自引：2，他引：0
高山滑雪运动中,骨折性损伤时有发生,为了使运动员受伤后尽快恢复,通过理论研究和运动实践等方法探讨出高山滑雪运动员骨折后复位、固定和功能锻炼等治疗骨折的3个基本原则。骨折的早期复位可使骨折修复顺利进行;合适有效的固定,可继续维持骨折复位后的对位对线,又可防止不利于骨折愈合的剪力旋转力和成角的活动。经过复位、固定后,就应该及早进行功能锻炼,这是骨折恢复过程中非常重要的一个环节。提出具体的功能锻炼步骤及注意事项,为高山滑雪运动员骨折后的功能锻炼提供参考。 相似文献
11.
基于网球训练中肘部韧带损伤机制的运动解剖学研究 总被引：5，自引：0，他引：5
目的:为网球训练中认识和预防治疗急、慢性肘部疾患提供基础。方法:大体解剖分析肘关节周围的形态结构特点,观测按序切断桡侧相关结构、尺侧副韧带时分别表达的肘关节后外侧旋转度变化和外翻旋转角度变化。结果:(1)观察到尺侧副韧带前束由前部纤维和后部纤维组成,桡侧副韧带止于环状韧带和尺骨冠突的外下方;(2)检测到肘关节在屈曲30°～60°时,尺侧副韧带前束呈现内侧部较松弛而外侧部紧张,肘关节屈曲60°～145°后,前束内外侧紧张度无明显差异,后束在肘关节屈曲60°～145°后出现紧张;肘关节桡侧副韧带复合体对维持关节外侧的稳定作用约占50%,伸肌及伸肌腱膜起协同作用。结论:桡侧尺副韧带和尺侧副韧带前束是肘关节主要的稳定结构,副韧带的不同组成部分发挥着不同的作用,结构的改变将导致该部机能失衡,研究结果能为网球训练及网球肘的预防提供参考。 相似文献
12.
Robert Ferrari 《运动与健康科学(英文)》2012,1(1):61-64
BackgroundCentral sensitization has been associated with chronic pain in whiplash patients.MethodsConsecutive whiplash patients were assessed at 3 months post-whiplash injury with the brachial plexus provocation test (BPPT) as a sign of central sensitization. Self-reported recovery was assessed by the response to the question ‘Do you feel you have recovered fully from your accident injuries?’ResultsSixty-nine subjects (32 males, 37 females, age 37.5 ± 13.0 years (mean ± SD), range 18–71) were included. Of these, 34 reported a lack of recovery, and 35 reported recovery at 3 months post-injury. The mean BPPT elbow extension (from 180°) was 41.5 ± 23.0°, and the mean VAS score for the BPPT was 2.2 ± 1.2 (out of 10). Those who reported recovery had a mean BPPT elbow extension angle of 25.1 ± 15.8 while those who did not report recovery had a mean BPPT angle of 58.4 ± 15.9 (P < 0.05). The visual analogue scale (VAS) score for recovered subjects was 1.8 ± 1.1 and 2.7 ± 1.1 (P < 0.05) for non-recovered. There was a moderate correlation between self-reported recovery and BPPT elbow extension angle (?0.44) and a lower correlation between self-reported recovery and VAS score (?0.30).ConclusionSelf-reported recovery correlates well with a lower likelihood of signs of central sensitization. 相似文献
13.
In this study, we examined the long-term reductions in maximal isometric force (MIF) caused by a protocol of repeated maximal isometric contractions at long muscle length. Furthermore, we wished to ascertain whether the reductions in MIF are dependent on muscle length--that is, are the reductions in MIF more pronounced when the muscle contracts at a short length. The MIF of the elbow flexors of seven young male volunteers was measured at five different elbow angles between 50 degrees and 160 degrees. On a separate day, the participants performed 50 maximal voluntary isometric muscle contractions with the elbow flexors at a lengthened position; that is, with the shoulder hyperextended at 45 degrees and the elbow joint fixed at 140 degrees. Following this exercise, the MIF at the five elbow angles, range of motion, muscle soreness and plasma creatine kinase activity were measured at 24 h intervals for 4 days. On day 1, the decline in MIF was higher at the more acute elbow angles of 50 degrees (42 +/- 8%) and 70 degrees (39 +/- 8%; both P<0.01) than at 90 degrees (26 +/- 4%) and 140 degrees (16 +/- 3%; both P<0.01). No significant reduction in MIF was evident at an elbow angle of 160 degrees. Maximal isometric force at an elbow angle of 140 degrees was fully restored on day 3, whereas at an angle of 50 degrees it remained depressed for the 4 day observation period. Restoration of MIF was a function of the elbow angle, with force recovery being less at the smaller angles. The range of motion was decreased by 14 +/- 2 degrees on day 1 (P<0.01) and did not return to baseline values by day 4. Muscle soreness ratings remained significantly elevated for the 4 day period. Serum creatine kinase peaked on day 1 (522 +/- 129 IU, P<0.01) and decreased thereafter. We conclude that the disproportionate decrease in MIF at the small elbow angles and the length-specific recovery in MIF after repeated maximal isometric contractions at long muscle length may be explained by the presence of overstretched sarcomeres that increased in series compliance of the muscle, therefore causing a rightward shift of the force-length relationship. 相似文献
14.
Theofano Eftaxiopoulou Chinmay M. Gupte John P. Dear Anthony M. J. Bull 《Journal of sports sciences》2013,31(15):1722-1730
AbstractIn the sport of cricket the objective of the “no-ball” law is to allow no performance advantage through elbow extension during ball delivery. However, recently it has been shown that even bowlers with actions that are considered within the law show some elbow extension. The objective of this study was to investigate: [1] the effect of elbow orientation during anatomical landmark digitisation and [2] the choice of upper arm tracking cluster on the measurement of elbow angles during cricket bowling.We compared the mean elbow angles for four different elbow postures; with the joint flexed at approximately 130°, 90°, in full extension and with the elbow flexed with the humerus internally rotated, and two upper arm clusters in two different situations: [1] during a controlled movement of pure flexion-extension and [2] during cricket bowling. The digitised postures of the anatomical landmarks where the elbow was extended and at 90° of flexion were more repeatable than the other two postures. The recommendation of this study when analysing cricket bowling is to digitise the humeral epicondyles with the joint flexed at 90°, or in full extension, and to relate their positions to an upper arm cluster fixed close to the elbow. 相似文献
15.
Abstract In this study, we examined the long-term reductions in maximal isometric force (MIF) caused by a protocol of repeated maximal isometric contractions at long muscle length. Furthermore, we wished to ascertain whether the reductions in MIF are dependent on muscle length — that is, are the reductions in MIF more pronounced when the muscle contracts at a short length. The MIF of the elbow flexors of seven young male volunteers was measured at five different elbow angles between 50° and 160°. On a separate day, the participants performed 50 maximal voluntary isometric muscle contractions with the elbow flexors at a lengthened positions that is, with the shoulder hyperextended at 45° and the elbow joint fixed at 140°. Following this exercise, the MIF at the five elbow angles, range of motion, muscle soreness and plasma creatine kinase activity were measured at 24 h intervals for 4 days. On day 1, the decline in MIF was higher at the more acute elbow angles of 50° (42±8%) and 70° (39±8%; both P<0.01) than at 90° (26±4%) and 140° (16±3%; both P<0.01). No significant reduction in MIF was evident at an elbow angle of 160°. Maximal isometric force at an elbow angle of 140° was fully restored on day 3, whereas at an angle of 50° it remained depressed for the 4 day observation period. Restoration of MIF was a function of the elbow angle, with force recovery being less at the smaller angles. The range of motion was decreased by 14±2° on day 1 (P<0.01) and did not return to baseline values by day 4. Muscle soreness ratings remained significantly elevated for the 4 day period. Serum creatine kinase peaked on day 1 (522±129 IU, P<0.01) and decreased thereafter. We conclude that the disproportionate decrease in MIF at the small elbow angles and the length-specific recovery in MIF after repeated maximal isometric contractions at long muscle length may be explained by the presence of overstretched sarcomeres that increased in series compliance of the muscle, therefore causing a rightward shift of the force-length relationship. 相似文献
16.
Many coaches often instruct swimmers to keep the elbow in a high position (high elbow position) during early phase of the underwater stroke motion (pull phase) in front crawl, however, the high elbow position has never been quantitatively evaluated. The aims of this study were (1) to quantitatively evaluate the “high elbow” position, (2) to clarify the relationship between the high elbow position and required upper limb configuration and (3) to examine the efficacy of high elbow position on the resultant swimming velocity. Sixteen highly skilled and 6 novice male swimmers performed 25 m front crawl with maximal effort and their 3-dimensional arm stroke motion was captured at 60 Hz. An attempt was made to develop a new index to evaluate the high elbow position (Ihe: high elbow index) using 3-dimensional coordinates of the shoulder, elbow and wrist joints. Ihe of skilled swimmers moderately correlated with the average shoulder internal rotation angle (r = ?0.652, P < 0.01) and swimming velocity (r = ?0.683, P < 0.01) during the pull phase. These results indicate that Ihe is a useful index for evaluating high elbow arm stroke technique during the pull phase in front crawl. 相似文献
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我国优秀摔跤运动员运动损伤调查分析 总被引：5，自引：1，他引：5
研究目的:探讨我国优秀摔跤运动员运动损伤特征、损伤易患部位、导致损伤发生的原因,以期为第28届奥运会的备战提供有效的预防和治疗措施。研究对象:我国备战2004年奥运会的国家摔跤集训队三跤(男子古典跤、男子自由跤、女子自由跤)的44名重点运动员(包括奥运会的8名参赛运动员)。研究结果:从运动损伤性质和种类来看,三跤没有明显区别,都以关节挫伤、韧带损伤和肌肉拉伤最为常见,其次为耳廓损伤和劳损;从运动损伤的部位看,女子自由跤与男子自由跤没有明显区别,损伤部位多发生于膝关节、肘关节、指关节、耳部、肩关节和腰背;但男子古典跤腰背部损伤占第一位,其次为膝关节、肘关节;在三跤中,专项训练中发生的损伤最多;发生损伤的原因主要是准备活动不充分、动作不正确、慢性劳损和场地监督不够等;针灸、推拿是首选的治疗手段,其次为理疗、外敷药物、内服药物等。 相似文献
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陆光平 《体育科技文献通报》2014,(7):118-121
"网球肘",即肱骨外上髁炎,是一种以肘关节外侧疼痛为特征的肱骨外上髁部前臂伸肌总腱附着处的慢性损伤性肌筋膜炎,因网球运动员最易患此病而得名。"网球肘"的主要外在表现是肘部隐隐的酸痛感以及持拍击球时产生的强烈疼痛感。网球肘妨碍了运动员的日常生活、训练、比赛,严重者甚至影响运动员的职业生涯。本文从病理特征、致病原因、致病机理、诊疗标准、诊疗措施、预防等方面对"网球肘"这一职业病进行深入分析,以期对该病的治疗、网球运动员的正确训练起到指导作用。 相似文献