专业运动员脊柱脊髓损伤后重返赛场的研究进展  

Advance in Return to Play after Spine and Spinal Cord Injury for Athletes(review)

作　　者：张鑫[1] 刘宏炜[1,2] 申敏鑫 杨明亮[1,2,3,4,5] 高峰 杜良杰[1,2,3,4,5] 李建军[1,2,3,4,5] ZHANG Xin;LIU Hong-wei;SHEN Min-xin;YANG Ming-liang;GAO Feng;DU Liang-jie;LI Jianjun(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Department of Spinal and Neural Function Reconstruction,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Center of Neural Injury and Repair,Beijing Institute for Brain Disorders,Beijing 100068,China;China Rehabilitation Science Institute,Beijing 100068,China;Beijing Key Laboratory of Neural Injury and Rehabilitation,Beijing 100068,China)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科,北京市100068 [3]北京脑重大疾病研究院神经损伤与修复研究所,北京市100068 [4]中国康复科学所,北京市100068 [5]北京市神经损伤与康复重点实验室,北京市100068

出　　处：《中国康复理论与实践》2020年第10期1161-1166,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家重点研发计划项目(No.2018YFF0301104);中央级公益性科研院所基本科研业务费专项资金项目(No.2019CZ-1,No.2018CZ-1);国家自然科学基金项目(No.81870979);首都卫生发展科研专项项目重点攻关项目(No.2018-1-6011);北京市科委重大课题(No.D161100002816004)。

摘　　要：专业运动员的脊柱伤病是损伤预防和运动康复领域中的重要临床研究课题。本文根据疾病分类回顾目前运动员脊柱脊髓损伤后重返赛场的相关情况,包括颈椎(颈部软组织损伤、颈椎骨折和脱位、颈椎管狭窄症、颈椎间盘突出症、刺痛和烧灼痛)、胸椎(胸椎骨折)、腰椎(腰肌劳损、腰椎峡部裂、腰椎滑脱、腰椎间盘突出症)和脊髓震荡与脊髓损伤。本文还分析了运动员颈、胸、腰段脊柱脊髓损伤后重返赛场的标准,以期为未来临床管理和建立共识/指南提供参考。Spinal injuries caused by competitive sports are common.Spinal diseases are important issues that needs to be solved urgently in the fields of sports injury.Return to play recommendations are complicated due to a mix of medical factors,social pressures,and limited outcome data.This article reviewed the current situation of athletes return to play after spine and spinal cord injury based on disease classification,including cervical spine(cervical soft tissue injuries,cervical fracture and dislocation,cervical stenosis,cervical disk herniation,stingers and burners),thoracic spine(thoracic fracture),lumbar spine(lumbar strain,lumbar stenosis spondylolysis and spondylolisthesis,lumbar disk herniation),and spinal cord concussion and spinal cord injury.This article also analyzed the criteria for athletes to return to play after spine and spinal cord injuries.It may provide references for future clinical management and consensus/guidelines.

关 键 词：脊柱 脊髓损伤 运动 重返赛场 运动员 综述 

分 类 号：R651.2[医药卫生—外科学]