Complex rehabilitation of sportsmen after injuries of musculoskeletal system

The author of the monograph - candidate of medical science, famous sports surgeon examines various methods of recovering sports performance after traumas and diseases of musculoskeletal apparatus. In section describes the methods of the prevention, treatment, rehabilitation, using various means of influence.
For sports doctors and trainers.

Chapter I. The basic principles of sport rehabilitation after injuries of musculoskeletal system
Chapter II. Injuries of the shoulder girdle and upper limbs in athletes
Chapter III. Chest injuries in athletes
Chapter IV. Spinal injuries in athletes
Chapter V. pelvic Injury in athletes
Chapter VI. Leg injuries in athletes

Modern sport is characterized by a sharp increase in the volume and intensity of training loads, making the body of an athlete high demands and increases the risk of receiving injuries. Therefore sports medicine mainly aimed at preventing injuries and seeks to reduce this risk to zero.
Sports traumatology, one of the areas of sports medicine, deals, in particular, problems of complex rehabilitation of athletes with injuries of musculoskeletal system. Methodological basis it is:
study of the features of pathology of locomotor system in conjunction with a set of psychological, biological, social, material and other factors;
studying the pathology of locomotor apparatus, taking into account the need for improving sport-technical skills, psychological stability and so on;
restoration activities sports performance, organically related to physical, mental and moral upbringing of a man and combines the interests of pedagogy, sports science, and in particular the practical medicine.
The healing process in the clinic of sports traumatology distinguishes stages. It includes the stages: health and sports rehabilitation and sports training. Each of them is divided into periods.
Stage of medical rehabilitation is to restore the function of the injured body, as well as in the restoration of General and professional ability to work athlete.
Step sports rehabilitation aims at gradually and consistently fail athlete to normal training with regard to the former specialization and the level of volume and intensity of physical activity. Great place is here to restore such quality as endurance. At this stage, gradually and consistently included circular, power, speed and power and, finally, slozhnokomponentnye exercises. Upon completion of this phase of rehabilitation of the sportsman starts training without restrictions on the individual plan. It should be stated that this scheme is only a General idea of the course of rehabilitation measures. In each case depending on the nature of the pathology, sport, period of preparation, the skills of the athlete and his / her personal qualities, the rehabilitation process is built individually. Without going into details, you can only specify that the higher qualification, the earlier after the operation included the exercise of this sports rehabilitation and, moreover, can be used elements stage of sports training.
During treatment of the athlete is analgesic, dehydration and another treatment is surgery that uses drugs to stop the changes in the affected segment, to restore the original level of General and special sports performance and translate the re-adaptation to the limit of power, intensity and duration of exercise.
Increased laboratory and technical equipment of specialized care allows to perform at a high enough level paraclinical, in-depth examination. New physiotherapeutic extend the ranges of complex therapy. Directed influence on the course of restoration processes is achieved by use of various biologically active preparations, massage liquids, ointments, medical and warming rastirat and creams.
In accordance with the above widely used "managed"or "programmed", the options for rehabilitation of sportsmen of high qualification with injuries of musculoskeletal system. For this purpose, we develop a special universal sports orthopedic system, metered regulatory degrees of flexion and extension, force, angular velocity feedback to prevent disruption of the progress of the recovery process and mathematical models for the evaluation of symptoms and management processes of rehabilitation.
An important feature of the treatment process at all levels of trauma care (medical doctor - doctor-collection - doctor of medical exercises dispensary physician of the specialized orthopaedic-traumatological Department, doctor of the rehabilitation Department, doctor of the team) is strict continuity in the organization of specialized care, which improves the quality of rehabilitation treatment.
The basis of the present monograph is put sixteen-year experience of work of the Department of sport trauma of the 1st Moscow medical exercises dispensary (MGUPD №1), in which treated more than 10,000 injured athletes. The work of this hospital is organized so that the injured athlete is admitted not only to provide the necessary medical care (planned or emergency), but is observed on the phases of medical and sports rehabilitation. Therefore, the surgeon is able not only to watch undergoing surgery athlete, but also to take direct part in the process of recovery. Experience shows that this position of surgeon highly desirable. However, in the monograph reflects the experience of work of a large group of specialists of the rehabilitation and reconstruction of departments of the clinic. In this regard, we would like to Express words of gratitude for the help in the work of the chief doctor MGUPD № 1 L. N. Markov, head. the Department of sport trauma A. A. Shchukin, the head. the rehabilitation Department Century A. Grigoryeva, head of Department of physiotherapy M. I. Gershburg, colleagues A. A. Balakirev, P. S. Terentyev, C. L. at, I. A. Baranov, V. M. Grachev. Special thanks I. M. Tovbin, which began a major development for restoration of the knee joint, the Achilles tendon and spine.
I also Express my gratitude to professors R. W. Saifulla, V. A. Shestakov, N. A. Hudalova for the opportunity to use their materials on medical, psychological recovery tools athlete. It is possible that the work is not without drawbacks. Not all sections of complex rehabilitation received full coverage and completeness. All critical remarks and suggestions will be gratefully accepted.