دانلود رایگان مقاله انگلیسی مدیریت ریسک هنگام درمان دونده آسیب دیده با آموزش مجدد، مدیریت و تمرین درمانی - الزویر 2018

8. Conclusion

This editorial has been written to provide the clinician with a simple framework to help them to determine the potential value of running retraining and other biomechanical treatments for the injured runner e RISK (see Table 1 for a summary of principles and examples). Reducing overall loads by decreasing running loads (speeds, volume) and/or running retraining strategies to reduce overstride where appropriate should be prioritised when initially treating the injured runner. Considering the large body of supportive evidence for exercise therapy, improving capacity to attenuate loads should also be implemented where possible, and may allow the injured runner to increase running loads sooner. Sensible gradual increases to running loads will also facilitate tissue remodelling and improved capacity over time. Shifting loads away from injured or symptomatic tissues through various running retraining interventions can also be considered and may be desirable in the longer term. However, due to associated increases in loads on other tissues, care must be taken and the capacity of these tissues taking additional loads adapted to ensure they are capable of attenuating them. It is also important that treatment plans keep adapting to the injured runners goals and capacity, ensuring shared decision making and ongoing optimisation of treatment.