National Collegiate Athletic Association (NCAA), Indianapolis, Indiana, USA.
Stellenbosch University, Stellenbosch, South Africa.
Br J Sports Med. 2017 Sep;51(17):1245-1258. doi: 10.1136/bjsports-2017-097884.
Pain is a common problem among elite athletes and is frequently associated with sport injury. Both pain and injury interfere with the performance of elite athletes. There are currently no evidence-based or consensus-based guidelines for the management of pain in elite athletes. Typically, pain management consists of the provision of analgesics, rest and physical therapy. More appropriately, a treatment strategy should address all contributors to pain including underlying pathophysiology, biomechanical abnormalities and psychosocial issues, and should employ therapies providing optimal benefit and minimal harm. To advance the development of a more standardised, evidence-informed approach to pain management in elite athletes, an IOC Consensus Group critically evaluated the current state of the science and practice of pain management in sport and prepared recommendations for a more unified approach to this important topic.
疼痛是精英运动员中常见的问题,常与运动损伤有关。疼痛和损伤都会干扰精英运动员的表现。目前,针对精英运动员的疼痛管理尚无循证或共识指南。通常,疼痛管理包括提供镇痛药、休息和物理治疗。更合适的方法是,治疗策略应针对疼痛的所有诱因,包括潜在的病理生理学、生物力学异常和心理社会问题,并应采用提供最佳效益和最小伤害的治疗方法。为了推进更标准化、更具循证的精英运动员疼痛管理方法的发展,国际奥委会共识小组对运动中疼痛管理的当前科学和实践状况进行了批判性评估,并就这一重要主题制定了更统一的建议。