Sports Injuries Surge, yet Rehabilitation Poses Challenge to Society (AI Translation)
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文|财新周刊 杨玉琪 许雯
By Yang Yuqi and Xu Wen, Caixin Weekly
一次骑行中摔倒,从急诊到骨科再到运动医学科,吴旭(化名)确诊右膝前交叉韧带断裂时已过去一个月。伤腿因为废用性萎缩细了一圈,医生建议尽快手术。
During a cycling accident, Wu Xu (pseudonym) fell, and it took a month from his visit to the emergency room to the orthopedics department and finally to the sports medicine department to be diagnosed with a torn anterior cruciate ligament in his right knee. His injured leg had become notably thinner due to disuse atrophy, and doctors recommended prompt surgery.
她那时不知道术后还有漫长的康复训练。这意味着,从受伤到恢复膝盖功能,几乎需要十个月时间。但医生们清楚,也越来越频繁地告知患者——运动损伤人群正在增加。
At that time, she did not know that there would be a lengthy rehabilitation process after the surgery. This meant it would take nearly ten months from the time of injury to the recovery of knee function. But doctors were well aware and increasingly informed patients that sports-related injuries were on the rise.
据运动康复产业联盟、复旦大学运动医学研究所等机构发布的《2023―2024年版中国运动康复产业白皮书》统计,全国近4.3亿有长期运动习惯的人群中,约1亿是运动损伤人群。
According to the "China Sports Rehabilitation Industry White Paper 2023-2024 Edition" released by the Sports Rehabilitation Industry Alliance, Fudan University's Institute of Sports Medicine, and other institutions, out of the nearly 430 million people nationwide who have a long-term exercise habit, approximately 100 million are sports injury sufferers.
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- Wu Xu's cycling accident exemplifies challenges in diagnosing sports injuries promptly, highlighting a gap in timely medical care and rehabilitation in China.
- The nation sees rising sports injuries, with 100 million affected as fitness grows, but lacks sufficient specialized medical services and data for effective treatment and prevention.
- Enhancements in China's sports medicine sector post-2008 Olympics include new independent departments, but coordination, resource distribution, and top-level design remain necessary for optimal patient care.
[para. 1] The narrative begins with Wu Xu (a pseudonym), who suffered a torn anterior cruciate ligament in a cycling accident. It took Wu a month and three hospital visits to receive this diagnosis, highlighting the complexities and delays in diagnosing sports injuries in China. The doctors recommended prompt surgery, and Wu Xu faced a long rehabilitation period. Many patients like Wu Xu are experiencing increased sports injuries correlated with a rise in the public's involvement in physical activities.
[para. 2] A report indicates there are about 100 million sufferers of sports injuries in China among the nearly 430 million people who exercise regularly. Despite the rapid development of sports medicine since the 2008 Beijing Olympics, fewer than 100 of China’s 3,000 public hospitals have dedicated sports medicine departments. This paucity often results in missed optimal treatment timings, owing to limited public awareness and lack of specialized departments.
[para. 3] Wan Yan (a pseudonym) experienced a delayed decision for medical help after injuring her shoulder while boxing, eventually needing surgery. Similar stories include Liu Qi, a sports university student who also required surgery. The narrative showcases the rise in sports injuries among enthusiasts who lack injury prevention awareness.
[para. 4] Jiang Qing explains sports injuries result from both acute impacts and chronic overuse. Different sports predispose individuals to various injuries, pointing out that the incidence of injuries is notably high and rising among non-profressionals due to inadequate prevention awareness.
[para. 5] Seasonal variations impact the rate of certain injuries, such as skiing-related knee injuries increasing post-Chinese New Year. As more non-professionals engage in sports, injury types have become more advanced, mimicking those seen in professional athletes, prompting a rise in complex injuries such as those to ligaments and meniscus.
[para. 6] The desks in Jiang Qing’s hospital are often full as the demand for sports injury treatment rises. There is a parallel increase in cases, exacerbated by China's push for public fitness, foretelling a sustained rise in injuries that the current medical system might not be prepared to handle.
[para. 7] One central theme is treatment delays. Wu Xu's extended diagnosis timeline signifies a widespread issue where patients fail to get timely medical intervention due to limited access or negligence, risking exacerbated injuries and complexities in treatment.
[para. 8] The article explains the significant impact of imaging quality and doctor's experience on accurate diagnosis and effective treatment. Discrepancies in imaging equipment and expertise contribute to potential misdiagnoses, demonstrating a need for standardized high-quality imaging.
[para. 9] Despite the advent of arthroscopic surgery and its preeminence in treating sports injuries, disparities in surgical outcomes persist, depending largely on practitioner proficiency and accurate pre-operative planning.
[para. 10] Rehabilitation is equally critical post-surgery but often lacks attention. The narrative stresses rehabilitative efforts should start pre-surgery and continue adequately post-procedure, yet limited professional rehabilitation services compound recovery difficulties.
[para. 11] Insufficient rehabilitation resources and logistical execution further affect patient recovery. Rehabilitation should be comprehensive and collaborative between practitioners, but a disconnect exists, largely due to inadequate specialization and resource allocation.
[para. 12] Rising demand for sports rehabilitation, coupled with minimal supply, signals a gap needing urgent redress. The piece underscores how a limited number of qualified rehabilitation specialists and inefficient pricing systems prevent adequate service delivery, with private institutions attempting to fill this void at a cost.
[para. 13] The necessity for accurate national sports injury data is pivotal for resource allocation and injury prevention. Current data primarily comes from the United States and may not reflect China’s unique sports culture.
[para. 14] Sports medicine in China is rapidly evolving. Since the 2008 Olympics, sports medicine has grown from athlete-exclusive care to public provision. While there's development, limitations persist, especially in aligning orthopedics with sports medicine for comprehensive service delivery.
[para. 15] Increasing public fitness activities without corresponding systematic injury prevention and treatment frameworks leads to excess medical burdens. Shoring up preventive education and enhancing professional training are requisite responses.
[para. 16] The summary highlights a national call for enhanced systemic design to support the evolving landscape of sports medicine in China, emphasizing community-level strategies beyond mere medical treatment, to meet growing demands.
- 2008:
- Opportunities for the rapid development of Chinese sports medicine were presented by the 2008 Beijing Olympics.
- 2013:
- The inpatient count for sports medicine at Lou Zhikun's department was just over ten.
- 2019:
- The 'Outline for Building a Leading Sports Nation' was published, outlining goals for increasing regular physical exercise participation by 2035.
- After Covid-19 pandemic:
- There was an explosion of cases involving sports injuries, with up to 30 patients being seen in just half a day.
- March 2025:
- As spring arrives, there is a projected rise in patients with ankle sprains and Achilles tendon injuries.
- By 2035:
- The goal is for over 45% of the population to regularly participate in physical exercise, translating to approximately 630 million people.
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