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Soft-tissue injuries simply need PEACE and LOVE
British Journal of Sports Medicine ( IF 18.4 ) Pub Date : 2019-08-03 , DOI: 10.1136/bjsports-2019-101253
Blaise Dubois , Jean-Francois Esculier

Rehabilitation of soft-tissue injuries can be complex. Over the years, acronyms guiding their management have evolved from ICE to RICE , then on to PRICE and POLICE .1 Although widely known, these previous acronyms focus on acute management, unfortunately ignoring subacute and chronic stages of tissue healing. Our contemporary acronyms encompass the rehabilitation continuum from immediate care ( PEACE ) to subsequent management ( LOVE ). PEACE and LOVE (figure 1) outline the importance of educating patients and addressing psychosocial factors to enhance recovery. While anti-inflammatories show benefits on pain and function, our acronyms flag their potential harmful effects on optimal tissue repair. We suggest that they may not be included in the standard management of soft-tissue injuries. Figure 1 PEACE and LOVE acronyms. ### P for protect Unload or restrict movement for 1–3 days to minimise bleeding, prevent distension of injured fibres and reduce the risk of aggravating the injury. Rest should be minimised as prolonged rest can compromise tissue strength and quality.1 Pain signals should guide the cessation of protection. ### E for elevate Elevate the limb higher …

中文翻译:

软组织损伤只需要和平与爱

软组织损伤的康复可能很复杂。多年来,指导其管理的首字母缩略词已从 ICE 演变为 RICE,然后演变为 PRICE 和 POLICE .1 虽然广为人知,但这些以前的首字母缩略词侧重于急性管理,不幸的是忽略了组织愈合的亚急性和慢性阶段。我们当代的首字母缩略词涵盖了从即时护理 (PEACE) 到后续管理 (LOVE) 的康复连续体。和平与爱(图 1)概述了教育患者和解决社会心理因素以促进康复的重要性。虽然抗炎药对疼痛和功能有益,但我们的首字母缩略词标记了它们对最佳组织修复的潜在有害影响。我们建议它们可能不包括在软组织损伤的标准管理中。图 1 和平和爱的缩写。### P 保护 卸载或限制运动 1-3 天,以减少出血,防止受伤纤维膨胀并降低加重受伤的风险。应尽量减少休息,因为长时间休息会损害组织强度和质量。1 疼痛信号应指导停止保护。### E 用于抬高将肢体抬高……
更新日期:2019-08-03
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