闭链离心等张训练对髌股疼痛综合征患者膝关节功能的影响

发布时间：2018-05-27 23:23

本文选题：闭链运动 + 离心收缩　；参考：《中国康复医学杂志》2017年04期

【摘要】：目的:探讨闭链离心等张训练对髌股疼痛综合征(PFPS)患者膝关节功能的疗效。方法:选取33例符合纳入排除标准的髌股疼痛综合征患者,采用随机数字表法分成试验组(n=17)和对照组(n=16);试验组采用常规康复训练+闭链离心等张训练,对照组仅进行常规康复训练。两组患者在治疗前、治疗8周采用视觉模拟评分法(VAS)评定患者疼痛程度、等速肌力测定膝伸屈肌群肌力、膝关节Kujala评分评价膝关节功能以及SF-36评估生存质量。结果:两组治疗8周后VAS评分低于治疗前(P0.05)、Kujala评分、60°/s速度下膝伸屈肌群峰力矩、SF-36中生理职能、躯体疼痛、一般健康状况改善,与治疗前比较差异有显著性意义(P0.05)。8周治疗后,试验组VAS评分低于对照组(P0.05)、Kujala评分、60°/s速度下膝伸屈肌群峰力矩及SF-36中生理职能、健康变化均高于对照组(P0.05)。结论:常规康复训练的基础上结合闭链离心等张训练能进一步缓解髌股疼痛综合征患者膝关节疼痛、增强肌力、提高生活满意度,建议可以作为PFPS康复训练的一部分,值得临床应用及推广。
[Abstract]:Objective: to investigate the effect of closed chain centrifugation on knee joint function in patients with patellofemoral pain syndrome (PFPS). Methods: 33 patients with patellofemoral pain syndrome who met the exclusion criteria were randomly divided into two groups: the experimental group (n = 17) and the control group (n = 16). The control group only received routine rehabilitation training. Before treatment, the patients in both groups were evaluated with visual analogue score (VAS), isokinetic muscle strength, knee extension and flexion muscle strength, knee joint function by Kujala score and quality of life (QOL) by SF-36. Results: after 8 weeks of treatment, the VAS score of the two groups was lower than that before treatment (P 0.05) and Kujala score was 60 掳/ s. The peak torque of the extensor flexor muscle SF-36 was lower than that before treatment. There was a significant difference between the two groups in physiological function, somatic pain and general health status. There was a significant difference between the two groups before and after treatment. The VAS score of the experimental group was lower than that of the control group (P 0.05). The peak torque of the extensor flexor muscle and the physiological function in the SF-36 were higher than those in the control group at the speed of 60 掳/ s, and the health changes were higher than those in the control group (P 0.05). Conclusion: routine rehabilitation training combined with closed chain centrifugation can further relieve knee joint pain, enhance muscle strength and improve life satisfaction in patients with patellofemoral pain syndrome. It is suggested that it can be used as part of PFPS rehabilitation training. It is worthy of clinical application and promotion.
【作者单位】：首都医科大学附属北京康复医院骨科康复中心;
【分类号】：R493;R684

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