摘要
目的探讨选择性运动训练技术配合超声波治疗髌股关节疼痛综合征的疗效。方法 2011年7月-2012年8月采用随机方法将符合纳入标准的患者分为治疗组和对照组,每组28例。两组患者的性别、年龄、体质量指数比较差异无统计学意义(P>0.05)。治疗组接受选择性运动训练和超声波治疗,对照组接受普通肌力训练和超声波治疗。对所有患者治疗前和治疗5 d后膝关节数字疼痛评分(NPRS)及功能障碍评分进行比较。结果治疗前,治疗组与对照组的膝关节NPRS评分分别为(4.7±0.8)、(4.8±0.9)分,膝关节功能障碍评分分别为(11.2±2.2)、(12.2±2.7)分,差异无统计学意义(P>0.05)。治疗5 d后,治疗组与对照组膝关节NPRS评分分别为(2.1±0.5)、(4.2±1.0)分,膝关节功能障碍评分分别为(6.4±1.9)、(11.1±2.6)分,均较治疗前有显著降低,且治疗组降低更为显著,差异有统计学意义(P<0.05)。结论选择性运动训练配合超声波疗法可以有效缓解髌股关节疼痛。
Objective To explore the effect of selective exercise training technique combined with ultrasound therapy on patellofemoral pain syndrome. Methods Patients who met the research criteria were assigned into treatment group and control group randomly between July 2011 and August 2012. Each group had 28 patients. There were no significant differences in gender, age and body mass index between the two groups （P 〉 0.05）. Patients in the treatment group received selective exercise therapy and ultrasound therapy, while patients in the control group received normal exercise treatment and ultrasound therapy. Knee numerical pain rating scale （NPRS） and knee functional obstruction assessment were performed on all the patients before treatment and 5 days after treatment （on the 6th day） for comparison. Results Before treatment, the score of NPRS in the treatment group and the control group was 4.7_±0.8 and 4.8_±0.9, respectively, with no significant difference （p 〉 0.05）. The score of functional obstruction assessment was 11.2_±2.2 and 12.2±2.7 in the two groups without significant difference （p 〉 0.05）. Five days after treatment, the NPRS score decreased to 2.1±0.5 in the treatment group and 4.2±1.0 in the control group, and the knee functional obstruction assessment score decreased to 6.4± 1.9 and 11.1±2.6, respectively. Both groups improved significantly in NPRS score and knee functional obstruction assessment score （P 〈 0.05）, while the treatment group exhibited more improvement in the two scores than the control group （P 〈 0.05）. Conclusion Selective exercise training is effective for improving the painand function of patients with patellofemoral syndrome.
出处
《华西医学》
CAS
2016年第6期1062-1064,共3页
West China Medical Journal
基金
四川省卫生和计划生育委员会科研课题(150146)~~
