摘要
目的探讨髋关节力量训练结合康复治疗对运动员髌股关节疼痛综合征的临床效果。方法选取2016年1月~2017年12月在西安运动创伤医院进行康复训练的髌股关节疼痛综合征运动员80例,按随机数字表法分为观察组和对照组,每组各40例。对照组给予常规康复治疗,观察组在常规康复治疗的基础上联合应用髋关节力量训练。比较两组患者治疗前后的疼痛程度、髌股关节功能和膝伸屈肌力。结果治疗前,两组上下楼梯及跳跃时视觉模拟评分(VAS)评分差异无统计学意义(P>0.05);治疗后,两组上下楼梯及跳跃时VAS评分低于治疗前,差异有统计学意义(P<0.05);治疗后,观察组上下楼梯及跳跃时VAS评分低于对照组,差异有统计学意义(P<0.05)。治疗前,两组Kujala评分差异无统计学意义(P>0.05);治疗后,两组Kujala评分高于治疗前,差异有统计学意义(P<0.05);治疗后,观察组Kujala评分高于对照组,差异有统计学意义(P<0.05)。治疗前,两组角速度60°/s和120°/s的股四头肌峰力矩、腘绳肌峰力矩差异无统计学意义(P>0.05);治疗后,两组角速度60°/s和120°/s的股四头肌峰力矩、腘绳肌峰力矩高于治疗前,差异有统计学意义(P<0.05);治疗后,观察组角速度60°/s和120°/s的股四头肌峰力矩、腘绳肌峰力矩高于对照组,差异有统计学意义(P<0.05)。结论 髋关节力量训练结合康复治疗能够显著改善髌股关节疼痛综合征运动员的疼痛症状,同时能够促进患者髌股关节功能和膝伸屈肌力得到显著改善,对恢复运动员的竞技水平具有重要意义。
Objective To explore the clinical effect of hip joint strength training combined with rehabilitation therapy on athlete＇s patellofemoral joint pain syndrome. Methods From January 2016 to December 2017, in Xi＇an Hospital of Sports Trauma, 80 sportsmen with patellofemoral joint pain syndrome were selected, according to the random number table, they were divided into the observation group and the control group, with 40 cases in each group. The control group was given conventional rehabilitation treatment, the observation group was given hip joint strength training on the basis of routine rehabilitation treatment. The pain degree, patellofemoral joint function and knee flexion and muscle strength between in two groups before and after treatment were compared. Results Before the treatment, there was no statistically significant difference in the VAS scores of walking up and down stairs, jumping between the two groups（P〈0.05）; after the treatment, the VAS scores of walking up and down stairs, jumping in the two groups were lower than before the treatment, the differences were statistically significant（P〉0.05）; after treatment, the VAS scores of walking up and down stairs, jumping in the observation group were lower than the control group, the differences were statistically significant（P〈0.05）. Before the treatment, there was no statistically significant difference in Kujala scores between the two groups（P〉0.05）, after the treatment, the Kujala scores in two groups were higher than before the treatment, the differences were statistically significant（P〉0.05）;after treatment, the Kujala scores in the observation group were higher than the control group, the differences were statistically significant（P〈0.05）. Before the treatment, there was no significant difference in the peak torque of the four head muscles and the popliteal muscle peak at angular velocity 60°/s and 120°/s between two groups（P〈0.05）; after treatment, the peak torque of the four head of the femoral muscle an
作者
吴小茂
杨建全
WU Xiaomao;YANG Jianquan(Department of Sports,Xi＇ an Aeronautical University,Shaanxi Province,Xi＇ an 710077,China;Department ofSports,Xi＇an Medical University,Shanxi Province,Xi＇an 710021,China)
出处
《中国医药导报》
CAS
2018年第17期175-178,共4页
China Medical Herald
基金
陕西省体育局基金项目(15038)
关键词
髋关节力量训练
康复治疗
运动员
髌股关节疼痛综合征
Hip strength training
Rehabilitation therapy
Athletes
Patellofemoral joint pain syndrome
