摘要
目的明确5000 m越野训练相关损伤特点、不同康复治疗方法的效果。方法2017年3月-2018年4月对空军特色医学中心(原空军总医院)康复医学科因5000 m越野所致运动损伤的患者资料进行调查分析,并将符合纳入标准的患者按治疗方法进行分组,理疗组采用磁疗、半导体激光,手法治疗组采用肌肉能量技术、激痛点技术、拉伸技术、必要时配合关节松动术等,综合治疗组采用手法治疗结合理疗干预;治疗前、治疗结束时对疼痛、治疗周期进行对照分析。结果5000 m军事越野训练伤以软组织损伤为主,最常见的损伤部位是膝,其次依次为踝足、小腿,髋部损伤也可见,最主要伤病为髂胫束综合征、髌股关节综合征、足底筋膜炎,但也可见髂腰肌损伤、第三腓骨肌腱损伤;3组治疗后疼痛评分明显低于治疗前(P<0.001),治疗后综合治疗组和手法治疗组疼痛评分明显低于理疗组(P<0.05);手法治疗组和综合治疗组治疗周期短于理疗组,差异有统计学意义(P<0.05),综合治疗组治疗周期也明显短于手法治疗组(P<0.05)。结论5000 m越野损伤主要发生在下肢,以膝和踝足最常见,主要损伤类型为软组织损伤,以髂胫束综合征、髌股关节综合征、足底筋膜炎最常见;手法治疗结合理疗可明显缓解症状、缩短疗程。
Objective To explore the characteristics of?ve-kilometer cross-country training related injury(FKCCTRI) and the effect of different rehabilitation methods.Methods The data on patients with FKCCTRI treated between March 2017 and April 2018 in the Department of Rehabilitation Medicine of the Air Force Characteristic Medical Center was investigated and analyzed.Patients who met the inclusion criteria were randomly divided into three groups and respectively subjected to the physical therapy(magnetic therapy,semiconductor laser),manual therapy(involving muscle energy technology,stimulus point technology,stretching technology,and joint mobilization when necessary),or combined therapy(manual therapy combined with physiotherapy).The severity of pain and duration of treatment were compared and analyzed between the three groups.Results 5000 m military cross-country training injury is mainly soft tissue injury,the most common injury is knee,followed by ankle foot,calf,hip injury is also visible,the most important injury is iliotibial band syndrome,patellofemoral joint syndrome,plantar fasciitis,but also iliopsoas injury,the third?bular tendon injury;after treatment,the pain score of three groups was significantly lower than before treatment(P<0.001),comprehensive treatment group and manual treatment group pain score was signi?cantly lower than the physical treatment group(P<0.05);manual treatment group and comprehensive treatment group treatment cycle was shorter than the physical treatment group,the difference was statistically significant(P<0.05),the comprehensive treatment group treatment cycle was also significantly shorter than the manual treatment group(P<0.05).Conclusion FKCCTRI mainly occurs in lower limbs and is located in knees,ankles and feet.Soft tissues are the most vulnerable.Iliotibial tract syndrome,patellofemoral joint syndrome,and plantar fasciitis are most common.Manual therapy combined with physiotherapy can signi?cantly alleviate symptoms and decrease the duration of therapy.
作者
叶超群
张向阳
杨洁
张嘉涛
刘帅
王禹水
卢玉桐
王海荣
张鹏宇
张悦怡
赵华龙
杨一卓
崔晓松
高行
YE Chaoqun;ZHANG Xiangyang;YANG Jie;ZAHNG Jiatao;LIU Shuai;WANG Yushui;LU Yutong;WANG Hairong;ZHANG Pengyu;ZHANG Yueyi;ZHAO Hualong;YANG Yizhuo;CUI Xiaosong;GAO Xing(Department of Rehabilitation,Air Force Medical Center,Beijing 100142,China;不详)
出处
《空军医学杂志》
2020年第1期4-6,共3页
Medical Journal of Air Force
基金
军委后勤保障部重点项目(BKJ17J006)。
关键词
5000m越野
损伤
手法治疗
理疗
five kilometers cross-country training
injury
manual therapy
physiotherapy
