摘要
目的探讨离心运动训练对髌股疼痛综合征患者膝关节功能及神经肌肉控制的影响。方法2016年9月至2019年9月,本院门诊髌股疼痛综合征患者39例,随机分为对照组(n=19)和试验组(n=20)。两组均接受常规康复训练,试验组加用股四头肌离心运动训练,共8周。治疗前后采用疼痛视觉模拟评分(VAS)、膝关节Lysholm评分进行评定,采用等速测试与训练系统测量加速时间,平衡测试仪测量稳定指数。结果治疗后,两组VAS评分,各肌肉加速时间,总体、左右和前后稳定指数均降低(t>2.521,P<0.05),Lysholm评分显著提高(|t|>13.628,P<0.001)。试验组VAS评分、各肌肉加速时间、总体及前后稳定指数低于对照组(|t|>2.174,P<0.05),Lysholm评分显著高于对照组(t=11.947,P<0.001)。结论股四头肌离心运动训练可缓解髌股疼痛综合征患者膝关节疼痛,提高膝关节功能和神经肌肉控制能力。
Objective To investigate the effect of eccentric exercise training on knee function and neuromuscular control in patients with patellofemoral pain syndrome.Methods From September,2016 to September,2019,39 outpatients with patellofemoral pain syndrome visiting our hospital were randomly divided into control group(n=19)and experimental group(n=20).Both groups received routine rehabilitation,while the experimental group received eccentric training of quadriceps femoris in addition,for eight weeks.They were assessed with Visual Analogue Scale(VAS)of pain,Lysholm score,while the acceleration time was measured with Isokinetic Testing and Training System,and stability index with Dynamic Balance Tester.Results The VAS score,acceleration time of all the muscles,and overall,anterior-posterior and medial-lateral stability indexes decreased(t>2.521,P<0.05),and the Lysholm score increased(|t|>13.628,P<0.001)in both groups after treatment,while the VAS score,acceleration time of all the muscles,overall and anterior-posterior stability indexes were less(|t|>2.174,P<0.05),and the Lysholm score was more(t=11.947,P<0.001)in the experimental group than in the control group.Conclusion Eccentric exercise training of quadriceps femoris is effective on pain,knee function and neuromuscular control for patients with patellofemoral pain syndrome.
作者
刘晓磊
李强
章耀华
张鸿悦
刘文辉
李佳
董明
杨云
杨华清
LIU Xiao-lei;LI Qiang;ZHANG Yao-hua;ZHANG Hong-yue;LIU Wen-hui;LI Jia;DONG Ming;YANG Yun;YANG Hua-qing(Department of Orthopedics,Beijing Rehabilitation Hospital,Capital Medical University,Beijing 100144,China;Department of Rehabilitation Medicine,Beijing Rehabilitation Hospital,Capital Medical University,Beijing 100144,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2021年第11期1334-1339,共6页
Chinese Journal of Rehabilitation Theory and Practice
关键词
髌股疼痛综合征
离心运动
膝
神经肌肉控制
patellofemoral pain syndrome
eccentric contraction
knee
neuromuscular control
