發(fā)布時間：2018-05-27 23:23

  本文選題：閉鏈運動 + 離心收縮　； 參考：《中國康復(fù)醫(yī)學雜志》2017年04期

【摘要】：目的:探討閉鏈離心等張訓(xùn)練對髕股疼痛綜合征(PFPS)患者膝關(guān)節(jié)功能的療效。方法:選取33例符合納入排除標準的髕股疼痛綜合征患者,采用隨機數(shù)字表法分成試驗組(n=17)和對照組(n=16);試驗組采用常規(guī)康復(fù)訓(xùn)練+閉鏈離心等張訓(xùn)練,對照組僅進行常規(guī)康復(fù)訓(xùn)練。兩組患者在治療前、治療8周采用視覺模擬評分法(VAS)評定患者疼痛程度、等速肌力測定膝伸屈肌群肌力、膝關(guān)節(jié)Kujala評分評價膝關(guān)節(jié)功能以及SF-36評估生存質(zhì)量。結(jié)果:兩組治療8周后VAS評分低于治療前(P0.05)、Kujala評分、60°/s速度下膝伸屈肌群峰力矩、SF-36中生理職能、軀體疼痛、一般健康狀況改善,與治療前比較差異有顯著性意義(P0.05)。8周治療后,試驗組VAS評分低于對照組(P0.05)、Kujala評分、60°/s速度下膝伸屈肌群峰力矩及SF-36中生理職能、健康變化均高于對照組(P0.05)。結(jié)論:常規(guī)康復(fù)訓(xùn)練的基礎(chǔ)上結(jié)合閉鏈離心等張訓(xùn)練能進一步緩解髕股疼痛綜合征患者膝關(guān)節(jié)疼痛、增強肌力、提高生活滿意度,建議可以作為PFPS康復(fù)訓(xùn)練的一部分,值得臨床應(yīng)用及推廣。
[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 擄/ 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 擄/ 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.
【作者單位】： 首都醫(yī)科大學附屬北京康復(fù)醫(yī)院骨科康復(fù)中心;
【分類號】：R493;R684

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