设为首页
加入收藏
联系我们
Email-Alert
 

    首页 | 杂志介绍 | 编委成员 | 审稿专家名录 | 投稿指南 | 订阅指南 | 过刊浏览 | 广告投放 | 论著模板 | 综述模板 | 帮助

 
刘晓磊,刘文辉,苏建康,李 瑾,郄淑燕.闭链离心等张训练对髌股疼痛综合征患者膝关节功能的影响[J].中国康复医学杂志,2017,(4):419~423
闭链离心等张训练对髌股疼痛综合征患者膝关节功能的影响    点此下载全文
刘晓磊  刘文辉  苏建康  李 瑾  郄淑燕
首都医科大学附属北京康复医院骨科康复中心,北京,100144
基金项目:
DOI:
摘要点击次数: 286
全文下载次数: 307
摘要:
      摘要 目的:探讨闭链离心等张训练对髌股疼痛综合征(PFPS)患者膝关节功能的疗效。 方法:选取33例符合纳入排除标准的髌股疼痛综合征患者,采用随机数字表法分成试验组(n=17)和对照组(n=16);试验组采用常规康复训练+闭链离心等张训练,对照组仅进行常规康复训练。两组患者在治疗前、治疗8周采用视觉模拟评分法(VAS)评定患者疼痛程度、等速肌力测定膝伸屈肌群肌力、膝关节Kujala评分评价膝关节功能以及SF-36评估生存质量。 结果:两组治疗8周后VAS评分低于治疗前(P<0.05)、Kujala评分、60°/s速度下膝伸屈肌群峰力矩、SF-36中生理职能、躯体疼痛、一般健康状况改善,与治疗前比较差异有显著性意义(P<0.05)。8周治疗后,试验组VAS评分低于对照组(P<0.05)、Kujala评分、60°/s速度下膝伸屈肌群峰力矩及SF-36中生理职能、健康变化均高于对照组(P<0.05)。 结论:常规康复训练的基础上结合闭链离心等张训练能进一步缓解髌股疼痛综合征患者膝关节疼痛、增强肌力、提高生活满意度,建议可以作为PFPS康复训练的一部分,值得临床应用及推广。
关键词:闭链运动  离心收缩  等张收缩  髌股疼痛综合征  膝关节功能
Effects of isotonic eccentric closed kinetic chain quadriceps muscle exercises on patellofemoral pain syndrome    Download Fulltext
Department of Rehabilitation Medicine, Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Beijing, 100144
Fund Project:
Abstract:
      Abstract Objective: To investigate the effect of isotonic eccentric closed kinetic chain training of quadriceps femoris exercises on knee function of patients with patellofemoral pain syndrome using BTE eccentric machine. Method: Thirty-three patients with patellofemoral pain syndrome were divided into experimental group (n=17) and control group (n=16) with random number table method. Experimental group is treated with routine rehabilitation exercise plus isotonic eccentric closed kinetic chain training of quadriceps femoris, while the control group only received routine rehabilitation exercise. Evaluations were proceeded on pain with visual analogue scale(VAS), power of quadriceps with isokinetic muscle strength test, knee function with Kujala score and quality of life with SF-36. Result: All patients completed the rehabilitation training. After 8 weeks treatment, the VAS significantly decreased in two groups (P<0.05), the Kujala and SF-36 scores and power of quadriceps and hamstring at 60°/s increased. Kujala scores, and SF-36 score and peak torque of quadriceps and hamstring of experimental group were higher than those in control group (P<0.05). Conclusion: Isotonic eccentric closed kinetic chain training of quadriceps femoris together with conventional rehabilitation therapy was found to be effective in reducing pain and improving quadriceps femoris power and improving the functional status of patients with PFPS, and can be suggested as a part of the PFPS treatment.
Keywords:closed kinetic chain  eccentric contraction  isotonic contraction  patellofemoral pain syndrome  knee function
查看全文  查看/发表评论  下载PDF阅读器

您是本站第 13456498 位访问者

版权所有:中国康复医学会
主管单位:国家卫生和计划生育委员会 主办单位:中国康复医学会
地址:北京市朝阳区樱花园东街,中日友好医院内   邮政编码:100029   电话:010-64218095   

本系统由北京勤云科技发展有限公司设计 京ICP备10000329号