| 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 |
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| DOI： |
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| 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 |
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| Department of Rehabilitation Medicine, Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Beijing, 100144 |
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| 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 |
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