髌骨软化症患者膝关节等速肌力测试

doi:10.3969/j.issn.1006-9771.2022.04.002

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (4): 379-383.doi: 10.3969/j.issn.1006-9771.2022.04.002

• 专题肌力对姿势稳定影响的研究 • 上一篇下一篇

髌骨软化症患者膝关节等速肌力测试

钟嘉漫¹,黄竞杰¹,刘付懿斐²,赵世婷²,许雯霞²,杨俊兴²()

1.广州中医药大学第六临床医学院,广东深圳市 518000
2.广州中医药大学深圳医院（福田）,广东深圳市 518000

收稿日期:2021-11-08 修回日期:2022-03-29 出版日期:2022-04-25 发布日期:2022-05-05
通讯作者: 杨俊兴 E-mail:13725281666@163.com
作者简介:钟嘉漫(1999-),女,汉族,广东普宁市人,硕士研究生,主要研究方向：关节与运动损伤。
基金资助:
深圳市福田区卫生公益性科研项目(FTWS2019027)

Isokinetic muscle strength of knee for patients with chondromalacia patellae

ZHONG Jiaman¹,HUANG Jingjie¹,LIU Fuyifei²,ZHAO Shiting²,XU Wenxia²,YANG Junxing²()

1. The Sixth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong 518000, China
2. Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian), Shenzhen, Guangdong 518000, China

Received:2021-11-08 Revised:2022-03-29 Published:2022-04-25 Online:2022-05-05
Contact: YANG Junxing E-mail:13725281666@163.com
Supported by:
Health Public Welfare Research Project in Futian District(FTWS2019027)

摘要/Abstract

摘要：

目的分析髌骨软化症患者膝关节周围肌力特征,并比较其与健康人的差异。方法 2021年3月,采用等速肌力测试与训练系统,对70例单膝发病髌骨软化症患者(观察组)和35例健康人(对照组)进行膝关节不同角速度(60°/s和180°/s)的屈、伸等速肌力测试。结果 60°/s和180°/s时,观察组患侧屈、伸肌峰力矩、峰力矩体质量比、总功均显著低于对照组(U > 1097.0, P<0.001);观察组患侧60°/s屈、伸肌和180°/s时伸肌峰力矩、峰力矩体质量比、总功均低于观察组健侧(|Z| > 2.121, P<0.05)。60°/s和180°/s时,观察组患侧屈伸肌力比值均明显大于健侧和对照组(U > 1810.0, |Z| >3.691, P<0.01)。结论髌骨软化症患者的患膝屈、伸肌肌爆发力和耐力均减弱,膝关节肌力存在失衡现象。

关键词: 髌骨软化症, 等速肌力, 峰力矩, 屈伸肌力比值, 腘绳肌, 股四头肌

Abstract:

Objective To analyze the characteristics of the muscle strength around the knee joint of chondromalacia patellae patients, and to explore the difference with normal people.Methods In March, 2021, 70 knee-onset chondromalacia patellae patients (experimental group) and 35 normal people (control group) were measured isokinetic muscle strength of flexion and extension of knee in angular velocities of 60°/s and 180°/s.Results At 60°/s and 180°/s, the peak torque, the peak torque-to-weight ratio and the total work of the flexor and extensor muscles on the affected side in the experimental group were lower than that of the control group (U > 1097.0, P<0.001). The peak torque, the peak torque-to-weight ratio and the total work of the flexor and extensor muscles at 60°/s and extensor muscles at 180°/s were lower on the affected side than on the healthy side in the experimental group (|Z| > 2.121, P<0.05). The peak torque ratios at 60°/s and 180°/s were more in the affected knees than in the healthy knees of experimental group and in the control group (U > 1810.0, |Z| >3.691, P<0.01).Conclusion The explosive force and endurance of the knee flexor and extensor has weakened in patients with chondromalacia patellae, and there is imbalance in knee joint muscle strength.

Key words: chondromalacia patellae, isokinetic muscle strength, peak torque, hamstring/quadriceps, hamstring, quadriceps femoris

钟嘉漫,黄竞杰,刘付懿斐,赵世婷,许雯霞,杨俊兴. 髌骨软化症患者膝关节等速肌力测试[J]. 《中国康复理论与实践》, 2022, 28(4): 379-383.

ZHONG Jiaman,HUANG Jingjie,LIU Fuyifei,ZHAO Shiting,XU Wenxia,YANG Junxing. Isokinetic muscle strength of knee for patients with chondromalacia patellae[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(4): 379-383.

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组别		n	60°/s		180°/s
组别		n	屈	伸	屈	伸
对照组	双侧膝	70	57.2(40.3, 76.2)^a	116.0(81.7, 159.3)^c	45.5(33.0, 57.2)^e	74.8(53.9;106.7)^f
观察组	健侧膝	70	44.0(33.8, 54.2)^b	92.3(69.7, 116.9)^d	32.3(27.8, 46.0)	61.8(44.8, 79.5)^g
	患侧膝	70	39.9(30.2, 53.2)	72.4(51.0, 98.1)	32.4(23.1, 44.2)	52.0(37.3, 66.5)

组别		n	60°/s		180°/s
组别		n	屈	伸	屈	伸
对照组	双侧膝	70	86.3(67.0, 118.6)^a	186.8(139.6, 233.9)^c	69.1(57.2, 90.0)^e	128.1(95.2, 153.7)^f
观察组	健侧膝	70	73.4(58.9, 89.9)^b	159.9(118.9, 192.5)^d	55.2(48.2, 72.4)	98.2(80.1, 132.4)^g
	患侧膝	70	65.8(47.8, 90.6)	123.6(83.5, 157.8)	56.3(38.9, 68.1)	91.0(60.6, 112.0)

组别		n	60°/s		180°/s
组别		n	屈	伸	屈	伸
对照组	双侧膝	70	300.4(215.7, 385.8)^a	502.6(357.3, 650.7)^c	775.3(455.4, 1116.9)^e	1468.7(1075.6, 2016.1)^f
观察组	健侧膝	70	199.9(146.8, 284.9)^b	377.4(315.9, 537.8)^d	365.6(234.9, 561.4)	901.0(557.8, 1246.0)^g
	患侧膝	70	198.7 (120.8, 266.9)	300.8(205.5, 409.2)	427.2(247.9, 622.5)	760.0(477.0, 1185.3)

组别		n	60°/s	180°/s
对照组	双侧膝	70	47.7 (42.7, 53.6)^a	57.9 (50.0, 66.6)^c
观察组	健侧膝	70	47.1 (39.3, 54.7)^b	56.7 (47.3, 64.0)^d
	患侧膝	70	54.2 (45.4, 67.4)	61.6 (52.5, 77.9)

髌骨软化症患者膝关节等速肌力测试

Isokinetic muscle strength of knee for patients with chondromalacia patellae

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