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

Abstract

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

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.

Figures/Tables 4

References 30

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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)

Isokinetic muscle strength of knee for patients with chondromalacia patellae

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