神经肌肉训练对髋关节撞击综合征的疗效

doi:10.3969/j.issn.1006-9771.2022.07.003

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (7): 759-763.doi: 10.3969/j.issn.1006-9771.2022.07.003

神经肌肉训练对髋关节撞击综合征的疗效

杨云,张鸿悦,章耀华,刘晓磊,解焕鑫,李强,李佳,杨华清()

首都医科大学附属北京康复医院骨科一康复中心,北京市 100144

收稿日期:2022-05-11 修回日期:2022-07-05 出版日期:2022-07-25 发布日期:2022-08-08
通讯作者: 杨华清 E-mail:yhq402@126.com
作者简介:杨云(1981-),男,汉族,山西长治市人,主治医师,主要研究方向：骨关节损伤与康复。
基金资助:
北京市石景山区医学重点专科建设项目;首都医科大学附属北京康复医院科研人才启动基金项目(2019R-008)

Effect of neuromuscular training on femoroacetabular impingement

YANG Yun,ZHANG Hongyue,ZHANG Yaohua,LIU Xiaolei,XIE Huanxin,LI Qiang,LI Jia,YANG Huaqing()

Department of Orthopedics, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, China

Received:2022-05-11 Revised:2022-07-05 Published:2022-07-25 Online:2022-08-08
Contact: YANG Huaqing E-mail:yhq402@126.com
Supported by:
Shijingshan District Key Medical Disciplines/Schools Construction;Scientific Research Talents Foundation of Beijing Rehabilitation Hospital, Capital Medical University(2019R-008)

摘要/Abstract

摘要：

目的观察神经肌肉训练对髋关节撞击综合征的临床疗效。

方法 2017年1月至2021年11月,首都医科大学附属北京康复医院就诊的髋关节撞击综合征患者27例随机分为对照组(n = 13)和观察组(n = 14)。两组接受常规康复训练,观察组增加神经肌肉训练。治疗前后,采用疼痛视觉模拟量表(VAS)、髋关节屈伸峰力矩(PT)、Y平衡测试(YBT)和简化国际髋关节评分(iHOT-12)进行评定。

结果治疗后,观察组VAS评分、髋关节屈伸PT、YBT评分和iHOT-12评分明显改善(|t| > 3.628, P < 0.01),对照组VAS和髋关节屈伸PT明显改善(|t| > 3.409, P < 0.01);观察组VAS评分、髋关节屈伸PT、YBT评分和iHOT-12评分均优于对照组(|t| > 2.067, P < 0.05)。

结论神经肌肉训练可有效缓解髋关节撞击综合征患者的疼痛,增加髋关节肌力和协调能力,提高髋关节稳定性和功能。

关键词: 髋关节撞击综合征, 神经肌肉训练, 康复

Abstract:

Objective To observe the effect of neuromuscular training on femoroacetabular impingement.

Methods From January, 2017 to November, 2021, 27 patients with femoroacetabular impingement in Beijing Rehabilitation Hospital were randomly divided into control group (n = 13) and observation group (n = 14). The control group accepted routine rehabilitation training, and the observation group accpeted neuromuscular training in addition. They were assessed with Visual Analogue Scale (VAS) for pain, peak torque (PT) of hip flexion and extension, Y-balance test (YBT) and simplified International Hip Outcome Tool (iHOT-12) before and after treatment.

Results The VAS score, PT, YBT score and iHOT-12 score improved in the observation group after treatment (|t| > 3.628, P < 0.01), while the VAS score and PT improved in the control group (|t| > 3.409, P < 0.01). After treatment, the VAS score, PT, YBT score and iHOT-12 score were better in the observation group than in the control group (|t| > 2.067, P < 0.05).

Conclusion Neuromuscular training can relieve the pain of patients with femoroacetabular impingement, and improve the muscle strength and function of hip joint.

Key words: femoroacetabular impingement, neuromuscular training, rehabilitation

中图分类号:

R684.7

杨云,张鸿悦,章耀华,刘晓磊,解焕鑫,李强,李佳,杨华清. 神经肌肉训练对髋关节撞击综合征的疗效[J]. 《中国康复理论与实践》, 2022, 28(7): 759-763.

YANG Yun,ZHANG Hongyue,ZHANG Yaohua,LIU Xiaolei,XIE Huanxin,LI Qiang,LI Jia,YANG Huaqing. Effect of neuromuscular training on femoroacetabular impingement[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 759-763.

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参考文献 37

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组别	n	性别(男/女)/n	年龄/岁	身高/cm	体质量/kg	病程/d
对照组	13	7/6	42.13±7.49	168.72±9.14	64.16±9.21	12.67±3.26
观察组	14	7/7	43.74±8.47	166.43±8.68	60.62±9.85	13.73±4.31
χ²/t值		0.040	-0.682	0.769	1.312	-0.332
P值		0.842	0.499	0.446	0.196	0.642

组别	n	治疗前	治疗后	t值	P值
对照组	13	5.06±2.67	2.93±1.84	3.409	0.002
观察组	14	4.96±2.58	2.06±1.52	5.176	< 0.001
t值		0.143	2.067
P值		0.887	0.043

组别	n	治疗前	治疗后	t值	P值
对照组	13	25.77±4.16	35.80±6.76	-5.732	< 0.001
观察组	14	27.02±2.30	46.11±6.54	-9.932	< 0.001
t值		-0.921	-4.026
P值		0.366	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	13	42.85±5.54	62.47±5.32	-8.306	< 0.001
观察组	14	41.40±5.20	71.75±6.31	-12.653	< 0.001
t值		0.673	-4.418
P值		0.507	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	13	83.37±20.04	84.22±18.93	-0.165	0.870
观察组	14	82.88±16.67	94.75±12.90	-3.628	0.001
t值		0.108	-2.600
P值		0.914	0.012

神经肌肉训练对髋关节撞击综合征的疗效

Effect of neuromuscular training on femoroacetabular impingement

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组别	n	治疗前	治疗后	t值	P值
对照组	13	58.23±3.89	67.92±4.53	-1.963	0.073
观察组	14	59.14±5.16	86.51±2.84	-6.556	< 0.001
t值		-0.252	-3.640
P值		0.803	0.001

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