不稳定坐位躯干控制训练对髌股疼痛综合征的疗效

doi:10.3969/j.issn.1006-9771.2022.07.005

摘要/Abstract

摘要：

目的探讨不稳定坐位躯干控制训练对于髌股疼痛综合征患者疼痛和下肢功能的影响。

方法 2019年1月至2021年12月,北京康复医院就诊的髌股疼痛综合征患者41例,随机分为对照组(n = 20)和试验组(n = 21)。两组均行常规康复治疗,试验组加不稳定坐位躯干控制训练,共4周。治疗前后采用疼痛视觉模拟量表(VAS)、膝前痛功能量表(AKPS)进行评定,采用平衡仪测量稳定指数。

结果治疗后,两组VAS评分、AKPS评分,以及总体、左右、前后稳定指数均较治疗前显著降低(|t| > 12.089, P < 0.001);试验组显著优于对照组(|t| > 5.864, P < 0.001)。

结论不稳定坐位躯干控制训练能够改善髌股疼痛综合征患者的疼痛和膝关节的功能,提高平衡功能。

关键词: 髌股疼痛综合征, 躯干控制训练, 康复

Abstract:

Objective To explore the effect of trunk control training during unstable sitting on knee pain and function in patients with patellofemoral pain syndrome.

Methods From January, 2019 to December, 2021, 41 patients with patellofemoral pain syndrome in Beijing Rehabilitation Hospital were randomly divided into control group (n = 20) and experiment group (n = 21). Both groups accepted routine rehabilitation, and the experiment group accepted trunk control training during unstable sitting in addition, for four weeks. They were assessed with Visual Analogue Scale for pain (VAS) and Anterior Knee Pain Scale (AKPS), and measured stability indexes with Balancer before and after treatment.

Results All the VAS score, AKPS score, and the overall, anterior-posterior and left-right stability indexes improved in both groups after treatment (|t| > 12.089, P < 0.001); and improved more in the experiment group than in the control group (|t| > 5.864, P < 0.001).

Conclusion Trunk control training during unstable sitting may improve knee pain and function, and motor control.

Key words: patellofemoral pain syndrome, trunk control training, rehabilitation

中图分类号:

R684.7

解焕鑫,刘晓磊,李强,章耀华,张鸿悦,郭峰,张耀国,杨华清. 不稳定坐位躯干控制训练对髌股疼痛综合征的疗效[J]. 《中国康复理论与实践》, 2022, 28(7): 770-775.

XIE Huanxin,LIU Xiaolei,LI Qiang,ZHANG Yaohua,ZHANG Hongyue,GUO Feng,ZHANG Yaoguo,YANG Huaqing. Effect of trunk control training during unstable sitting on patellofemoral pain syndrome[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 770-775.

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项目	对照组(n = 20)	试验组(n = 21)	χ²/t值	P值
性别(男/女)/n	9/11	8/13	0.201	0.654
年龄/岁	31.50 ± 6.18	32.10 ± 6.03	-0.312	0.757
身高/cm	169.85 ± 7.96	171.43 ± 9.15	-0.588	0.560
体质量/kg	69.42 ± 6.96	70.39 ± 7.03	-0.444	0.660
病程/周	20.35 ± 3.25	22.05 ± 6.25	-1.083	0.285

评价工具		ICF编码	类目名称
VAS	疼痛	b28016	关节疼痛
		b28015	下肢疼痛
AKPS	支撑	b7603	手臂或腿部的支撑功能
		d420	移动自身
		d450	步行
		d455	到处移动
		d465	利用设备到处移动
	绞索	b7100	单关节活动
	不稳定	b7300	单一肌肉和肌群力量
		b7400	单一肌肉耐力
	跛行	b28016	关节疼痛
		b28015	下肢疼痛
	肿胀	b7100	单关节活动
	下蹲	d4101	蹲下
	上下楼梯	b7603	手臂或腿部的支撑功能
		d415	保持一种身体姿势
		d420	移动自身
		d450	步行
		d455	到处移动
稳定指数		b7601	复杂自主运动控制
		b7603	手臂或腿部的支撑功能
		b7100	单关节活动
		b7101	多关节活动
		b7203	跗骨的灵活性
		b7201	骨盆的灵活性
		b7151	多关节稳定性
		d415	保持一种身体姿势

组别	n	治疗前	治疗后	t值	P值
对照组	20	7.20±0.95	3.75±0.85	12.089	< 0.001
试验组	21	6.90±0.10	1.90±1.14	15.811	< 0.001
t值		0.970	5.864
P值		0.338	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	20	54.90±5.56	78.80±5.43	-19.087	< 0.001
试验组	21	54.57±5.84	89.71±3.62	25.454	< 0.001
t值		0.184	-7.602
P值		0.855	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	20	1.32±0.07	0.86±0.12	20.342	< 0.001
试验组	21	1.35±0.07	0.50±0.07	32.809	< 0.001
t值		-1.247	12.061
P值		0.220	< 0.001