离心运动训练对髌股疼痛综合征患者膝关节功能和神经肌肉控制的效果

doi:10.3969/j.issn.1006-9771.2021.11.015

Abstract

Abstract:

Objective To investigate the effect of eccentric exercise training on knee function and neuromuscular control in patients with patellofemoral pain syndrome.Methods From September, 2016 to September, 2019, 39 outpatients with patellofemoral pain syndrome visiting our hospital were randomly divided into control group (n = 19) and experimental group (n = 20). Both groups received routine rehabilitation, while the experimental group received eccentric training of quadriceps femoris in addition, for eight weeks. They were assessed with Visual Analogue Scale (VAS) of pain, Lysholm score, while the acceleration time was measured with Isokinetic Testing and Training System, and stability index with Dynamic Balance Tester.Results The VAS score, acceleration time of all the muscles, and overall, anterior-posterior and medial-lateral stability indexes decreased (t > 2.521, P < 0.05), and the Lysholm score increased (|t| > 13.628, P < 0.001) in both groups after treatment, while the VAS score, acceleration time of all the muscles, overall and anterior-posterior stability indexes were less (|t| > 2.174, P < 0.05), and the Lysholm score was more (t = 11.947, P < 0.001) in the experimental group than in the control group.Conclusion Eccentric exercise training of quadriceps femoris is effective on pain, knee function and neuromuscular control for patients with patellofemoral pain syndrome.

Key words: patellofemoral pain syndrome, eccentric contraction, knee, neuromuscular control

LIU Xiao-lei,LI Qiang,ZHANG Yao-hua,ZHANG Hong-yue,LIU Wen-hui,LI Jia,DONG Ming,YANG Yun,YANG Hua-qing. Effect of Eccentric Exercises on Knee Function and Neuromuscular Control of Patellofemoral Pain Syndrome[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1334-1339.

Figures/Tables 11

References 36

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组别	n	性别(男/女, n)	年龄(岁)	身高(cm)	体质量(kg)	病程(周)
对照组	19	7/12	38.57±7.99	168.21±5.19	71.39±10.98	22.07±7.48
试验组	20	7/13	36.35±6.32	168.71±6.68	69.04±10.58	21.71±7.77
χ²/t值		0.014	-0.813	0.221	-0.578	-0.124
P值		0.908	0.173	0.091	0.811	0.895

评价工具		ICF编码	类目名称
VAS		b28016	关节疼痛
		b28015	下肢疼痛
Lysholm评分	跛行	b28016	关节疼痛
		b28015	下肢疼痛
	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
	(打软腿)	b7400 b7150	单一肌肉耐力单关节的稳定
	疼痛	b28016	关节疼痛
		b28015	下肢疼痛
	肿胀	b7100	单关节活动
	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
	下蹲	d4101	蹲下
肌肉加速时间		b7300	单一肌肉和肌群力量
		b7400	单一肌肉耐力
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	19	6.81±0.94	3.93±0.82	16.687	< 0.001
试验组	20	6.64±1.08	2.92±0.73	16.873	< 0.001
t值		-0.557	-3.380
P值		0.380	0.002

组别	n	治疗前	治疗后	t值	P值
对照组	19	59.42±3.96	76.43±2.73	-13.628	< 0.001
试验组	20	59.71±4.79	89.64±3.10	-19.869	< 0.001
t值		0.172	11.947
P值		0.442	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	19	71.67±20.38	55.83±13.79	4.710	0.001
试验组	20	67.50±15.47	44.17±12.40	6.205	< 0.001
t值		-0.564	-2.179
P值		0.578	0.040

Effect of Eccentric Exercises on Knee Function and Neuromuscular Control of Patellofemoral Pain Syndrome

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组别	n	治疗前	治疗后	t值	P值
对照组	19	95.83±26.09	79.16±21.93	5.863	0.001
试验组	20	94.17±24.66	60.83±19.28	7.153	< 0.001
t值		-0.564	-2.174
P值		0.578	0.041

组别	n	治疗前	治疗后	t值	P值
对照组	19	95.00±21.29	73.75±15.00	3.982	0.001
试验组	20	95.20±27.31	59.37±19.48	5.995	< 0.001
t值		0.072	-2.339
P值		0.943	0.026

组别	n	治疗前	治疗后	t值	P值
对照组	19	117.85±28.60	93.14±21.68	6.040	< 0.001
试验组	20	118.57±30.84	78.57±12.92	5.888	< 0.001
t值		0.064	-2.222
P值		0.950	0.035

组别	n	治疗前	治疗后	t值	P值
对照组	19	1.222±0.362	0.705±0.152	5.711	< 0.001
试验组	20	1.224±0.369	0.585±0.125	5.860	< 0.001
t值		0.017	-2.317
P值		0.987	0.028

组别	n	治疗前	治疗后	t值	P值
对照组	19	1.185±0.268	0.893±0.301	2.876	0.012
试验组	20	1.373±0.384	0.634±0.299	5.406	< 0.001
t值		1.540	-2.321
P值		0.135	0.028

组别	n	治疗前	治疗后	t值	P值
对照组	19	0.782±0.333	0.561±0.186	2.521	0.024
试验组	20	0.726±0.289	0.506±0.185	2.467	0.028
t值		-0.484	-0.788
P值		0.632	0.438

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