|
|
|
| Clinical effect of hip strength training combined with rehabilitation therapy on athletes patellofemoral joint pain syndrome |
| WU Xiaomao1 YANG Jianquan2 |
1.Department of Sports, Xi′an Aeronautical University, Shaanxi Province, Xi′an 710077, China;
2.Department of Sports, Xi'an Medical University, Shanxi Province, Xi′an 710021, China |
|
|
|
Abstract Objective To explore the clinical effect of hip joint strength training combined with rehabilitation therapy on athlete's patellofemoral joint pain syndrome. Methods From January 2016 to December 2017, in Xi＇an Hospital of Sports Trauma, 80 sportsmen with patellofemoral joint pain syndrome were selected, according to the random number table, they were divided into the observation group and the control group, with 40 cases in each group. The control group was given conventional rehabilitation treatment, the observation group was given hip joint strength training on the basis of routine rehabilitation treatment. The pain degree, patellofemoral joint function and knee flexion and muscle strength between in two groups before and after treatment were compared. Results Before the treatment, there was no statistically significant difference in the VAS scores of walking up and down stairs, jumping between the two groups (P > 0.05); after the treatment, the VAS scores of walking up and down stairs, jumping in the two groups were lower than before the treatment, the differences were statistically significant (P < 0.05); after treatment, the VAS scores of walking up and down stairs, jumping in the observation group were lower than the control group, the differences were statistically significant (P < 0.05). Before the treatment, there was no statistically significant difference in Kujala scores between the two groups (P > 0.05), after the treatment, the Kujala scores in two groups were higher than before the treatment, the differences were statistically significant (P < 0.05); after treatment, the Kujala scores in the observation group were higher than the control group, the differences were statistically significant(P < 0.05). Before the treatment, there was no significant difference in the peak torque of the four head muscles and the popliteal muscle peak at angular velocity 60°/s and 120°/s between two groups (P > 0.05); after treatment, the peak torque of the four head of the femoral muscle and the popliteal muscle peak at angular velocity 60°/s and 120°/s in two groups were higher than before the treatment, the differences were statistically significant (P < 0.05); after treatment, the peak torque of the four head muscles of the femoral four head and the popliteal muscle peak at angular velocity 60°/s and 120°/s in the observation group were higher than the control group, the differences were statistically significant (P < 0.05). Conclusion Hip strength training combined with rehabilitation therapy can significantly improve the pain symptoms of patellofemoral pain syndrome athletes, it can improve the patellofemoral joint function and knee flexion strength significantly, it is great significance to the recovery of athletes' competitive level.
|
|
|
|
|
|
[1] 李男，檀志宗.髌股关节疼痛综合征康复治疗的研究进展[J].中国康复医学杂志，2015，30（2）：189-193.
[2] 赵军，王庆甫，马玉峰，等.功能锻炼治疗髌股关节疼痛综合征的研究进展[J].中医正骨，2014，26（9）：75-78，80.
[3] 王安利，刘冬森.力量训练的方法：静力性力量训练、向心性力量训练和离心力量训练[J].中国学校体育：高等教育，2014，1（8）：67-71.
[4] Guney H，Yuksel I，Kaya D，et al. The relationship be-tween quadriceps strength and joint position sense， function-al outcome and painful activities in patellofemoral pain syndrome [J]. Knee Surg Sports Traumatol Arthrosc，2015（14）：1-7.
[5] 郑光新，蒋长亮，黄讯悟，等.表面肌电图在评定髌股关节疼痛综合征运动员髌股动态稳定中的应用[J].中华物理医学与康复杂志，2014，36（9）：676-679.
[6] 杨雨洁，朱毅.离心肌力训练在软组织损伤康复中的研究进展[J].中国康复医学杂志，2015，30（6）：615-619
[7] Swart NM，van Linschoten R，Bierma Zeinstra SM，et al. The addi-tional effect of orthotic devices on exercise therapy for patients with patellofemoral pain syndrome：a systematic review [J]. Br J Sports Med，2016，46（8）：570-577.
[8] 孟庆鑫，王军，薛卫平.髌股周软组织调整联合胫骨结节内移术治疗髌股关节不稳的临床效果观察[J].新疆医学，2016（7）：854-856．
[9] 缪萍，王楚怀，潘翠环，等.闭链与开链运动对髌股关节疼痛综合征股四头肌作用的表面肌电图研究[J].中国康复医学杂志，2015，30（12）：1238-1242．
[10] 孙振杰，袁一，刘瑞波.髌股关节紊乱与胫骨扭转畸形的相关性分析[J].中国骨伤，2015，28（3）：222－225．
[11] Yosmaoglu HB， Kaya D， Guney H， et al. Is there a relationship between tracking ability，joint position sense，and functional level in patellofemoral pain syndrome [J]. Knee Surg Sports Traumatol Arthrosc，2016，21（11）：2564-2571.
[12] 肇刚，刘玉杰，袁邦拓，等.关节镜下髌股成形及髌周去神经化治疗髌股关节炎[J].中国骨伤，2015，28（6）：542-546．
[13] 马磊，李美，张静，等.肌电生物反馈疗法针对股内侧斜肌训练对髌股关节疼痛综合征的治疗作用[J].中国运动医学杂，2015，34（12）：1210-1211.
[14] Kettunen JA，Harilainen A，Sandelin J，et al. Knee arthr- oscopy and exercise versus exercise only for chronic patellofemoral pain syn-drome：5 year follow up [J]. Br J Sports Med，2014，46 （4）：243-246．
[15] 谢贵杰，甘伟伟，何森荣.关节镜下关节清理加髌股外侧支持带松解术治疗膝关节髌股关节炎[J].安徽医学杂志，2014，35（6）：797-799.
[16] 刘晓磊，刘文辉，苏建康，等.闭链离心等张训练对髌股关节疼痛综合征运动员膝关节功能的影响[J].中国康复医学集志，2017，32（4）：419-422.
[17] Moyano FR，Valenza MC，Martin LM，et al. Effectiveness of differ-ent exercises and stretching physiotherapy on pain and movement in patellofemoral pain syndrome：a randomized controlled trial[J].Clin Rehabil，2015，27（5）：409-417．
[18] 白震民，段玉丞，宋宇锋，等.太极拳运动致髌股关节疼痛综合征的康复评估研究 [J]. 实用骨科杂志，2016，22（6）：515-517.
[19] 崔利华.髌股关节疼痛综合征病因与治疗的研究进展[J].中国骨伤，2017，30（7）：680-683.
[20] 李男，檀志宗.髌股关节疼痛综合征康复治疗的研究进展[J].中国康复医学杂志，2015，30（2）：189-193.
[21] 黄美容，吴霜，范建楠.股四头肌肌力训练在髌股疼痛综合康复治疗中的应用[J].贵州医药，2015，39（4）：379-380. |
|
|
|
