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Received:March 23, 2022 Published Online:December 20, 2022
Received:March 23, 2022 Published Online:December 20, 2022
中文摘要: 目的 探讨臀肌及核心肌群稳定性训练在髌股关节疼痛综合征(PFPS)患者中的应用效果。方法 按照随机数字表法将2020年4月至2021年4月于南京明基医院康复科和东部战区总医院康复科就诊的118例PFPS合征患者分为观察组、对照组,每组59例。对照组患者接受股四头肌、膝周肌群训练,观察组患者接受臀部及核心肌群稳定性训练。两组患者均连续治疗3个月,比较两组患者治疗前后Lysholm膝关节评分量表(LKSS)、疼痛视觉模拟评分(VAS)等指标变化。结果 治疗前,两组患者LKSS评分、VAS评分、伸膝、屈膝最大峰力矩及生存质量差异均无统计学意义(P>0.05)。治疗1个月及治疗3个月,两组患者LKSS评分、伸膝、屈膝最大峰力矩及生存质量均较治疗前显著提高(P<0.05),VAS评分较治疗前显著降低(P<0.05),且在治疗1个月时观察组各指标改善程度显著优于对照组(P<0.05),在治疗3个月时两组患者各指标差异无统计学意义(P>0.05)。结论 对于PFPS患者,股四头肌、膝周肌群肌力锻炼和臀肌、核心肌群稳定性锻炼均能取得显著疗效,且后者见效更早,患者可根据自身情况选择合适的康复治疗方案。
Abstract:Objective To investigate the effect of gluteus and core muscles stability training in patients with patellofemoral pain syndrome (PFPS). Methods A total of 118 patients with PFPS who received treatment at Rehabilitation Department of Nanjing BenQ Medical Center and the Rehabilitation Department of General Hospital of Eastern Theater Command from April 2020 to April 2021 were divided into the observation group and the control group randomly (n=59, each). The patients in the control group received quadriceps femoris and peri-articular knee muscles training, and the patients in the observation group received gluteus and core muscles stability training. Both groups of patients were treated continuously for 3 months. Lysholm knee score scale(LKSS), visual analog score (VAS) and other indicators between the two groups before and after treatment were compared. Results Before treatment, there was no significant difference between the two groups in LKSS score, VAS score, maximum peak torque of knee extension and knee flexion and quality of life (P>0.05). After one month and three months of treatment, the LKSS score, the maximum peak moment of knee extension and flexion and the quality of life of the patients in the two groups were significantly improved compared with those before treatment (P<0.05), and the VAS score was significantly decreased compared with those before treatment (P<0.05). All indexes in the observation group were significantly better than those in the control group at the first month of treatment (P<0.01), and there was no statistical difference between the two groups at the third month of treatment (P>0.05). Conclusion For patients with PFPS, quadriceps femoris, peri-articular knee muscles strength exercise and gluteus, core muscles stability exercise can achieve significant effect, and the latter has earlier effect, patients can choose appropriate rehabilitation treatment program according to their own conditions.
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