肌筋膜触发点联合牵伸运动治疗股髌疼痛综合征  

Therapeutic Effect of Myofascial Trigger Point Combined with Exercise Therapy on Femoral Pain Syndrome

作　　者：吴严冰[1] 保文莉 胡孝海[1] WU Yan-bing;BAO Wen-li;HU Xiao-hai(College of Physical Education,Zhengzhou University,Zhengzhou Henan 450044;Dept.of Rehabilitation College,Kunming Medical Universtiy,Kunming Yunnan 650500,China)

机构地区：[1]郑州大学体育学院,河南郑州450044 [2]昆明医科大学康复学院,云南昆明650500

出　　处：《昆明医科大学学报》2020年第1期147-150,共4页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(2019FE001-190);昆明医科大学教研教改重点基金资助项目(2018-JY-Z-10)。

摘　　要：目的观察基于肌筋膜疼痛触发点联合牵伸运动治疗髌股疼痛综合征的临床疗效。方法60例髌股疼痛综合征患者随机分为观察组、对照组各30例。观察组采用针刺肌筋膜疼痛触发点联合牵伸运动治疗,对照组采用痛点电疗联合牵伸运动治疗。比较2组患者VAS评分、Lysholm评分和Q角大小及综合疗效。结果治疗后,观察组患者VAS评分下降,Lysholm评分比对照组明显增高(P<0.05),观察组与对照组Q角比较(P<0.05);观察组治愈率及总有效率均明显高于对照组(P<0.05)。结论基于肌筋膜疼痛触发点理论治疗髌股疼痛综合征,能明显缓解疼痛、改善关节功能,且疗效优于局部痛点治疗。Objective To observe the clinical effect of treatment of patellofemoral pain syndrome based on myofascial pain trigger point theory.Methods Sixty patients with patellofemoral pain syndrome were randomly divided into observation group and control group with 30 cases in each group.The observation group was treated with acupuncture at the trigger point of myofascial pain combined with muscle distraction,while the control group was treated with electroacupuncture combined with muscle distraction.Results After treatment,the VAS score and Lysholm score of patients in the observation group decreased more significantly than those in the control group(P<0.05),Q angle decreased more significantly in the observation group than in the control group(P<0.05),and the cure rate and total effective rate in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The treatment of patellofemoral pain syndrome based on the theory of myofascial pain trigger points can significantly relieve pain and improve joint function,and the effect is better than local pain point treatment.

关 键 词：肌筋膜疼痛触发点 运动疗法 髌股疼痛综合征 

分 类 号：R87[医药卫生—运动医学]