八段锦训练治疗髌腱末端病的随机对照:改善疼痛、肌肉柔韧性及下肢平衡稳定性  

Baduanjin training for patellar tendinopathy in a randomized controlled trial:improving pain,muscle flexibility and lower limb balance stability

作　　者：赵田芋 晋松[2] 张迪 刘晓潇 马江 王菊[1] Zhao Tianyu;Jin Song;Zhang Di;Liu Xiaoxiao;Ma Jiang;Wang Ju(Chengdu University of Traditional Chinese Medicine,Chengdu 610072,Sichuan Province,China;Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan Province,China)

机构地区：[1]成都中医药大学,四川省成都市610072 [2]成都中医药大学附属医院,四川省成都市610075

出　　处：《中国组织工程研究》2022年第11期1662-1668,共7页Chinese Journal of Tissue Engineering Research

基　　金：四川省科技厅课题(2020YFS0381),课题名称:石墨烯扶阳杵针防治膝关节半月板损伤的研究,项目负责人:晋松。

摘　　要：背景:髌腱末端病的现有治疗方法有待进一步完善,探索针对髌腱末端病的普适性运动训练方案对于优化髌腱末端病的临床治疗措施具有积极意义。目的:探究八段锦训练联合冲击波治疗对髌腱末端病的临床疗效。方法:将髌腱末端病患者随机分为2组,进行为期4周的临床干预,对照组采用冲击波治疗,试验组在对照组基础上联合八段锦训练。以目测类比评分、闭目单足站立时长、改良托马斯试验膝屈曲角度、垂直纵跳状态、三维步态等为观察指标,在干预前后对受试者的疼痛程度、肌肉柔韧性和运动功能等进行评估,并对受试者的疼痛情况进行为期1个月的随访观察,通过对比两组差异来评估八段锦训练对髌腱末端病的临床疗效。结果与结论:(1)随访1个月,试验组髌腱末端病患者的目测类比评分显著低于对照组(t=-2.744,P<0.05);(2)干预4周后,试验组改良托马斯试验时的膝关节屈曲角度显著大于对照组(t=2.738,P<0.05);(3)干预4周后,试验组患者闭目单足站立时间明显长于对照组(z=-4.544,P<0.05);(4)干预4周后,试验组患者落地时的髋关节屈曲角度(t=2.584,P<0.05)、膝关节屈曲角度(t’=2.053,P<0.05)均显著大于对照组;(5)干预4周后,试验组患者步行过程中的膝伸展角度小于对照组(t=-3.081,P<0.05);(6)结果表明八段锦训练可以缓解髌腱末端病患者的疼痛,增加患者下肢平衡稳定性以及肌肉的柔韧性,提升下肢发力与缓冲能力,减少患者步行过程中的异常膝伸展,缩短整个康复周期。BACKGROUND:Existing treatments for patellar tendinopathy need to be further improved.It is of positive significance to explore universal exercise training for patellar tendinopathy in clinical practice.OBJECTIVE:To explore the clinical effect of Baduanjin training combined with shockwave therapy for patellar tendinopathy.METHODS:Patients with patellar tendinopathy were randomly divided into two groups,followed by 4 weeks clinical intervention:shockwave therapy was given in the control group,while baduanjin training combined with shockwave therapy was given in the trial group.Pain,muscle flexibility,and motor function were assessed using several observational indicators,including Visual Analogue Scale score,time of standing on one foot with closed eyes,knee flexion angle in modified Thomas test,vertical jump state and three-dimensional gait.All the patients were followed up for 1 month in terms of pain assessment.Clinical efficacy of baduanjin training for patellar tendinopathy was compared between two groups.RESULTS AND CONCLUSION:Findings from the 1-month follow-up showed that baduanjin training could significantly decrease the Visual Analogue Scale scores of patients patellar tendinopathy(t=-2.744,P<0.05).After 4 weeks of intervention,baduanjin training could significantly increase the knee flexion angle in the modified Thomas test(t=2.738,P<0.05).The standing time of patients with closed eyes was significantly prolonged after baduanjin training as compared with the shockwave therapy(z=-4.544,P<0.05).baduanjin training could increase the hip joint flexion angle(t=2.584,P<0.05)and the knee joint flexion angle(t’=2.053,P<0.05).baduanjin training could decrease the knee extension angle during walking(t=-3.081,P<0.05).To conclude,baduanjin training could relieve the pain of patients with patellar tendinopathy,increase the balance stability and muscle flexibility of the lower limbs,improve the power and buffer ability of the lower limbs,reduce the abnormal knee extension during walking,and shorten the time of whol

关 键 词：八段锦 髌腱末端病 冲击波 三维步态 膝关节 髋关节 随机对照 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学]