髋关节撞击综合征:神经-肌肉、周围肌及核心肌的肌力训练  

Femoroacetabular impingement: strength trainings for nerve-muscle, peripheral muscle and core muscle

作　　者：鹿钦雪 徐宁[1] 杨英兰 韩茜茜 端木宪雨 郭钰玮 韩晴 Lu Qinxue;Xu Ning;Yang Yinglan;Han Qianqian;Duanmu Xianyu;Guo Yuwei;Han Qing(Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong Province,China)

机构地区：[1]山东中医药大学,山东省济南市250355

出　　处：《中国组织工程研究》2022年第5期786-791,共6页Chinese Journal of Tissue Engineering Research

基　　金：山东省社会科学规划研究项目(20CZXJ06),项目负责人:徐宁。

摘　　要：背景:髋关节撞击综合征是导致青少年运动人群髋部疼痛的常见原因。随着康复医学不断发展,康复治疗成为治疗髋关节撞击综合征的重要方法之一。目的:总结归纳国内外髋关节撞击综合征康复治疗的最新成果,旨在为该病进一步的研究和治疗提供新的思路与线索。方法:以"femoroacetabular impingement,femoroacetabular impingement syndrome,femoro-acetabular impingement"AND"rehabilitation,physiotherapy"AND "preoperative and postoperative rehabilitation of femoroacetabular impingement syndrome"为英文检索词,以"髋关节撞击综合征,康复治疗"和"髋关节撞击综合征术前术后康复"为中文检索词,检索2010年12月至2020年10月在Pub Med、Cochrane、WOS、Embase、CNKI、万方、维普、中国生物医学文献数据库收录的相关文献,剔除与此文研究目的相关性不密切的文献及重复性文献,共纳入61篇文献进行归纳总结。结果与结论:(1)髋关节撞击综合征存在髋关节周围肌肌力下降、本体感觉下降、髋关节周围深层肌激活模式和协调性改变、腰盆活动度下降等病理改变;(2)髋关节撞击综合征康复治疗主要集中在髋关节周围肌肌力训练、神经-肌肉训练、核心肌肌力训练、髋关节镜术前术后康复、中医传统康复疗法、物理因子治疗和注射疗法;(3)髋关节撞击综合征患者髋关节周围肌肌力训练可有效减轻髋关节疼痛,增加关节活动度,提高关节稳定性;神经肌肉训练可增加髋关节局部肌肉肌力,改善髋关节本体感觉,提高深层肌肉协同作用;核心肌肌力训练可稳定腰椎和骨盆,减少腰椎骨盆代偿性动作,增强髋关节周围肌肌力训练效果;髋关节镜术前、术后康复训练可减轻髋关节镜术后疼痛,改善患者功能,提高髋关节镜治疗效果;中医传统康复疗法和物理因子治疗可有效消除关节炎症和肿胀,缓解关节疼痛;关节内注射皮质类固醇和透明质酸钠在�BACKGROUND: Femoroacetabular impingement is a common cause of hip pain in adolescents. With the development of rehabilitation medicine, rehabilitation therapy has become one of the important methods to treat femoroacetabular impingement.OBJECTIVE: To provide new ideas and clues for further research and treatment of the disease by summarizing the latest achievements in the rehabilitation treatment of femoroacetabular impingement.METHODS: We searched the articles from December 2010 to October 2020 in PubMed, Cochrane, Web of Science, EMbase, CNKI, WanFang, VIP, SinoMed databases with the key words of "femoroacetabular impingement, femoroacetabular impingement syndrome, femoro-acetabular impingement" AND "rehabilitation, physiotherapy" AND "preoperative and postoperative rehabilitation of femoroacetabular impingement syndrome" in Chinese and English, respectively. Repetitive literatures and those that were not closely related to the purpose of this study were eliminated, and finally 61 articles were included for review.RESULTS AND CONCLUSION: Femoroacetabular impingement has pathological changes such as decreased muscle strength around the hip joint, decreased proprioception, changed activation pattern and coordination of deep muscles around the hip joint, and decreased mobility of the lower back and pelvis. The rehabilitation treatment of femoroacetabular impingement mainly focuses on muscle strength training around the hip joint, nerve-muscle training, core muscle strength training, preoperative and postoperative rehabilitation of hip arthroscopy, traditional Chinese medicine rehabilitation therapy, physical factor therapy and injection therapy. For patients with femoroacetabular impingement, muscle strength training around the hip joint can effectively reduce hip pain, increase range of motion and improve joint stability. Neuromuscular training can increase local muscle strength of the hip joint, improve proprioceptive sensation of the hip joint, and improve deep muscle synergy. Core muscle strength training can

关 键 词：髋关节撞击综合征 髋部疼痛 康复治疗 髋关节镜 综述 

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