体外冲击波联合离心运动训练对髌股疼痛综合征患者的临床运用分析  

Clinical Application of Extracorporeal Shock Wave Combined with EccentricExercise Training in Patients with Patellofemoral Pain Syndrome

作　　者：李谷峰 吴坚[1] 李凌 张娜 谢瑛[1] LI Gufeng;WU Jian;LI Ling(Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 101199,China)

机构地区：[1]首都医科大学附属北京友谊医院康复医学科,北京101199

出　　处：《河北医学》2022年第11期1873-1878,共6页Hebei Medicine

基　　金：北京市医院管理中心临床研究项目,(编号:QML20200109)。

摘　　要：目的:体外冲击波联合离心运动训练对髌股疼痛综合征患者的临床效果。方法:选择我院2019年1月至2021年12月收治的124例髌股疼痛综合征患者进行研究,使用随机数字表通过简单随机的方法将其分为试验组与对照组每组62例,两组均接受常规康复训练,给予对照组体外冲击波治疗,给予试验组体外冲击波联合离心运动训练。治疗8周时间,比较两组治疗前后疼痛视觉模拟评分(VAS)、Kujala髌股关节功能评分(Kujala Patellofemoral Score,KPS),分析X线中以下参数:股骨远端外翻角(distal femur valgus angle,DFVA)、胫骨近端内翻角(proximal tibial varus angle,PTVA)、股骨角(femoral angle,FA)、胫骨角(tibia Angle,TA)、胫-股角(tibiofemoral angle,TFA);Insall-Salvati指数(ISR);沟角(ditch angle,SA)、外侧髌骨角(lateral patella angle,LPA)、适合角(congruence angle,CA)、髌骨指数(patellofemoral index,PI),Berg平衡量表。结果:试验组治疗前后VAS评分差值大于对照组(P<0.05);试验组治疗前后KPS评分差值大于对照组(P<0.05);试验组治疗后ISR、SA、PA及PI值均低于对照组(P<0.05);试验组治疗后TFA高于对照组(P<0.05),两组治疗前后DFVA、PTVA、FA、TA、CA值比较,差异无统计学意义(P>0.05)。结论:体外冲击波联合离心运动训练能在短期内有效缓解髌股疼痛综合征患者疼痛程度,在改善膝关节功能方面也具有显著效果,但还需要进一步研究,从多方面评价其治疗效果。Objective:To investigate the clinical effect of extracorporeal shock wave combined with eccentric exercise training on patients with patellofemoral pain syndrome.Methods:A total of 124 patients with patellofemoral pain syndrome admitted to our hospital from January 2019 to December 2021 were selected for research,and they were divided into the experimental group and the control group by a simple random method using a random number table,62 cases in each group.Both groups received conventional rehabilitation training,and extracorporeal shock wave treatment was given to the control group,and extracorporeal shock wave combined with centrifugal exercise training was given to the test group.After 8 weeks of treatment,the pain visual analog scale(VAS)and Kujala Patellofemoral Score(KPS)were compared between the two groups before and after treatment,and the following parameters in X-ray were analyzed:distal femur valgus angle(distal femur valgus angle),DFVA,proximal tibial varus angle(PTVA),femoral angle(FA),tibia angle(TA),tibiofemoral angle(TFA),Insall-Salvati index(ISR),ditch angle(SA),lateral patella angle(LPA),congruence angle(CA),patellofemoral index(PI),and Berg balance scale.Results:The difference of VAS scores in the experimental group before and after treatment was greater than that in the control group(P<0.05);the difference in KPS scores in the experimental group before and after treatment was greater than that in the control group(P<0.05);the values of ISR,SA,PA and PI in the experimental group after treatment were lower than those in the control group group(P<0.05);TFA in the experimental group was higher than that in the control group after treatment(P<0.05),and there was no significant difference in DFVA,PTVA,FA,TA,and CA values between the two groups before and after treatment(P>0.05).Conclusion:Extracorporeal shock wave combined with eccentric exercise training can effectively relieve pain in patients with patellofemoral pain syndrome in the short term,and also has a significant effect in improving kne

关 键 词：体外冲击波 离心运动 髌股疼痛综合征 

分 类 号：R681.8[医药卫生—骨科学]