髋关节周围肌肉力量训练联合物理治疗对髌股关节疼痛综合征患者疼痛状况和功能改善的影响  

Effect of muscle strength training around hip joint combined with physical therapy on improvement in pain status and function in patients with patellofemoral pain syndrome

作　　者：陈国强[1] 段庆华 王亚 宋玉佩 Chen Guoqiang;Duan Qinghua;Wang Ya;Song Yupei(Department of Rehabilitation Medicine,Nanyang First People’s Hospital,Nanyang 473000,China)

机构地区：[1]南阳市第一人民医院康复医学科,南阳473000

出　　处：《中国实用医刊》2023年第14期76-79,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨髋关节周围肌肉力量训练联合物理治疗对髌股关节疼痛综合征(PFPS)患者疼痛状况和功能改善的影响。方法抽取2018年6月至2020年5月南阳市第一人民医院收治的PFPS患者118例,采用随机数字表法分为单一组和联合组,每组59例,单一组采用常规物理治疗,联合组在单一组的基础上采用髋关节周围肌肉力量训练。比较两组疗效、疼痛状况、下肢功能量表(LEFS)评分、膝关节评分量表(Lysholm)评分、伸膝及屈膝最大峰力矩(PT)值。结果联合组总有效率(96.61%,57/59)高于单一组(76.27%,45/59),P<0.05;治疗后1、2、3个月,联合组视觉模拟评分法评分均低于单一组,LEFS评分、Lysholm评分均高于单一组(P均<0.05);治疗后3个月,联合组伸膝及屈膝PT值高于单一组(P<0.05)。结论采用髋关节周围肌肉力量训练联合物理治疗PFPS效果显著,能缓解患者疼痛症状,改善膝关节功能及下肢功能,促进膝关节活动恢复正常。Objective To investigate the effect of muscle strength training around hip joint combined with physical therapy on improvement in pain status and function in patients with patellofemoral pain syndrome(PFPS).Methods A total of 118 patients with PFPS treated in Nanyang First People’s Hospital from June 2018 to May 2020 were selected,and they were divided into single group and combined group by random number table method,with 59 cases in each group.The single group was treated by conventional physical therapy,and the combined group was treated by muscle strength training around hip joint based on the treatment of the control group.The treatment efficacy,pain status score,lower extremity function scale(LEFS)score,Lysholm knee score,peak torque(PT)value of knee extension and kneebend were compared between the two groups.Results The total effective rate of the combined group(96.61%,57/59)was higher than that of the single group(76.27%,45/59),P<0.05.Compared with the single group,the combined group had lower visual analogue scale scores,higher LEFS scores and higher Lysholm knee scores 1,2 and 3 months after treatment(all P<0.05).Compared with the single group,the PT value of knee extension and kneebend in the combined group were higher 3 months after treatment(P<0.05).Conclusions Muscle strength training around hip joint combined with physical therapy has significant effects on PFPS,which can relieve pain symptoms,improve knee function and lower limb function,and promote the recovery of knee motion.

关 键 词：髌股关节疼痛综合征 髋关节周围肌肉力量训练 物理治疗 疼痛状况 

分 类 号：R684[医药卫生—骨科学]