髌股关节痛业余跑者的下肢肌力特征分析  

Comparative analysis of lower limb muscle strength in amateur runners with patellofemoral pain

作　　者：戴剑松[1] 陈钢锐 王沛珣 顾忠科[1] DAI Jiansong;CHEN Gangrui;WANG Peixun(School of Sports Health,Nanjing Sport Institute,Nanjing,210014;不详)

机构地区：[1]南京体育学院运动健康学院,南京市210014 [2]南京体育学院学训融合中心 [3]南京宽乐健康产业有限公司产品部

出　　处：《中国康复医学杂志》2024年第3期369-374,共6页Chinese Journal of Rehabilitation Medicine

基　　金：国家体育总局科学健身指导内容项目(2017B002)。

摘　　要：目的:研究髌股关节痛(patellofemoral pain,PFP)业余跑者的下肢肌力特征。方法:招募PFP业余跑者30例(男性20例,女性10例)作为膝痛组,并匹配30例无损伤的业余跑者作为非膝痛组,采集所有受试者的髋关节外展力量、股四头肌力量、腘绳肌力量,并计算腘绳肌/股四头肌比值、双侧肢体力量对称指数等。采用独立样本t检验对不同组别的各项指标进行统计学检测。结果:男性PFP业余跑者的髋关节外展力量及对称指数、股四头肌力量及对称指数显著小于非膝痛组,腘绳肌/股四头肌比值显著大于非膝痛组;女性PFP业余跑者的髋关节外展力量及对称指数显著小于非膝痛组。结论:PFP业余跑者与非膝痛跑者表现出不同的下肢肌力特征,其男性与女性PFP业余跑者下肢力量特点表现并不一致,PFP康复训练中应考虑功能性及性别差异。Objective:To investigate the lower limb muscle strength characteristics in amateur runners with patellofemoral pain(PFP).Method:Thirty PFP amateur runners(20 males and 10 females) were recruited as the knee pain group,and30 matched non-injured amateur runners were recruited as the non-knee pain group.The hip abductor strength,quadriceps strength,hamstring strength,hamstring/quadriceps ratio,and bilateral limb symmetry index were collected for all participants.Independent sample t-tests were used to compare the differences between the groups.Result:The hip abductor strength and bilateral limb symmetry index,quadriceps strength and bilateral limb symmetry index of male PFP amateur runners were significantly lower than those of the non-knee pain group,while the hamstring/quadriceps ratio was significantly higher than that of the non-knee pain group.The hip abductor strength and bilateral limb symmetry index of female PFP amateur runners were significantly lower than those of the non-knee pain group.Conclusion:PFP amateur runners exhibit different lower limb muscle strength characteristics compared to nonknee pain runners,and the lower limb strength characteristics of male and female PFP amateur runners are not consistent.Therefore,functional and gender differences should be considered in the clinical treatment and rehabilitation training of PFP.

关 键 词：髌股关节痛 跑步 下肢力量 对称指数 腘绳肌/股四头肌比值 

分 类 号：R681.8[医药卫生—骨科学] R493[医药卫生—外科学]