针对性的股内侧肌强化训练及髂胫束牵伸对髌股疼痛综合征患者的改善效果分析  

Analysis of improvement effect of targeted vastus medialis oblique muscle strengthening and iliotibial band stretching in improving patients with patellofemoral pain syndrome

作　　者：邓家丰 申力 姜韬 牛晶 路继科 DENG Jia-feng;SHEN Li;JIANG Tao(Beijing United Family Healthcare,Beijing 100016,China)

机构地区：[1]北京和睦家医院,100016

出　　处：《中国实用医药》2025年第5期155-159,共5页China Practical Medicine

摘　　要：目的观察针对性的股内侧肌强化训练及髂胫束牵伸对髌股疼痛综合征患者的改善效果。方法45例髌股疼痛综合征患者,按照就诊时间先后顺序分为观察组(22例)与对照组(23例)。其中对照组有3例、观察组有2例患者退出统计。观察组实施针对性的股内侧肌强化训练及髂胫束牵伸干预,对照组实施常规对症康复治疗。对比两组治疗前后视觉模拟评分法(VAS)、Lysholm膝关节评分量表(LKSS)评分。结果治疗前,观察组患者的VAS、LKSS评分分别为(5.65±1.69)、(51.55±6.84)分,对照组分别为(5.95±1.57)、(52.80±5.82)分;治疗6周后,观察组患者的VAS、LKSS评分分别为(1.35±0.43)、(82.10±7.89)分,对照组分别为(1.75±0.53)、(77.55±3.49)分。治疗前,两组患者的VAS评分对比,差异没有统计学意义(t=0.58,P>0.05);观察组、对照组患者治疗6周后的VAS评分与治疗前对比均更低,差异具有统计学意义(t=11.03、11.34,P<0.05);观察组患者治疗6周后的VAS评分与对照组对比更低,差异具有统计学意义(t=2.62,P<0.05)。治疗前,两组患者的LKSS评分对比,差异没有统计学意义(t=0.62,P>0.05);观察组、对照组患者治疗6周后的LKSS评分与治疗前对比均更高,差异具有统计学意义(t=13.08、16.31,P<0.05);观察组患者治疗6周后的LKSS评分与对照组对比更高,差异具有统计学意义(t=2.36,P<0.05)。结论针对性的股内侧肌强化训练及髂胫束牵伸对髌股疼痛综合征患者的效果显著,可在疼痛和活动障碍方面带来更大的即时改善,对患者的日常生活能力改善更明显。Objective To observe the improvement effect of targeted vastus medialis oblique muscle strengthening and iliotibial band stretching in improving patients with patellofemoral pain syndrome.Methods 45 patients diagnosed with patellofemoral pain syndrome were divided into an observation group(22 cases)and a control group(23 cases)according to the order of their visit time.3 patients in the control group and 2 patients in the observation group withdrew.The observation group was treated with targeted vastus medialis muscle strengthening and iliotibial band stretching intervention,and the control group was treated with conventional rehabilitation treatment.The visual analogue scale(VAS)and Lysholm knee scoring scale(LKSS)score before and after treatment of the two groups were compared.Results Before treatment,VAS and LKSS scores of the observation group were(5.65±1.69)and(51.55±6.84)points,and those of the control group were(5.95±1.57)and(52.80±5.82)points.After 6 weeks of treatment,VAS and LKSS scores of the observation group were(1.35±0.43)and(82.10±7.89)points,and those of the control group were(1.75±0.53)and(77.55±3.49)points.Before treatment,there was no significant difference in VAS scores between the two groups(t=0.58,P>0.05).VAS scores of the observation group and the control group after 6 weeks of treatment were lower than those before treatment,and the difference was statistically significant(t=11.03,11.34;P<0.05).VAS score of the observation group was lower than that of the control group after 6 weeks of treatment,and the difference was statistically significant(t=2.62,P<0.05).Before treatment,there was no significant difference in LKSS scores between the two groups(t=0.62,P>0.05).LKSS score of the observation group and the control group after 6 weeks of treatment was higher than that before treatment,and the difference was statistically significant(t=13.08,16.31;P<0.05).LKSS score of the observation group was higher than that of the control group after 6 weeks of treatment,and the difference was sta

关 键 词：股内侧肌强化训练 髂胫束牵伸 髌股疼痛综合征 疼痛 

分 类 号：R47[医药卫生—护理学]