Abstract：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 knee joint function, but further research is needed to evaluate its therapeutic effect from various aspects.
李谷峰, 吴坚, 李凌, 张娜, 谢瑛. 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[J]. 河北医学, 2022, 28(11): 1873-1877.
LI Gufeng, WU Jian, LI Ling, et al. Clinical Application of Extracorporeal Shock Wave Combined with Eccentric Exercise Training in Patients with Patellofemoral Pain Syndrome. HeBei Med, 2022, 28(11): 1873-1877.
[1] Kim H J,Cho J,Lee S.Talonavicular joint mobilization and foot core strengthening in patellofemoral pain syndrome: a single-blind,three-armed randomized controlled trial[J].BMC Musculoskeletal Disorders,2022,23(1):150. [2] Scafoglieri A,Broeck J,Willems S,et al.Effectiveness of local exercise therapy versus spinal manual therapy in patients with patellofemoral pain syndrome: medium term follow-up results of a randomized controlled trial[J].BMC Musculoskeletal Disorders,2021,22(1):446. [3] 范志航,李强,虞多多,等.亚组分型个体化运动干预治疗髌股关节疼痛综合征的疗效[J].西部医学,2021,33(12):5. [4] 芦明明,陈莹莹.臀部及核心肌肉群的康复训练对老年人髌股关节疼痛综合征的疗效观察[J].老年医学与保健,2020,26(1):6. [5] 黄信萍,李鑫,刘师宇,等.离心运动神经控制的研究进展[J].中国康复理论与实践,2021,27(1):5. [6] 吴严冰,保文莉,胡孝海.肌筋膜触发点联合牵伸运动治疗股髌疼痛综合征[J].昆明医科大学学报,2020,41(1):4. [7] Kay A D,Blazevich A J,Fraser M,et al.Response to the letter to the editor from costa do couto et al.regarding our article 'Isokinetic eccentric exercise substantially improves mobility,muscle strength and size,but not postural sway metrics in older adults with limited regression observed f[J].European Journal of Applied Physiology,2021,121(6):1797-1798. [8] Margaritelis N V,Theodorou A A,Chatzinikolaou P N,et al.Eccentric exercise per se does not affect muscle damage biomarkers: early and late phase adaptations[J].European Journal of Applied Physiology,2021,121(2):1-11. [9] 解波,黎已莲,张秀平,等.肩胛上神经阻滞与肩峰下滑囊注射对于肩袖撕裂患者的短期疗效分析[J].成都医学院学报,2020,15(1):4. [10] 王继,杨中亚,张龙,等.离心运动对2型糖尿病大鼠代谢障碍及肌纤维类型的影响[J].中国运动医学杂志,2020,39(5):7. [11] 安帅,冯明利,李征,等.外侧髌股关节退变对膝关节内侧牛津活动平台单髁置换术疗效的影响[J].中华外科杂志,2020,58(6):6.
2022, Vol. 28 
冀公网安备13080202000677号