Crossley Kay, Bennell Kim, Green Sally, Cowan Sallie, McConnell Jenny
Centre for Sports Medicine Research and Education, School of Physiotherapy, University of Melbourne, Australia.
Am J Sports Med. 2002 Nov-Dec;30(6):857-65. doi: 10.1177/03635465020300061701.
Although physical therapy forms the mainstay of nonoperative management for patellofemoral pain, its efficacy has not been established.
Significantly more pain relief will be achieved from a 6-week regimen of physical therapy than from placebo treatment.
Multicenter, randomized, double-blinded, placebo-controlled trial.
Seventy-one subjects, 40 years of age or younger with patellofemoral pain of 1 month or longer, were randomly allocated to a physical therapy or placebo group. A standardized treatment program consisted of six treatment sessions, once weekly. Physical therapy included quadriceps muscle retraining, patellofemoral joint mobilization, and patellar taping, and daily home exercises. The placebo treatment consisted of sham ultrasound, light application of a nontherapeutic gel, and placebo taping.
Sixty-seven participants completed the trial. The physical therapy group (N = 33) demonstrated significantly greater reduction in the scores for average pain, worst pain, and disability than did the placebo group (N = 34).
A six-treatment, 6-week physical therapy regimen is efficacious for alleviation of patellofemoral pain.
尽管物理治疗是髌股关节疼痛非手术治疗的主要方法，但其疗效尚未得到证实。
为期6周的物理治疗方案比安慰剂治疗能显著减轻更多疼痛。
多中心、随机、双盲、安慰剂对照试验。
71名年龄在40岁及以下、患有髌股关节疼痛1个月或更长时间的受试者被随机分配到物理治疗组或安慰剂组。一个标准化的治疗方案包括六个疗程，每周一次。物理治疗包括股四头肌再训练、髌股关节松动术和髌骨贴扎，以及每日家庭锻炼。安慰剂治疗包括假超声、涂抹非治疗性凝胶和安慰剂贴扎。
67名参与者完成了试验。物理治疗组（N = 33）在平均疼痛、最严重疼痛和功能障碍评分方面的降低程度明显大于安慰剂组（N = 34）。
为期6周、共六个疗程的物理治疗方案对缓解髌股关节疼痛有效。
