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髌骨贴扎、髌股疼痛综合征、下肢运动学及动态姿势控制。

Patellar taping, patellofemoral pain syndrome, lower extremity kinematics, and dynamic postural control.

作者信息

Aminaka Naoko, Gribble Phillip A

机构信息

The University of Toledo, Toledo, OH 43606, USA.

出版信息

J Athl Train. 2008 Jan-Mar;43(1):21-8. doi: 10.4085/1062-6050-43.1.21.

Abstract

CONTEXT

Patellar taping has been a part of intervention for treatment of patellofemoral pain syndrome (PFPS). However, research on the efficacy of patellar taping on lower extremity kinematics and dynamic postural control is limited.

OBJECTIVE

To evaluate the effects of patellar taping on sagittal-plane hip and knee kinematics, reach distance, and perceived pain level during the Star Excursion Balance Test (SEBT) in individuals with and without PFPS.

DESIGN

Repeated-measures design with 2 within-subjects factors and 1 between-subjects factor.

SETTING

The University of Toledo Athletic Training Research Laboratory.

PATIENTS OR OTHER PARTICIPANTS

Twenty participants with PFPS and 20 healthy participants between the ages of 18 and 29 years.

INTERVENTION(S): The participants performed 3 reaches of the SEBT in the anterior direction under tape and no-tape conditions on both legs.

MAIN OUTCOME MEASURE(S): The participants' hip and knee sagittal-plane kinematics were measured using the electromagnetic tracking system. Reach distance was recorded by hand and was normalized by dividing the distance by the participants' leg length (%MAXD). After each taping condition on each leg, the participants rated the perceived pain level using the 10-cm visual analog scale.

RESULTS

The participants with PFPS had a reduction in pain level with patellar tape application compared with the no-tape condition (P = .005). Additionally, participants with PFPS demonstrated increased %MAXD under the tape condition compared with the no-tape condition, whereas the healthy participants demonstrated decreased %MAXD with tape versus no tape (P = .028). No statistically significant differences were noted in hip flexion and knee flexion angles.

CONCLUSIONS

Although patellar taping seemed to reduce pain and improve SEBT performance of participants with PFPS, the exact mechanisms of these phenomena cannot be explained in this study. Further research is warranted to investigate the effect of patellar taping on neuromuscular control during dynamic postural control.

摘要

背景

髌骨贴扎一直是髌股疼痛综合征(PFPS)治疗干预的一部分。然而,关于髌骨贴扎对下肢运动学和动态姿势控制功效的研究有限。

目的

评估髌骨贴扎对有无PFPS个体在星标偏移平衡测试(SEBT)期间矢状面髋部和膝部运动学、伸展距离及疼痛感知水平的影响。

设计

具有2个受试者内因素和1个受试者间因素的重复测量设计。

地点

托莱多大学运动训练研究实验室。

患者或其他参与者

20名年龄在18至29岁之间的PFPS患者和20名健康参与者。

干预措施

参与者在双腿的贴扎和未贴扎条件下向前进行3次SEBT伸展动作。

主要观察指标

使用电磁跟踪系统测量参与者髋部和膝部矢状面运动学。伸展距离通过手动记录,并通过将距离除以参与者腿长(%MAXD)进行标准化。在每条腿的每个贴扎条件后,参与者使用10厘米视觉模拟量表对疼痛感知水平进行评分。

结果

与未贴扎条件相比,应用髌骨贴扎后PFPS患者的疼痛水平降低(P = 0.005)。此外,与未贴扎条件相比,PFPS患者在贴扎条件下的%MAXD增加,而健康参与者在贴扎与未贴扎条件下%MAXD降低(P = 0.028)。髋部屈曲和膝部屈曲角度未观察到统计学显著差异。

结论

尽管髌骨贴扎似乎减轻了PFPS患者的疼痛并改善了其SEBT表现,但本研究无法解释这些现象的确切机制。有必要进一步研究以调查髌骨贴扎对动态姿势控制期间神经肌肉控制的影响。

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