J Orthop Sports Phys Ther. 1986;8(5):248-54. doi: 10.2519/jospt.1986.8.5.248.
Results of physical therapy evaluation of 112 patients with extensor mechanism disorders (chondromalacia patella, infrapatellar tendinitis, and peripatellar pain) are presented. An equal number of male and female patients were evaluated and of the 73 patients with unilateral involvement (65%) there were equal numbers of right and left involved knees. Running was the activity most commonly associated with pain, followed by basketball and tennis. Stairclimbing was painful in 79% of the patients, with ascending being more painful than descending in patients reporting a clear-cut difference. Hamstring and quadriceps tightness was statistically significant relative to the uninvolved limb although clinically, negligible differences were measured. The inferior pole of the patella was the most tender site to palpation, followed by medial peripatellar structures, then lateral sites. Biomechanical malalignment was not detected by the attending therapist in the majority of patients. The authors emphasize careful assessment of flexibility, quadriceps (VMOIVL) imbalance, and biomechanical alignment in performing a thorough evaluation of patients with extensor mechanism disorders. J Orthop Sports Phys Ther 1986;8(5):248-254.
本文介绍了 112 例伸肌机制障碍患者(髌骨软骨病、髌腱炎和髌周疼痛)的物理治疗评估结果。评估了数量相等的男性和女性患者,在 73 例单侧受累患者(65%)中,右侧和左侧受累膝关节数量相等。跑步是最常与疼痛相关的活动,其次是篮球和网球。79%的患者在爬楼梯时感到疼痛,在报告明显差异的患者中,上楼梯比下楼梯更痛。与未受累肢体相比,腘绳肌和股四头肌紧张具有统计学意义,尽管在临床上,测量到的差异可以忽略不计。髌下极是触诊最敏感的部位,其次是髌周内侧结构,然后是外侧部位。大多数患者的治疗师未发现生物力学对线不良。作者强调在对伸肌机制障碍患者进行全面评估时,要仔细评估柔韧性、股四头肌(VMOIVL)失衡和生物力学对线。J Orthop Sports Phys Ther 1986;8(5):248-254.