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髌股疼痛综合征女性存在髋部肌肉无力:一项系统评价。

Females with patellofemoral pain syndrome have weak hip muscles: a systematic review.

作者信息

Prins Maarten R, van der Wurff Peter

机构信息

Department of Physiotherapy, Military Rehabilitation Centre 'Aardenburg', dOORN, 3940 AD, The Netherlands.

出版信息

Aust J Physiother. 2009;55(1):9-15. doi: 10.1016/s0004-9514(09)70055-8.

DOI:10.1016/s0004-9514(09)70055-8
PMID:19226237
Abstract

QUESTION

Do females with patellofemoral pain syndrome have decreased hip muscle strength compared with the unaffected side and with healthy controls?

DESIGN

A systematic review of observational studies published up to January 2008.

PARTICIPANTS

Females with patellofemoral pain syndrome and healthy controls.

OUTCOME MEASURES

Strength for at least one hip muscle group had to be included in the study. Hip muscle strength was recorded as force or torque.

RESULTS

Five cross-sectional studies with a mean Newcastle-Ottawa Assessment Scale score of 6 out of 9 met the inclusion criteria. Strong evidence was found for a deficit in hip external rotation, abduction and extension strength, moderate evidence for a deficit in hip flexion and internal rotation strength, and no evidence for a deficit in hip adduction strength compared with healthy controls. Moderate evidence was found for a decrease in hip external rotation and abduction strength but no evidence for a decrease in hip extension, flexion, adduction and internal rotation strength compared with the unaffected side.

CONCLUSION

Females with patellofemoral pain syndrome demonstrate a decrease in abduction, external rotation and extension strength of the affected side compared with healthy controls.

摘要

问题

与未受影响的一侧以及健康对照组相比,患有髌股疼痛综合征的女性髋部肌肉力量是否下降?

设计

对截至2008年1月发表的观察性研究进行系统综述。

参与者

患有髌股疼痛综合征的女性和健康对照组。

结局指标

研究中必须包含至少一组髋部肌肉的力量。髋部肌肉力量记录为力或扭矩。

结果

五项横断面研究符合纳入标准,纽卡斯尔-渥太华评估量表平均得分为9分中的6分。与健康对照组相比,有强有力的证据表明髋部外旋、外展和伸展力量不足,有中等证据表明髋部屈曲和内旋力量不足,没有证据表明髋部内收力量不足。与未受影响的一侧相比,有中等证据表明髋部外旋和外展力量下降,但没有证据表明髋部伸展、屈曲、内收和内旋力量下降。

结论

与健康对照组相比,患有髌股疼痛综合征的女性患侧的外展、外旋和伸展力量下降。

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