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弹性阻力在髌股疼痛综合征患者康复中的有效性:有何证据?

Effectiveness of elastic resistance in rehabilitation of patients with patellofemoral pain syndrome: what is the evidence?

机构信息

Department of Kinesiology, Louisiana State University, Baton Rouge, Louisiana.

出版信息

Sports Health. 2011 Mar;3(2):190-4. doi: 10.1177/1941738111398595.

Abstract

CONTEXT

Patellofemoral pain syndrome (PFPS) is associated with muscle imbalance at the knee and hip. Therapeutic exercise is effective at reducing pain associated with PFPS.

OBJECTIVE

To identify and analyze clinical trials of elastic resistance in patients with PFPS to determine its efficacy.

DATA SOURCES

PubMed, CINAHL, and PEDro databases were searched for terms relevant to PFPS rehabilitation in patients aged 12 to 40 years.

STUDY SELECTION

Only peer-reviewed clinical trials lasting at least 4 weeks and specifying the use of elastic resistance in their protocols were included.

DATA EXTRACTION

Eight eligible studies were analyzed for design, sample, intervention, outcomes, and clinical application.

RESULTS

The studies included in this review lacked high-quality design, often using exercise as a "quasi-control" condition. Most studies did not provide specific exercise prescription or progression. Although participants in each study reported significant improvements in pain, deficiencies in scientific design limit the conclusion.

CONCLUSION

Elastic resistance exercise may reduce pain and improve function and strength in patients with PFPS.

摘要

背景

髌股疼痛综合征(PFPS)与膝关节和髋关节的肌肉失衡有关。治疗性运动在减轻 PFPS 相关疼痛方面是有效的。

目的

确定并分析 PFPS 患者中弹性阻力的临床试验,以确定其疗效。

数据来源

在 PubMed、CINAHL 和 PEDro 数据库中搜索了与 12 至 40 岁患者 PFPS 康复相关的术语。

研究选择

仅纳入至少持续 4 周且方案中明确使用弹性阻力的同行评审临床试验。

数据提取

对 8 项符合条件的研究进行了设计、样本、干预、结果和临床应用分析。

结果

本综述纳入的研究设计质量不高,常将运动作为“准对照”条件。大多数研究没有提供具体的运动处方或进展。尽管每项研究的参与者都报告疼痛有明显改善,但科学设计的缺陷限制了结论。

结论

弹性阻力运动可能减轻 PFPS 患者的疼痛,改善其功能和力量。

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Exercise therapy for patellofemoral pain syndrome.髌股疼痛综合征的运动疗法
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本文引用的文献

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Hamstring length in patellofemoral pain syndrome.髌股关节疼痛综合征中的腘绳肌长度
Physiotherapy. 2009 Mar;95(1):24-8. doi: 10.1016/j.physio.2008.05.009. Epub 2008 Aug 29.
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Prescribing quality patellofemoral rehabilitation before advocating operative care.
Orthop Clin North Am. 2008 Jul;39(3):275-85, v. doi: 10.1016/j.ocl.2008.03.004.

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