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本文引用的文献

1
Relationship between eccentric hip torque and lower-limb kinematics: gender differences.髋关节离心扭矩与下肢运动学之间的关系：性别差异
J Appl Biomech. 2011 Aug;27(3):223-32. doi: 10.1123/jab.27.3.223.
2
Normalizing hip muscle strength: establishing body-size-independent measurements.正常化髋关节肌肉力量：建立与体型无关的测量方法。
Arch Phys Med Rehabil. 2011 Jan;92(1):76-82. doi: 10.1016/j.apmr.2010.08.020.
3
The influence of abnormal hip mechanics on knee injury: a biomechanical perspective.异常髋关节力学对膝关节损伤的影响：生物力学视角。
J Orthop Sports Phys Ther. 2010 Feb;40(2):42-51. doi: 10.2519/jospt.2010.3337.
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Kinesiology of the hip: a focus on muscular actions.髋关节运动学：肌肉作用重点
J Orthop Sports Phys Ther. 2010 Feb;40(2):82-94. doi: 10.2519/jospt.2010.3025.
5
Changing sidestep cutting technique reduces knee valgus loading.改变侧跨步切入技术可减少膝关节外翻负荷。
Am J Sports Med. 2009 Nov;37(11):2194-200. doi: 10.1177/0363546509334373. Epub 2009 Jun 9.
6
Relationships between knee valgus, hip-muscle strength, and hip-muscle recruitment during a single-limb step-down.单腿下蹲过程中膝外翻、髋部肌肉力量与髋部肌肉募集之间的关系。
J Sport Rehabil. 2009 Feb;18(1):104-17. doi: 10.1123/jsr.18.1.104.
7
Lower extremity strength and mechanics during jumping in women with patellofemoral pain.髌股疼痛女性在跳跃过程中的下肢力量和力学表现
J Sport Rehabil. 2009 Feb;18(1):76-90. doi: 10.1123/jsr.18.1.76.
8
Concentric and eccentric torque of the hip musculature in individuals with and without patellofemoral pain.髌股疼痛综合征患者与非髌股疼痛综合征患者髋关节肌群的向心和离心扭矩。
J Athl Train. 2009 Jan-Feb;44(1):7-13. doi: 10.4085/1062-6050-44.1.7.
9
Differences in hip kinematics, muscle strength, and muscle activation between subjects with and without patellofemoral pain.有髌股疼痛和无髌股疼痛的受试者之间在髋关节运动学、肌肉力量和肌肉激活方面的差异。
J Orthop Sports Phys Ther. 2009 Jan;39(1):12-9. doi: 10.2519/jospt.2009.2885.
10
Proximal and distal influences on hip and knee kinematics in runners with patellofemoral pain during a prolonged run.长时间跑步时，髌股疼痛的跑步者中近端和远端因素对髋部和膝部运动学的影响。
J Orthop Sports Phys Ther. 2008 Aug;38(8):448-56. doi: 10.2519/jospt.2008.2490. Epub 2008 Aug 1.

髌股疼痛患者在跳跃着陆任务中髋关节力量与躯干、髋关节及膝关节运动学之间的关系。

Relationship between hip strength and trunk, hip, and knee kinematics during a jump-landing task in individuals with patellofemoral pain.

作者信息

Boling Michelle, Padua Darin

机构信息

University of North Florida, Jacksonville, FL, USA.

出版信息

Int J Sports Phys Ther. 2013 Oct;8(5):661-9.

PMID:24175145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3811740/
Abstract

BACKGROUND/PURPOSE: Decreased strength of the hip musculature and altered mechanics of the lower extremity have been identified in individuals with patellofemoral pain (PFP). The aim of this study was to determine if a relationship exists between hip muscle strength and transverse and frontal plane motion at the hip and knee, and ipsilateral trunk flexion during a jump-landing task in individuals with PFP.

METHODS

Fifteen individuals (10 females, 5 males) with PFP participated in this investigation. A three-dimensional motion analysis system was utilized to assess trunk, hip, and knee kinematics during a jump-landing task. An isokinetic dynamometer was utilized to assess concentric and eccentric strength of the hip musculature. Simple correlation analyses were performed to determine the relationships between hip muscle strength and peak frontal and transverse plane hip and knee kinematics and ipsilateral trunk flexion.

RESULTS

Decreased eccentric strength of the hip external rotators and abductors was significantly correlated to increased frontal plane motion at the hip and trunk, respectively (P<0.05).

CONCLUSIONS

Based on these findings, eccentric strengthening exercises for the hip musculature may be an important component for clinicians to include when rehabilitating individuals with PFP who display increased frontal plane motion at the hip and trunk.

LEVEL OF EVIDENCE

2b.

摘要

背景/目的：髌股疼痛（PFP）患者已被证实存在髋部肌肉力量下降和下肢力学改变的情况。本研究旨在确定PFP患者在跳跃着陆任务中，髋部肌肉力量与髋、膝关节在矢状面和额状面的运动以及同侧躯干屈曲之间是否存在关联。

方法

15名PFP患者（10名女性，5名男性）参与了本研究。使用三维运动分析系统评估跳跃着陆任务期间的躯干、髋部和膝部运动学。使用等速测力计评估髋部肌肉的向心和离心力量。进行简单相关分析以确定髋部肌肉力量与髋、膝关节在额状面和矢状面的峰值运动学以及同侧躯干屈曲之间的关系。

结果

髋部外旋肌和外展肌离心力量下降分别与髋部和躯干在额状面的运动增加显著相关（P<0.05）。

结论

基于这些发现，对于在髋部和躯干额状面运动增加的PFP患者，髋部肌肉的离心强化训练可能是临床医生在康复过程中应纳入的重要组成部分。

证据等级

2b。