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髌股疼痛综合征患者临床信号评估的贡献

Contribution of the evaluation of the clinical signals in patients with patellofemoral pain syndrome.

作者信息

Liporaci Rogério Ferreira, Saad Marcelo Camargo, Felício Lílian Ramiro, Baffa Augusto do Prado, Grossi Débora Bevilaqua

机构信息

Laboratory of Movement Analysis - LAM. Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

出版信息

Acta Ortop Bras. 2013 Jul;21(4):198-201. doi: 10.1590/S1413-78522013000400003.

Abstract

OBJECTIVE

As patellofemoral pain syndrome (PFPS) is a common disorder characterized by multifactorial etiology and whose the most prevalent symptom is a diffuse pain, usually located on the retropatellar region, however, it also shows signs and symptoms that can be related as excessive subtalar pronation, external tibial torsion, patellar displacement alterations, painful range of motion of the knee, pain in the patellar borders, muscular tightness and changes in quadriceps angle (Q Angle), the objective of this work was to determine the frequency of these signs and symptoms associated to a previous knee pain questionnaire.

METHODS

Thirty-nine sedentary female volunteers had been evaluated, divided in two groups, PFPS (19) and Control (20). These subjects were evaluated for signs and symptoms described above, in addition to pain assessment by questionnaire.

RESULTS

The results demonstrated a high frequency of pain in six of the thirteen questions in relation to the control group.

CONCLUSION

According to these findings, we conclude that the functional evaluation of individuals with PFPS should consist of a previous knee pain questionnaire and an evaluation of the characteristic signs and symptoms for examination of the entire lower limb during static and functional situations. Level of Evidence II, Diagnostic Studies.

摘要

目的

髌股疼痛综合征(PFPS)是一种常见疾病,病因多因素,最常见症状是弥漫性疼痛,通常位于髌后区域,但也表现出与距下关节过度旋前、胫骨外旋、髌骨移位改变、膝关节疼痛活动范围、髌骨边缘疼痛、肌肉紧张和股四头肌角(Q角)变化相关的体征和症状。本研究的目的是确定这些体征和症状与先前膝关节疼痛问卷相关的频率。

方法

对39名久坐的女性志愿者进行评估,分为两组,PFPS组(19名)和对照组(20名)。除通过问卷进行疼痛评估外,还对这些受试者进行上述体征和症状的评估。

结果

结果表明,与对照组相比,13个问题中有6个问题的疼痛发生率较高。

结论

根据这些发现,我们得出结论,PFPS患者的功能评估应包括先前的膝关节疼痛问卷以及在静态和功能状态下对整个下肢进行检查的特征性体征和症状评估。证据等级II,诊断性研究。

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