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姿势稳定训练对患有髌股关节疼痛综合征女性的疼痛及功能的影响

The effect of postural stabilization exercises on pain and function in females with patellofemoral pain syndrome.

作者信息

Yılmaz Yelvar Gül Deniz, Baltacı Gül, Bayrakcı Tunay Volga, Atay Ahmet Özgür

机构信息

Turgut Özal University, School of Physical Therapy and Rehabilitation, Ankara, Turkey.

Hacettepe University, Faculty of Health Science, Physiotherapy and Rehabilitation Department, Ankara, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2015;49(2):166-74. doi: 10.3944/AOTT.2015.13.0118.

Abstract

OBJECTIVE

This study aimed to investigate the effect of postural stabilization exercises on pain, muscle strength and function in females with patellofemoral pain.

METHODS

Forty-two volunteers with patellofemoral pain syndrome (PFPS) were included in this study. The subjects were randomly divided into two groups: Group 1 performed therapeutic knee and postural stabilization exercises (n=22); Group 2 performed therapeutic knee exercises only (n=20). All patients were evaluated for pain, hamstring flexibility, function, lower extremity strength and postural control before and after treatment and at the 12th week. A two-way ANOVA was done within each group before and after treatment and at the 12th week. The level of significance was set at p<0.05, and when this was observed, the Tukey test was used to determine which group had caused the significance.

RESULTS

The results were statistically significant between the groups in terms of pain, flexibility, function, strength, endurance, postural control and the parameters of the Kujala patellofemoral pain scale (p<0.05). For all parameters, Group 1 achieved the greater success after treatment (p<0.05).

CONCLUSION

The implementation of physiotherapy and rehabilitation programs including postural stabilization exercises may improve strength and function and reduce pain in patients with PFPS.

摘要

目的

本研究旨在探讨姿势稳定训练对患有髌股关节疼痛的女性的疼痛、肌肉力量和功能的影响。

方法

本研究纳入了42名患有髌股关节疼痛综合征(PFPS)的志愿者。受试者被随机分为两组:第1组进行治疗性膝关节和姿势稳定训练(n = 22);第2组仅进行治疗性膝关节训练(n = 20)。所有患者在治疗前、治疗后以及第12周时均接受疼痛、腘绳肌柔韧性、功能、下肢力量和姿势控制的评估。在治疗前、治疗后以及第12周时,对每组进行双向方差分析。显著性水平设定为p<0.05,当观察到该水平时,使用Tukey检验来确定是哪一组导致了显著性差异。

结果

在疼痛、柔韧性、功能、力量、耐力、姿势控制和Kujala髌股关节疼痛量表的参数方面,两组之间的结果具有统计学显著性(p<0.05)。对于所有参数,第1组在治疗后取得了更大的成功(p<0.05)。

结论

实施包括姿势稳定训练的物理治疗和康复计划可能会改善PFPS患者的力量和功能,并减轻疼痛。

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