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髌股疼痛综合征患者髋部和膝部锻炼计划对功能表现的遗留效应。

Carryover effect of hip and knee exercises program on functional performance in individuals with patellofemoral pain syndrome.

作者信息

Ahmed Hamada Hamada, Hussein Draz Amira, Koura Ghada Mohamed, Saab Ibtissam M

机构信息

Faculty of Physical Therapy, Cairo University, Egypt.

Physical Therapy Department, Faculty of Health Sciences, Beirut Arab University, Lebanon.

出版信息

J Phys Ther Sci. 2017 Aug;29(8):1341-1347. doi: 10.1589/jpts.29.1341. Epub 2017 Aug 10.

Abstract

[Purpose] This study was carried out to investigate the carryover effect of hip and knee exercises program on functional performance (single legged hop test as functional performance test and Kujala score for functional activities). [Subjects and Methods] Thirty patients with patellofemoral pain syndrome were randomly assigned into two equal groups. Group (A) consisted of 15 patients undergoing hip strengthening exercises for four weeks then measuring all variables followed by additional four weeks of knee exercises program then measuring all variables again. Group (B): consisted of 15 patients undergoing knee exercises program for four weeks then measuring all variables followed by additional four weeks of hip strengthening exercises then measuring all variables. Functional abilities and knee muscles performance were assessed using Kujala questionnaire and single legged hop test respectively pre and after the completion of the first 4 weeks then after 8 weeks for both groups. [Results] Significantly increase in Kujala questionnaire in group A compared with group B was observed. While, there were significant increase in single legged hop performance test in group B compared with group A. [Conclusion] Starting with hip exercises improve the performance of subjects more than functional activities while starting with knee exercises improve the functional activities of subjects more than performance.

摘要

[目的] 本研究旨在探讨髋部和膝部锻炼计划对功能表现的延续效应(以单腿跳测试作为功能表现测试,以库贾拉评分评估功能活动)。[对象与方法] 30例髌股疼痛综合征患者被随机分为两组,每组15例。A组患者先进行四周的髋部强化锻炼,然后测量所有变量,接着再进行四周的膝部锻炼计划,之后再次测量所有变量。B组患者先进行四周的膝部锻炼计划,然后测量所有变量,接着再进行四周的髋部强化锻炼,之后再次测量所有变量。在两组患者完成前4周锻炼后以及8周锻炼后,分别使用库贾拉问卷和单腿跳测试评估其功能能力和膝部肌肉表现。[结果] 观察发现,A组的库贾拉问卷评分相比B组有显著提高。而B组的单腿跳表现测试相比A组有显著提高。[结论] 先进行髋部锻炼对受试者功能表现的提升效果优于功能活动,而先进行膝部锻炼对受试者功能活动的改善效果优于表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a3/5574328/eab5c4dc9765/jpts-29-1341-g001.jpg

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