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髌股疼痛综合征患者使用髌骨贴扎对膝关节疼痛、功能障碍及髌骨对线的影响:一项随机临床试验。

Effects of patellar taping on knee pain, functional disability, and patellar alignments in patients with patellofemoral pain syndrome: A randomized clinical trial.

作者信息

Ghourbanpour Arsalan, Talebi Ghadam Ali, Hosseinzadeh Somayeh, Janmohammadi Naser, Taghipour Mohammad

机构信息

Physiotherapy Department, Babol University of Medical Sciences, Iran.

Babol University of Medical Sciences, Iran.

出版信息

J Bodyw Mov Ther. 2018 Apr;22(2):493-497. doi: 10.1016/j.jbmt.2017.06.005. Epub 2017 Jun 13.

Abstract

QUESTION

What are the effects of patellar taping on pain, functional disability and patellar alignments in Patellofemoral Pain Syndrome (PFPS)?

DESIGN

Double-blind randomized clinical trial.

PARTICIPANTS

Thirty PFPS Patients were randomly divided into two groups, intervention and control.

INTERVENTION

Patients in control group received only the routine physiotherapy. In addition to routine physiotherapy, patellar taping was used in the intervention group. Each patient was treated for 12 sessions over a period of 4 weeks.

OUTCOME MEASURES

The KOOS and VAS questionnaires were used to assess the quality of life (QOL) and pain intensity, respectively. Three components of patellar alignment including Patellofemoral Congruence Angle (PFCA), Lateral Patellofemoral Angle (LPFA) and Lateral Patellar Displacement (LPD) were evaluated using the skyline radiography method.

RESULTS

The results indicated that there was no significant difference between the control and intervention groups for LPD (P = 0.586), PFCA (P = 0.704) and LPFA (P = 0.176) variables. No significant difference was found between the two groups in all items of the KOOS questionnaire. The knee pain intensity was significantly reduced in both the intervention (P < 0.001) and control (P = 0.001) groups at the end of the 4th week.

CONCLUSION

The results of the present study indicated that patellar taping compared to routine physiotherapy treatments had no beneficial effects on pain reduction, QOL improvement and correction of patellar alignment in PSPS patients.

TRIAL REGISTRATION

IRCT201111012851N2.

摘要

问题

髌骨贴扎对髌股疼痛综合征(PFPS)患者的疼痛、功能障碍及髌骨对线有何影响?

设计

双盲随机临床试验。

参与者

30例PFPS患者被随机分为两组,即干预组和对照组。

干预措施

对照组患者仅接受常规物理治疗。干预组除常规物理治疗外,还使用髌骨贴扎。每位患者在4周内接受12次治疗。

观察指标

分别使用KOOS和VAS问卷评估生活质量(QOL)和疼痛强度。采用天际线X线摄影法评估髌骨对线的三个组成部分,包括髌股适合角(PFCA)、外侧髌股角(LPFA)和髌骨外侧移位(LPD)。

结果

结果表明,对照组和干预组在LPD(P = 0.586)、PFCA(P = 0.704)和LPFA(P = 0.176)变量上无显著差异。两组在KOOS问卷的所有项目上均未发现显著差异。在第4周结束时,干预组(P < 0.001)和对照组(P = 0.001)的膝关节疼痛强度均显著降低。

结论

本研究结果表明,与常规物理治疗相比,髌骨贴扎对PSPS患者的疼痛减轻、生活质量改善及髌骨对线矫正无有益影响。

试验注册号

IRCT201111012851N2。

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