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髌腱带对年轻运动员髌腱病疼痛和跳跃高度的即时影响。

Immediate effect of infrapatellar strap on pain and jump height in patellar tendinopathy among young athletes.

作者信息

Dar Gali, Mei-Dan Einat

机构信息

Department of Physical Therapy, Faculty of Social Welfare & Health Studies, University of Haifa, Haifa, Israel.

出版信息

Prosthet Orthot Int. 2019 Feb;43(1):21-27. doi: 10.1177/0309364618791619. Epub 2018 Aug 13.

Abstract

BACKGROUND

: Infrapatellar strapping is a treatment technique used in various knee pathologies; however, its effect on pain and functional performance among young athletes has not been studied.

OBJECTIVES

: To evaluate the effect of infrapatellar strap on pain and jumping performance among young athletes diagnosed with patellar tendinopathy.

STUDY DESIGN

: Pre-/post-test (within-subject research design).

METHODS

: A total of 16 young male basketball and volleyball athletes (age range, 12-18 years) diagnosed with patellar tendinopathy were included in the study. Infrapatellar strap was applied beneath the patella, over the patellar tendon. The athletes performed four jumping tests: squat jump, drop jump, single-leg jump, and jumps 30 s test, with and without the strap. Pain severity in the symptomatic knee during jumping was assessed using a visual analog scale and jumping performance parameters were assessed using an Optojump Next optical measurement system.

RESULTS

: Pain severity reported by the participants decreased in drop test, single-leg jump test, and jumps 30 s test while using the infrapatellar strap compared with no strap condition ( p < 0.05). No significant difference in jumping performance was found between jumping with and without the strap.

CONCLUSION

: The infrapatellar strap was effective in reducing local pain among young male athletes without altered jumping performance.

CLINICAL RELEVANCE

The infrapatellar strap can be recommended to use during physical activity as part of the physical therapy treatments for patellar tendinopathy. Given the low cost, ease to use, and being a non-invasive method without adverse effects, it is an appropriate intervention for young athletes.

摘要

背景

髌下绑扎是用于多种膝关节疾病的一种治疗技术;然而,其对年轻运动员疼痛和功能表现的影响尚未得到研究。

目的

评估髌下绑扎对被诊断为髌腱炎的年轻运动员疼痛和跳跃表现的影响。

研究设计

测试前/后(受试者内研究设计)。

方法

本研究共纳入16名被诊断为髌腱炎的年轻男性篮球和排球运动员(年龄范围12 - 18岁)。髌下绑扎带应用于髌骨下方、髌腱上方。运动员进行四项跳跃测试:深蹲跳、跳深、单腿跳和30秒跳跃测试,测试时分别佩戴和不佩戴绑扎带。使用视觉模拟量表评估跳跃时患侧膝关节的疼痛严重程度,并使用Optojump Next光学测量系统评估跳跃表现参数。

结果

与不佩戴绑扎带相比,佩戴髌下绑扎带时,参与者在跳深测试、单腿跳测试和30秒跳跃测试中报告的疼痛严重程度降低(p < 0.05)。佩戴和不佩戴绑扎带时的跳跃表现没有显著差异。

结论

髌下绑扎带可有效减轻年轻男性运动员的局部疼痛,且不改变跳跃表现。

临床意义

髌下绑扎带可推荐在体育活动期间作为髌腱炎物理治疗的一部分使用。鉴于其成本低、使用方便且为无创方法且无不良反应,它是年轻运动员的一种合适干预措施。

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