超声联合振动与低温冷冻疗法治疗慢性中段跟腱腱病患者的离心运动方案：一项随机临床试验
Ultrasonography effectiveness of the vibration vs cryotherapy added to an eccentric exercise protocol in patients with chronic mid-portion Achilles tendinopathy: A randomised clinical trial.
机构信息
Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, Spain.
Nursing and Physical Therapy Department, Insitute of Biomedicine (IBIOMED), Universidad de León, Ponferrada, Spain.
出版信息
Int Wound J. 2019 Apr;16(2):542-549. doi: 10.1111/iwj.13074. Epub 2019 Feb 20.
Tendinopathy is a very common disease in the general population as well as in athletes. The aim of the present study was to examine the tendon thickness and cross-sectional area (CSA) in subjects with chronic mid-portion Achilles tendinopathy (AT) who engaged in either an eccentric exercise (EE) programme with vibration training or an EE programme combined with cryotherapy. A sample of 61 patients with chronic mid-portion AT were recruited and divided into two groups: EE programme vibration training (n = 30) and EE programme combined with cryotherapy (n = 31). Three ultrasound assessments were performed: pre-intervention and at 4, and at 12 weeks. The comparison of thickness and CSA measures at baseline, 4, and 12 weeks showed a significant (P < 0.05) increase at 0, 2, 4, and 6 cm in maximal isometric contraction and at rest in subjects with chronic mid-portion AT. The EE vibration training resulted in a statistically significant CSA increase compared with the cryotherapy group in patients with chronic mid-portion AT.
腱病是一种在普通人群和运动员中都非常常见的疾病。本研究的目的是检查慢性中段跟腱腱病（AT）患者的肌腱厚度和横截面积（CSA），这些患者分别接受了带有振动训练的离心运动（EE）方案或 EE 方案联合冷冻疗法。招募了 61 名患有慢性中段 AT 的患者，并将他们分为两组：EE 方案振动训练（n = 30）和 EE 方案联合冷冻疗法（n = 31）。进行了三次超声评估：干预前和 4 周时，以及 12 周时。在基线、4 周和 12 周时，在最大等长收缩和休息时，在 0、2、4 和 6 cm 处的厚度和 CSA 测量的比较显示，慢性中段 AT 患者的厚度和 CSA 均有显著（P < 0.05）增加。与冷冻疗法组相比，EE 振动训练在慢性中段 AT 患者中导致 CSA 增加具有统计学意义。
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