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光生物调节对髌股疼痛综合征的影响;年轻女性的随机临床试验。

Effect of photobiomodulation in the patellofemoral pain syndrome; randomized clinical trial in young women.

机构信息

Physiotherapy Academic of the Universidade Estadual Do Oeste Do Paraná (Unioeste), Brazil.

Centro Universitário Lusíada (Unilus), Brazil.

出版信息

J Bodyw Mov Ther. 2021 Apr;26:263-267. doi: 10.1016/j.jbmt.2021.01.003. Epub 2021 Jan 12.

Abstract

OBJECTIVE

patellofemoral pain syndrome (PFPS) is one of the most frequent musculoskeletal disorders in the knee joint, affecting mainly physically active adolescents and young adults; its main symptom is pain. Physiotherapy has several therapeutic modalities aimed at pain relief, among which are photobiomodulation (PBM). The aim of the study was to analyze the effects of using PBM in cluster form (Laser + LED) in patients with PFPS.

PATIENTS AND METHODS

This study is characterized as quantitative, experimental, randomized, composed of 30 women with PFPS, randomized into two groups: Control Group (CG) and PBM Group (PBMG). Both groups underwent three evaluations: pre-intervention, post-intervention, and after one month of follow-up. Participants of the PBMG were presented to the application of the cluster device, three times a week, for four weeks. The intensity of spontaneous pain and movement were evaluated, knee function tests and function questionnaires. The results showed a reduction in pain only for the landing of the jump. As for the other variables there was no interaction of factors; the questionnaires used showed larger effect sizes for PBMG when compared to CG. It is possible to conclude that the use of PBM showed benefit in reducing pain at the time of landing of the jump and functional assessment questionnaires.

摘要

目的

髌股疼痛综合征(PFPS)是膝关节最常见的肌肉骨骼疾病之一,主要影响活跃的青少年和年轻成年人;其主要症状是疼痛。物理疗法有几种治疗方式旨在缓解疼痛,其中包括光生物调节(PBM)。本研究旨在分析以群集形式(激光+LED)使用 PBM 对 PFPS 患者的影响。

患者和方法

本研究为定量、实验、随机研究,共纳入 30 名 PFPS 女性患者,随机分为两组:对照组(CG)和 PBM 组(PBMG)。两组均进行了三次评估:干预前、干预后和随访一个月后。PBMG 组的参与者每周接受三次群集设备应用,持续四周。评估自发性疼痛和运动的强度、膝关节功能测试和功能问卷。结果显示,只有在跳跃落地时疼痛减轻。至于其他变量,没有因素的相互作用;与 CG 相比,PBMG 使用的问卷显示出更大的效应量。可以得出结论,使用 PBM 可在跳跃落地时减轻疼痛和功能评估问卷中显示出益处。

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