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渐进性神经肌肉锻炼计划及贴扎对髌股关节疼痛患者肌肉力量和疼痛的影响:一项随机对照双盲研究。

The effects of progressive neuromuscular exercise program and taping on muscle strength and pain in patellofemoral pain. A randomized controlled blind study.

作者信息

Basbug Pinar, Kilic Rabia Tugba, Atay Ahmet Ozgur, Bayrakcı Tunay Volga

机构信息

Department of Physiotherapy and Rehabilitation, Mugla Sitki Kocman University, Faculty of Health Sciences, Mugla, Turkey.

Physical Theraphy and Rehabilitation, Ankara Yildirim Beyazit University, Ankara, Turkey.

出版信息

Somatosens Mot Res. 2022 Mar;39(1):39-45. doi: 10.1080/08990220.2021.1987877. Epub 2021 Oct 29.

Abstract

PURPOSE

To investigate the effects of corrective kinesio taping applied on patellofemoral and foot joint in addition to a progressive neuromuscular exercise program in women with Patellofemoral Pain (PFP) on knee pain and muscle strength.

METHODS

Thirty females (20-45 years), diagnosed with unilateral PFP were randomly divided into two groups: the exercise ( = 15) and the exercise and taping ( = 15). Both groups performed three-stage progressive neuromuscular exercises for 12 weeks as home exercises. Plantar and knee corrective taping was additionally applied to the exercise and taping group. The knee pain was measured using the Visual Analogue Scale (VAS) during stair ascending and descending. Isokinetic dynamometer was used to evaluate the isokinetic muscle strength of the hamstring and quadriceps femoris muscles. All assessments were conducted before the treatment, at the end of the 6th-week treatment, and at the end of the 12th week of the treatment.

RESULTS

After intervention, pain, and muscles peak torque were improved in all groups ( ˂ 0.05). The decrease in pain and the increase in quadriceps and hamstring muscle peak tork were found to be significant for both groups ( < 0.05). In the taping group, the decrease in pain during stair descending and the increase in hamstring muscle tork were higher than that of the exercise group ( < 0.05).

CONCLUSION

In order to reduce pain in a short time and control it in the long term, it will be beneficial to tape the knee and foot in addition to neuromuscular exercises.

摘要

目的

探讨在患有髌股疼痛(PFP)的女性中,除了进行渐进性神经肌肉锻炼计划外,对髌股关节和足部关节应用矫正肌内效贴布对膝关节疼痛和肌肉力量的影响。

方法

30名年龄在20 - 45岁之间、被诊断为单侧PFP的女性被随机分为两组:锻炼组(n = 15)和锻炼加贴布组(n = 15)。两组都进行为期12周的三阶段渐进性神经肌肉锻炼作为家庭锻炼。锻炼加贴布组还额外应用了足底和膝关节矫正贴布。在上下楼梯时使用视觉模拟量表(VAS)测量膝关节疼痛。使用等速测力计评估腘绳肌和股四头肌的等速肌力。所有评估均在治疗前、治疗第6周结束时和治疗第12周结束时进行。

结果

干预后,所有组的疼痛和肌肉峰值扭矩均有所改善(P < 0.05)。两组的疼痛减轻以及股四头肌和腘绳肌峰值扭矩增加均具有显著性(P < 0.05)。在贴布组中,下楼梯时疼痛的减轻以及腘绳肌扭矩的增加高于锻炼组(P < 0.05)。

结论

为了在短期内减轻疼痛并长期控制疼痛,除了进行神经肌肉锻炼外,对膝关节和足部进行贴布处理将是有益的。

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