针对髌股疼痛患者的包含动力性练习的力量训练康复方案(STRIPE):一项随机对照试验方案
Strength Training Rehabilitation Incorporating Power Exercises (STRIPE) for individuals with patellofemoral pain: a randomised controlled trial protocol.
作者信息
Glaviano Neal R, Mangum L Colby, Bazett-Jones David M, DiStefano Lindsay J, Toland Michael D, Boling Michelle
机构信息
Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA.
Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, Florida, USA.
出版信息
BMJ Open Sport Exerc Med. 2023 Jan 17;9(1):e001482. doi: 10.1136/bmjsem-2022-001482. eCollection 2023.
Patellofemoral pain (PFP) is a chronic condition that presents with patellar pain during various daily and recreational activities. Individuals with PFP have a wide range of impairments that result in long-term disability and reduced quality of life. Current interventions target hip muscle weakness with strength-based exercises, but recurrence rates are as high as 90%. A single feasibility study demonstrated success with power-based exercises; however, there is limited evidence evaluating pain or self-reported function in larger cohorts, and no study has assessed recurrence rates. This protocol details a study evaluating a strength-based rehabilitation programme compared with a strength-based programme incorporating power-based exercises in individuals with PFP. This single-blinded randomised controlled trial will evaluate 88 participants with PFP, aged 18-40 years old. Participants will be recruited from three universities, the surrounding community and sports medicine clinics. Participants will receive three telemedicine rehabilitation sessions a week for 6 weeks. The rehabilitation programme will consist of either strength-based exercises or a combination of power and strength-based exercises. Pain, subjective function and recurrence rates will be assessed at baseline, immediately after the intervention and at four follow-up time points: 6-month, 12-month, 18-month and 24-month postintervention. We will also assess neuromuscular function of the hips and global rating of change at each postintervention time point. Trial registration number NCT05403944.
髌股疼痛(PFP)是一种慢性疾病,在各种日常和娱乐活动中都会出现髌骨疼痛。患有PFP的个体存在多种功能障碍,导致长期残疾和生活质量下降。目前的干预措施以基于力量的锻炼来针对髋部肌肉无力,但复发率高达90%。一项可行性研究表明基于功率的锻炼取得了成功;然而,在更大的队列中评估疼痛或自我报告功能的证据有限,且没有研究评估复发率。本方案详细介绍了一项研究,该研究将评估一项基于力量的康复计划,并将其与一项针对患有PFP的个体的结合了基于功率的锻炼的力量训练计划进行比较。这项单盲随机对照试验将评估88名年龄在18至40岁之间的患有PFP的参与者。参与者将从三所大学、周边社区和运动医学诊所招募。参与者将每周接受三次远程医疗康复课程,为期6周。康复计划将包括基于力量的锻炼或基于功率和力量的锻炼的组合。将在基线、干预后立即以及四个随访时间点(干预后6个月、12个月、18个月和24个月)评估疼痛、主观功能和复发率。我们还将在每个干预后时间点评估髋部的神经肌肉功能和整体变化评分。试验注册号NCT05403944。
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