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等长运动和体感训练对髌股关节疼痛综合征跑步者疼痛、本体感觉和平衡的疗效

Efficacy of Isometric Exercises and Somatosensory Training for Pain, Proprioception, and Balance in Runners with Patellofemoral Pain Syndrome.

作者信息

Kochar Shraddha S, Fating Tejaswini, Patil Shubhangi

机构信息

Community Health Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Mar 14;16(3):e56163. doi: 10.7759/cureus.56163. eCollection 2024 Mar.

Abstract

Background A significant cause of knee pain is patellofemoral pain syndrome (PFPS). Young adults are the most common population to be impacted, and this condition appears to affect both sexes. Patellofemoral joint (PFJ) compression, which is felt around the patella during any physical or athletic activity, usually causes patients to experience pain in the anterior part of the knee. Physiotherapy is essential for patients suffering from this illness, as it can improve their everyday activities and ability to return to their sport. Methodology The study's main goal was to evaluate the effectiveness of somatosensory training and isometric exercises for pain, proprioception, and balance in runners with PFPS. Before- and after-test approaches were used in the investigation. Eighty-five people made up the study, with the inclusion and exclusion criteria used to determine eligibility. Isometric exercises and somatosensory training were given to every individual; the group was not randomly assigned. The patient's diagnosis was made using the patellar grind test. Participants received 30-45 minutes of isometric exercises and 15 minutes of somatosensory training every four days. The visual analog scale, joint position sense test, and Y-balance test were taken as outcome measures to measure PFPS before and after the intervention. Results The result revealed significant (p=0.0001) improvement in PFPS following the intervention. Both the isometric exercises and somatosensory training were found to be significant in reducing the intensity of the pain and improving the proprioception and balance of the individuals. Conclusion Both treatment approaches were beneficial in lowering pain in the joints, developing balance, and helping the patient perceive the position of the joint. Individuals can use both therapy methods to improve their running abilities, and they should become ingrained in daily practice.

摘要

背景

髌股疼痛综合征(PFPS)是膝关节疼痛的一个重要原因。年轻人是受影响最普遍的人群,而且这种情况似乎对两性都有影响。在任何体育活动或运动过程中,在髌骨周围感觉到的髌股关节(PFJ)压迫通常会使患者在膝盖前部感到疼痛。物理治疗对患有这种疾病的患者至关重要,因为它可以改善他们的日常活动以及恢复运动的能力。

方法

该研究的主要目标是评估体感训练和等长运动对患有PFPS的跑步者的疼痛、本体感觉和平衡的有效性。调查采用了前后测试方法。该研究共有85人,使用纳入和排除标准来确定资格。对每个人都进行了等长运动和体感训练;该组未进行随机分配。使用髌骨研磨试验对患者进行诊断。参与者每四天接受30 - 45分钟的等长运动和15分钟的体感训练。采用视觉模拟量表、关节位置感觉测试和Y平衡测试作为干预前后测量PFPS的结果指标。

结果

结果显示干预后PFPS有显著改善(p = 0.0001)。等长运动和体感训练在减轻疼痛强度以及改善个体的本体感觉和平衡方面均被发现具有显著效果。

结论

两种治疗方法在减轻关节疼痛、培养平衡能力以及帮助患者感知关节位置方面都有益处。个体可以使用这两种治疗方法来提高他们的跑步能力,并且它们应该融入日常练习中。

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