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髌股疼痛患者的疼痛和残疾与 Y 平衡测试相关,但与本体感觉敏锐度和单腿三级跳测试无关:一项横断面研究。

Pain and disability were related to Y-balance test but not with proprioception acuity and single-leg triple-hop test in patients with patellofemoral pain: A cross-sectional study.

机构信息

Rehabilitation Science Postgraduation Program - Augusto Motta University Centre (UNISUAM), Avenida Paris, 84, Bonsucesso, CEP 21041-020, Rio de Janeiro, RJ, Brasil Rio de Janeiro, Brazil.

Rehabilitation Science Postgraduation Program - Augusto Motta University Centre (UNISUAM), Avenida Paris, 84, Bonsucesso, CEP 21041-020, Rio de Janeiro, RJ, Brasil Rio de Janeiro, Brazil; Admiral Adalberto Nunes Physical Education Center (Brazilian Navy), Avenida Brasil, 10590, Penha, CEP 21012-350, Rio de Janeiro, Brazil.

出版信息

J Bodyw Mov Ther. 2024 Apr;38:42-46. doi: 10.1016/j.jbmt.2023.12.009. Epub 2024 Jan 3.

Abstract

INTRODUCTION

Patellofemoral pain is a common complaint between physically active subjects. Patients with patellofemoral pain present limitations to performing daily activities. Pain could alter proprioceptive acuity and lead to movement impairment. The aim of this study was to investigate the relationship of pain and disability with proprioception acuity and physical performance in patients with patellofemoral pain.

METHODS

Forty-eight patients with patellofemoral pain [age 31.15 (5.91) years; 30 (62.50%) males] were recruited. Data collected included pain intensity, pain duration, disability, joint position sense (JPS) test at 20° and 60° of knee flexion, and physical performance tests (Single-Leg Triple-Hop Test and Y- Balance Test). Spearman's rank correlation coefficient (r) and 95% confidence intervals (CI) were computed to assess the relationship between the variables.

RESULTS

Pain intensity was correlated with Y-Balance Test posteromedial component (r = -0.32, 95%CI = -0.55 to -0.03, p = 0.029) and the composite score (r = -0.35, 95%CI = -0.58, -0.07, p = 0.015). Pain duration was correlated with Y-Balance Test posterolateral component (r = -0.23, 95% CI = -0.53 to -0.01, p = 0.047). Disability was correlated with Y-Balance Test posteromedial component (r = 0.41, 95% CI = 0.14 to 0.62, p = 0.004). Pain and disability were not correlated with JPS and the Single-Leg Triple-Hop Test.

CONCLUSION

Pain and disability were related to Y-Balance Test but not to proprioceptive acuity and Single-Leg Triple-Hop Test in patients with patellofemoral pain.

摘要

引言

髌股疼痛是活跃人群中常见的抱怨。髌股疼痛患者在进行日常活动时会出现活动受限。疼痛可能会改变本体感觉敏锐度,并导致运动障碍。本研究旨在探讨髌股疼痛患者的疼痛和残疾与本体感觉敏锐度和身体表现的关系。

方法

招募了 48 名髌股疼痛患者[年龄 31.15(5.91)岁;30 名男性(62.50%)]。收集的数据包括疼痛强度、疼痛持续时间、残疾、膝关节 20°和 60°时的关节位置感(JPS)测试以及身体表现测试(单腿三跳测试和 Y 平衡测试)。计算 Spearman 等级相关系数(r)和 95%置信区间(CI)以评估变量之间的关系。

结果

疼痛强度与 Y 平衡测试后内侧分量(r=-0.32,95%CI=-0.55 至-0.03,p=0.029)和综合评分(r=-0.35,95%CI=-0.58,-0.07,p=0.015)相关。疼痛持续时间与 Y 平衡测试后外侧分量(r=-0.23,95%CI=-0.53 至-0.01,p=0.047)相关。残疾与 Y 平衡测试后内侧分量(r=0.41,95%CI=0.14 至 0.62,p=0.004)相关。疼痛和残疾与 JPS 和单腿三跳测试均不相关。

结论

在髌股疼痛患者中,疼痛和残疾与 Y 平衡测试相关,但与本体感觉敏锐度和单腿三跳测试无关。

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