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一名业余长跑运动员髌股疼痛综合征的综合管理:病例报告

Comprehensive Management of Patellofemoral Pain Syndrome in a Recreational Long-Distance Runner: A Case Report.

作者信息

Vikhe Chaitali S, Ramteke Swapnil U

机构信息

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

出版信息

Cureus. 2024 Jul 17;16(7):e64706. doi: 10.7759/cureus.64706. eCollection 2024 Jul.

Abstract

Patellofemoral pain syndrome (PFPS) is a major concern in the field of orthopedic medicine, affecting a substantial portion of the population and significantly impacting the quality of life. This condition, characterized by anterior knee pain increasing with various activities, shows higher susceptibility in certain demographic groups, such as women and adolescents. PFPS arises from a multifactorial etiology involving anatomical, biomechanical, psychological, and social factors, making it a complex condition to manage. Despite numerous therapeutic interventions available, including strengthening exercises, manual therapy, and patellar realignment techniques, the long-term efficacy of these interventions remains debated. This case report describes the case of a 21-year-old female recreational long-distance runner with bilateral knee pain diagnosed with PFPS. Through a comprehensive intervention plan targeting strength, function, flexibility, proprioception, and pain management, significant improvements were observed in pain levels and functional outcomes after physiotherapy intervention. This case underscores the importance of a holistic approach in managing PFPS and highlights the need for further research to optimize treatment strategies and improve patient outcomes.

摘要

髌股疼痛综合征(PFPS)是骨科医学领域的一个主要问题,影响着相当一部分人群,并对生活质量产生重大影响。这种病症的特征是前膝疼痛会随着各种活动而加剧,在某些人群中,如女性和青少年,易感性更高。PFPS的病因是多因素的,涉及解剖学、生物力学、心理和社会因素,这使得它成为一种难以管理的复杂病症。尽管有许多治疗干预措施,包括强化锻炼、手法治疗和髌骨复位技术,但这些干预措施的长期疗效仍存在争议。本病例报告描述了一名21岁的女性业余长跑运动员,双侧膝关节疼痛,被诊断为PFPS。通过针对力量、功能、灵活性、本体感觉和疼痛管理的综合干预计划,物理治疗干预后,疼痛水平和功能结果有了显著改善。本病例强调了整体方法在管理PFPS中的重要性,并突出了进一步研究以优化治疗策略和改善患者预后的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/894f/11327842/142117cfc571/cureus-0016-00000064706-i01.jpg

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