个体化物理治疗近端腘绳肌腱病：临床述评
Treatment of Proximal Hamstring Tendinopathy with Individualized Physiotherapy: A Clinical Commentary.
作者信息
Rich Aidan, Cook Jillianne, Hahne Andrew, Ford Jon
机构信息
School of Allied Health, Human Services and Sport La Trobe University.
Lifecare Malvern Sports Medicine.
出版信息
Int J Sports Phys Ther. 2025 Jun 2;20(6):892-910. doi: 10.26603/001c.138308. eCollection 2025.
UNLABELLED
Proximal hamstring tendinopathy (PHT) can occur in active and sedentary people and presents clinically as localised lower buttock pain with activities including prolonged sitting, squatting, and walking uphill or running. A recent systematic review of interventions for PHT reported insufficient evidence to recommend one intervention over another. The most commonly recommended treatment for PHT by experts is education and exercise. Exercise for PHT aims to restore kinetic chain function and loading capacity of the hamstring complex. The purpose of this commentary is to outline an education and exercise program developed for treating PHT utilizing principles successful in clinical trials for other tendinopathies adapted to the specific anatomical and biomechanical considerations of the proximal hamstring complex.
LEVEL OF EVIDENCE
未标注
近端腘绳肌肌腱病（PHT）可发生于活跃人群和久坐人群，临床症状表现为下臀部局部疼痛，疼痛与包括长时间坐着、下蹲、上坡行走或跑步等活动有关。最近一项关于PHT干预措施的系统评价报告称，尚无充分证据推荐某一种干预措施优于另一种。专家最常推荐的PHT治疗方法是教育和锻炼。针对PHT的锻炼旨在恢复腘绳肌复合体的动力链功能和负荷能力。本评论的目的是概述一个为治疗PHT而制定的教育和锻炼计划，该计划运用了在其他肌腱病临床试验中成功的原则，并根据近端腘绳肌复合体的特定解剖和生物力学因素进行了调整。
证据级别
5级。
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