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论著·临床研究 | 更新时间:2024-02-19
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悬吊训练疗法联合冲击波疗法治疗髂胫束综合征的临床效果
Clinical effect of sling exercise therapy combined with shock wave therapy for the treatment of iliotibial band syndrome

广西医学 2023第45卷22期 页码:2696-2700

作者机构:刘华春,本科,副主任医师,研究方向为康复医学。

基金信息:广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200978)

DOI:10.11675/j.issn.0253-4304.2023.22.06

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目的 探讨悬吊训练疗法(SET)联合冲击波疗法治疗髂胫束综合征(ITBS)的临床效果。方法 将 60例ITBS患者随机分为观察组和对照组,每组30例。对照组患者接受SET,观察组接受SET联合冲击波疗法治疗,两组均治疗4周。比较治疗前后两组慢跑时和上下楼梯时的膝关节数字疼痛评价量表(NPRS)评分、下肢功能量表(LEFS)评分,以及膝关节的屈肌群峰力矩、伸肌群峰力矩、屈肌群峰力矩/伸肌群峰力矩(F/E)值。结果 治疗后,两组慢跑时和上下楼梯时的膝关节NPRS评分低于治疗前,LEFS评分、膝关节的屈肌群峰力矩和伸肌群峰力矩高于治疗前,且观察组的上述指标优于对照组(P<0.05)。此外,治疗后,观察组的F/E值高于治疗前及对照组(P<0.05),但对照组的F/E值与治疗前比较差异无统计学意义(P>0.05)。结论 SET联合冲击波疗法可以有效缓解ITBS患者的膝关节疼痛,对恢复患者下肢功能及膝关节稳定性具有重要意义,且效果优于单纯SET。

ObjectiveTo investigate the clinical effect of sling exercise therapy (SET) combined with shock wave therapy for the treatment of iliotibial band syndrome (ITBS). MethodsA total of 60 ITBS patients were randomly divided into observation group or control group, with 30 cases in each group. Patients of the control group received SET, and the observation group received SET combined with shock wave therapy for treatment. Both groups received treatment for 4 weeks. The pre- and post-treatment Numeric Pain Rating Scale (NPRS) score for knee joint when jogging and walking up and down stairs, Low Extremity Function Scale (LEFS) score, and flexor muscle group peak torque, extensor muscle group peak torque, and flexor muscle group peak torque/extensor muscle group peak torque (F/E) value of knee joint were compared between the two groups. ResultsAfter treatment, NPRS score for knee joint when jogging and walking up and down stairs in both groups was lower than that before treatment, whereas LEFS score, and flexor muscle group peak torque, extensor muscle group peak torque of knee joint in both groups were higher than those before treatment, as well as the observation group exhibited superior indices as above to compare with the control group (P<0.05). In addition, F/E value of the observation group was higher than that before treatment and of the control group after treatment (P<0.05), but no statistically significant difference in F/E value was found between the control group and before treatment (P>0.05). ConclusionSET combined with shock wave therapy can effectively alleviate knee joint pain in ITBS patients, which has crucial significance on low extremity function recovery and knee joint stability, exerting superior effects to single SET.

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