Abstract:Objective To use the Compensation Eccentric Strength Training System on patients with Patello-femoral pain syndrome,and assess the influence of rehabilitation on strength training.Methods 20 athletes who met the entry criteria PFPS from Beijing sport university were randomly divided into experimental and control groups.The experimental group underwent six weeks of lower limb centrifugal strength training,twice a week,using compensation eccentric strength training system(CC03).Load intensity of the subject were 120% 12RM maximum amount of centripetal force,15/group with 2 for each group.Use the BTE Primus (RS) maximum radial centrifugal peak torque and peak torque maximum system test subjects before and after training.Using the SPECTRON IR infrared thermal imaging for medical diagnostic test systems,affected part of the knee and surrounding normal skin temperature difference.PFPS subjects were evaluated using KOOS,VAS ratings.Results The average centrifugal force and KOOS score after training from subjects in the experimental group were significantly improved compared with before training (P<0.05).VAS score and suffering knees and surrounding normal skin temperature difference were significantly lower (P<0.05).At the same time there was no clear data of the change in the control group subjects (P>0.05).Comparing the experimental group and the control group after the experiment,we found VAS score and knee lesion compared with the surrounding normal skin temperature of the subjects in the experimental group difference with the control group decreased significantly,bilateral lower extremity average centrifugal force and KOOS score was significantly increased(P<0.05).Conclusion The improvement of the centrifugal force of the lower limbs has a therapeutic effect on PFPS.
[1]WitvrouwE,Werner S,MikkelsenC,et al.Clinical classification of patello-femoral pain syndrome:guidelines for non-operative traetment[J].Knee surgery,sports traumatology,arthroscopy:official journal of the ESSKA,2005,13(2):122-130.
[2]McConnell J.Management of patell of emoral problem[J].Man Ther,1999,1(2):60-66.
[3]赵军,王庆甫,马玉峰,等.功能锻炼治疗髌股疼痛综合征的研究进展[J].中医正骨,2014,26(9):75-78;80.
[4]王安利,刘冬森.力量训练的方法:静力性力量训练、向心性力量训练和离心力量训练[J].中国学校体育(高等教育),2014,1(8):67-71.
[5]ZylEV,Schwellnus MP,Noakes TD.A review of the etiology,biomechanics,diagnosis,and management of patellofemoral pain in cyclists[J].International Sport Medicine Journal,2001,2(1):1-34.
[6]Fredericson M,Powers CM.Practical management of patello -femoral pain[J].Clinical Journal of Sport Medicine,2002,12(1):36-38.
[7]Taunton JE,Ryan MB,ClementDB,et al.A retrospective case-control analysis of 2002 running injuries[J].Br J Sports Med,2002,36(2):95-101.
[8]Thomee R,AugustsonJ,Karlsson J.Patellofemoral pain syndrome[J].Sport Med,1999,28(4):245-262.
[9]张琦.髌股关节疼痛综合征患者的疼痛治疗[J].中国康复理论与实践,2007,13(3):267-269.
[10]Witvrouw E,Lysens R,Bellemans J,et al.Intrinsic risk factors for the development of anterior knee pain in an athletic population:a two-year prospective study[J].Am J Sports Med,2000,28(4):48-489.
[11]Prins MR,WurffP.Females with patellofemoral pain syndrome have weak hip muscles:a systematic review[J].Aust J Physiother,2009,55(1):9-15.
[12]CallaghanMJ,OldhamJA.Quadriceps atrophy:to what extent does it exist in patellofemoral pain syndrome[J].Br J Sports Med,2004,38(3):295-299.
[13]李男,檀志宗.髌股关节疼痛综合征康复治疗的研究进展[J].中国康复医学杂志,2015,30(2):189-193.
[14]张志杰,方健辉,刘四文,等.髋关节力量训练结合康复治疗对运动员髌股疼痛综合征的临床效果[J].中国运动医学杂志,2012,31(11):1006-1007;1029.
[15]李学军.动向心离心训练对膝关节屈伸力矩影响研究[J].北京体育大学学报,2007,30(9):1221-1223.
[16]方镇洙,舒帆,袁绍忠,等.红外热成像技术在临床疼痛评定标准中的应用进展[J].中国医学影像学杂志,2011,19(12):931-934.