弹力胶布力学治疗对髌股关节综合征的作用

目的探讨弹力胶布对髌股关节疼痛及股四头肌内侧头与外侧头启动时间的作用。方法采用随机方法将符合纳入标准的患者分为治疗组(n=28)和对照组(n=28)。治疗组接受5 d的弹力胶布力学治疗(1次/d，≥6 h/次)，对照组接受相同部位的胶布粘贴，但是不给予有效的力学固定。两组均同时接受超声波治疗(1.2 W/cm2，10 min/次，1次/d)。对所有患者在治疗前、第1次粘贴后和治疗5 d后（第6 d，不粘贴）进行疼痛(NPRS)和表面肌电图的检测。结果治疗组在第1次粘贴后（粘贴），疼痛显著缓解（P<0.05），股四头肌内侧头启动时间变为早于外侧头。治疗5 d后（不粘贴），治疗组在疼痛缓解和股四头肌内侧头启动时间方面均优于对照组（P<0.05），疗效得以维持。结论弹力胶布可以有效缓解髌股关节疼痛，改善股四头肌内侧头与外侧头的启动时间，并具有持续效应。

英文摘要:

Objective?To determine the effect of elastic taping on patients with patellofemoral pain and its impact on the onset time of vastusmedialis and vastuslateralis. Methods?Eligible patients were assigned into the treatment and control groups randomly. Patients in the treatment group received a 5-day taping with therapeutic stretch. Patients in the control group were give placebo taping without therapeutic stretch. Ultrasound therapy was applied to all of the participants as a basic treatment. The levels of pain and surface electromyography were evaluated before treatment, after the first taping and on the 6^th day (without taping). Results?Patients in the treatment group experienced immediate improvement in pain and onset time of vastusmedialis and vastuslateralis compared with the controls. On the 6^th day (without taping), further improvement was achieved in pain and onset time of vastusmedialis and vastuslateralis in the treatment group compared with the controls (P<0.05). Conclusion ?Elastic taping can effectively improve pain and onset time of vastusmedialis and vastuslateralis.

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