摘要
[目的]探讨运动控制训练对髋关节撞击综合征的影响。[方法] 2017年5月—2022年7月45例髋关节撞击综合征患者按照随机数字表法分为两组。其中,23例在常规基础上增加运动控制训练,22例仅行常规康复训练。比较两组治疗期情况及随访结果。[结果]两组治疗周期、治疗次数、治疗顺应性VAS评分的差异无统计学意义(P>0.05)。随访时间平均(8.2±3.1)个月。随时间推移,两组疼痛VAS评分、屈髋肌力、伸髋肌力均显著改善(P<0.05);两组的Harris评分和SEBT评分均改善,训练组的改善有统计学意义(P<0.05),而常规组的变化无统计学意义(P>0.05)。末次随访时,训练组VAS评分[(2.2±1.0)vs (3.5±1.0), P<0.05]、Harris评分[(79.4±6.9) vs (65.2±6.2), P<0.05]、屈髋肌力[(44.8±9.1)Nm vs (35.9±8.2)Nm, P<0.05]、伸髋肌力[(68.4±6.7)Nm vs (56.3±7.0)Nm, P<0.05]和SEBT评分[(92.2±14.2) vs (81.6±17.0), P<0.05]均显著优于常规组。[结论]运动控制训练可以有效缓解髋关节撞击综合征患者的疼痛症状,增加髋关节肌肉力量及协调能力,提高髋关节整体稳定性。
[Objective]To explore the effect of motor control training(MCT)on femoroacetabular impingement(FAI).[Methods]From May 2017 to July 2022,45 patients with FAI were divided into two groups according to random number table method.Among them,23 pa⁃tients were added motor control training on the basis of routine rehabilitation(the training group),while the other 22 patients received routine rehabilitation therapy only(the routine group).The data regarding therapy period and follow-up were compared between the two groups.[Re⁃sults]There were no significant differences in treatment cycle,treatment frequency and VAS score for treatment compliance between the two groups(P>0.05).Over time in follow-up period lasted for(8.2±3.1)months,VAS scores for pain,hip flexion strength and hip extension strength significantly improved in both groups(P<0.05),the Harris score and SEBT score also improved in both groups,which proved statisti⁃cally significant in the training group(P<0.05),while not statistically significant in the routine group(P>0.05).At the latest follow-up,the training group proved significantly superior to the routine group in terms of pain VAS score[(2.2±1.0)vs(3.5±1.0),P<0.05],Harris score[(79.4±6.9)vs(65.2±6.2),P<0.05],hip flexor strength[(44.8±9.1)Nm vs(35.9±8.2)Nm,P<0.05],and hip extensor strength[(68.4±6.7)Nm vs(56.3±7.0)Nm,P<0.05]and SEBT score[(92.2±14.2)vs(81.6±17.0),P<0.05].[Conclusion]The MCT does effectively relieve pain,in⁃crease hip muscle strength and coordination ability,and improve the overall stability of the hip for FAI.
作者
赵殿钊
张鸿悦
章耀华
李强
刘晓磊
解焕鑫
杨云
杨启昌
韩庆海
杨华清
ZHAO Dian-zhao;ZHANG Hong-yue;ZHANG Yao-hua;LI Qiang;LIU Xiao-lei;XIE Huan-xin;YANG Yun;YANG Qi-chang;HAN Qing-hai;YANG Hua-qing(Orthopedic Rehabilitation Center,Beijing Rehabilitation Hospital,Capital Medical University,Beijing 100144,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2023年第8期753-756,共4页
Orthopedic Journal of China
基金
首都卫生发展科研专项(编号:2022-2-2253)。
关键词
髋关节撞击综合征
运动控制训练
平衡
femoroacetabular impingement(FAI)
motor control training(MCT)
balance
