| 于帆,印健,唐志豪,于大海.髋膝联合强化训练在老年髌股疼痛综合征患者中的应用观察[J].老年医学与保健,2026,32(3):453-457 |
| 髋膝联合强化训练在老年髌股疼痛综合征患者中的应用观察 |
| Observation on application of hip-knee enhancement training in elderly patients with patellofemoral pain syndrome |
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| DOI：10.3969/j.issn.1008-8296.2026.03.023 |
| 中文关键词: 老年 髌股疼痛综合征 髋膝联合训练 膝关节运动功能 疼痛 |
| 英文关键词: elderly patellofemoral pain syndrome hip-knee combined training knee joint motor function pain |
| 基金项目:22SJKJGG5:上海市松江区科学技术攻关项目 |
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| 中文摘要: |
| 目的 探讨髋膝联合强化训练对老年髌股疼痛综合征患者的治疗效果.方法 选取 2023 年 1 月至2024 年3 月在上海市第一人民医院就诊的165 例髌股疼痛综合征老年患者,随机分为髋膝联合训练组(n=55)、膝关节训练组(n=55)和对照组(n=55).所有患者在干预前后均进行针对疼痛和功能的视觉模拟评分(VAS)、下肢功能量表(LEFS)和膝关节前痛量表(AKPS)的评估.结果 3 组患者的基线资料与治疗前量表评分差异无统计学意义(P>0.05).治疗6 周后,膝关节训练组和髋膝联合训练组各量表评分均较治疗前改善;且髋膝联合训练组改善程度优于膝关节训练组,差异均具有统计学意义(P<0.05).结论 髋膝联合训练对于改善髌股疼痛综合征患者的膝关节疼痛和功能具有显著效果,且优于单纯进行膝关节训练. |
| 英文摘要: |
| Objective To explore the therapeutic effects of hip-knee enhancement training on elderly patients with patellofemoral pain syndrome(PFPS).Methods A total of 165 elderly PFPS patients treated in First People's Hospital of Shanghai City from January 2023 to March 2024 were selected and randomly divided into hip-knee combined training group(n=55),knee joint training group(n=55),and control group(n=55).The degree of pain was assessed using the visual analog scale(VAS),and functional status was evaluated using the lower extremity functional scale(LEFS)and anterior knee pain scale(AKPS)before and after treatment.Results There were no statistically significant differences in baseline data and pre-treatment scores of scales among the three groups(P>0.05).After 6 weeks of treatment,the scores of scales improved in both the knee joint training group and the hip-knee combined training group compared with those in the same group before treatment.The improvement in the hip-knee combined training group was better than that in the knee joint training group.The differences were all statistically significant(P<0.05).Conclusion Hip-knee combined training has a significant effect on the improvement of knee pain and function in elderly PFPS patients,and is superior to knee joint training alone. |
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