离心性肌力训练治疗前交叉韧带重建后膝痛的疗效观察

Efficacy Observation on Eccentric Muscle Strength Training for Knee Pain after Anterior Cruciate Ligament Reconstruction

目的：探讨离心性肌力训练治疗前交叉韧带重建中、后期膝关节疼痛的疗效.方法：将60例前交叉韧带重建术后膝关节疼痛患者随机分为治疗组（30例）和对照组（30例）,治疗组采用股四头肌、腘绳肌离心性肌力训练,对照组采用传统治疗方法,治疗4周后评价疗效.结果：治疗后,治疗组的VAS评分低于对照组,Lysholm膝关节评分高于对照组（P＜0.05）.结论：离心性肌力训练可以在稳定膝关节的同时缓解关节疼痛,疗效确切,值得临床推广应用.

Objective： To investigate the efficacy of eccentric muscle strength training for the knee pain at middle and late stage after anterior cruciate ligament reconstruction. Methods： 60 cases of patients with knee pain after surgery of anterior cruciate ligament reconstruction were randomly divid- ed into treatment group （30 cases） and control group （30 cases）, the treatment group treated by eccentric muscle strength training on quadriceps femo- ris and hamstring muscles, while the control group by conventional treatment, then evaluated the efficacy after 4 weeks. Results： After treatment, the VAS score of treatment group was lower than that of control group, the Lysholm knee joint score was higher than that of control group （P〈0.05）. Con- clusion： Eccentric muscle strength training can stabilize the knee joint and relieve the joint pain at the same time, which is significantly effective, de- serve clinical promotion and application.