神经肌肉训练对髋关节撞击综合征的疗效

Effect of neuromuscular training on femoroacetabular impingement

目的观察神经肌肉训练对髋关节撞击综合征的临床疗效。方法2017年1月至2021年11月,首都医科大学附属北京康复医院就诊的髋关节撞击综合征患者27例随机分为对照组(n=13)和观察组(n=14)。两组接受常规康复训练,观察组增加神经肌肉训练。治疗前后,采用疼痛视觉模拟量表(VAS)、髋关节屈伸峰力矩(PT)、Y平衡测试(YBT)和简化国际髋关节评分(iHOT-12)进行评定。结果治疗后,观察组VAS评分、髋关节屈伸PT、YBT评分和iHOT-12评分明显改善(|t|>3.628,P<0.01),对照组VAS和髋关节屈伸PT明显改善(|t|>3.409,P<0.01);观察组VAS评分、髋关节屈伸PT、YBT评分和iHOT-12评分均优于对照组(|t|>2.067,P<0.05)。结论神经肌肉训练可有效缓解髋关节撞击综合征患者的疼痛,增加髋关节肌力和协调能力,提高髋关节稳定性和功能。

Objective To observe the effect of neuromuscular training on femoroacetabular impingement.Methods From January,2017 to November,2021,27 patients with femoroacetabular impingement in Beijing Rehabilitation Hospital were randomly divided into control group(n=13)and observation group(n=14).The control group accepted routine rehabilitation training,and the observation group accpeted neuromuscular training in addition.They were assessed with Visual Analogue Scale(VAS)for pain,peak torque(PT)of hip flexion and extension,Y-balance test(YBT)and simplified International Hip Outcome Tool(iHOT-12)before and after treatment.Results The VAS score,PT,YBT score and iHOT-12 score improved in the observation group after treatment(|t|>3.628,P<0.01),while the VAS score and PT improved in the control group(|t|>3.409,P<0.01).After treatment,the VAS score,PT,YBT score and iHOT-12 score were better in the observation group than in the control group(|t|>2.067,P<0.05).Conclusion Neuromuscular training can relieve the pain of patients with femoroacetabular impingement,and improve the muscle strength and function of hip joint.