运动疗法治疗髌股疼痛综合征的应用进展

Application Progress of Exercise Therapy in the Treatment of Patellofemoral Pain Syndrome

髌股疼痛综合征(PFPS)是膝关节疾病最常见的影响因素之一,它可引起膝关节剧烈疼痛并导致日常生活或工作困难。髌股疼痛综合征的病因是多因素的,而且大多数的治疗方法都是以保守治疗为主。保守治疗主要运用的是运动疗法,目的是增加下肢的力量性、灵活性、本体感觉和耐力,训练以功能性为主,遵循循序渐进的原则。运动疗法包括下肢力量训练、神经肌肉训练、血流限制训练以及核心训练等,能够达到降低髌股关节压力和改变髌骨后软骨下骨受力区域的目的。

Patellofemoral pain syndrome(PFPS) is one of the most common factors affecting knee diseases, which can cause severe knee pain and make daily life or work difficult. The etiology of patellofemoral pain syndrome is multifactorial, and most treatments are conservative. Conservative treatment is mainly through exercise therapy.The basis is to increase the strength, flexibility, proprioception and endurance of the lower limbs. The training is mainly functional and follows the principle of gradual progress. Exercise therapy includes lower limb strength training, neuromuscular training, blood flow restriction training and core training to reduce patellofemoral joint pressure and change the force bearing area of the subchondral bone behind the patella.