小腿三头肌离心训练联合体外冲击波对慢性跟腱止点腱病患者的影响

Effect of Centrifugal Training of Triceps Calf Muscle Combined with Extracorporeal Shock Wave on Patients with Chronic Achilles Tendon Dead Center Tendinopathy

目的:探讨小腿三头肌离心训练联合体外冲击波对慢性跟腱止点腱病患者的影响。方法:选取2021年1月—2022年9月厦门市康复医院收治的200例慢性跟腱止点腱病患者作为研究对象。根据随机数表法将其分为观察组(102例)和对照组(98例)。观察组给予小腿三头肌离心训练联合体外冲击波,对照组给予小腿三头肌离心训练。比较两组治疗后1个月、3个月、6个月疼痛程度、下肢动态平衡功能、日常生活活动能力,治疗前后生活质量。结果:治疗后1个月、3个月、6个月,观察组维多利亚体育研究中心跟腱评估问卷(VISA-A)评分低于对照组,差异有统计学意义(P<0.05)。治疗后1个月、3个月、6个月,观察组总体稳定指数低于对照组,差异有统计学意义(P<0.05)。治疗后1个月、3个月、6个月,观察组下肢功能量表(LEFS)评分高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组心理、生理、环境、精神支柱、社会管理、独立评分均高于对照组,差异有统计学意义(P<0.05)。结论:小腿三头肌离心训练联合体外冲击波治疗慢性跟腱止点腱病患者的效果显著,能够有效减轻患者的疼痛程度,改善临床症状,恢复活动水平。

Objective:To investigate the effect of centrifugal training of triceps calf muscle combined with extracorporeal shock wave on patients with chronic achilles tendon dead center tendinopathy.Method:A total of 200 patients with chronic achilles tendon dead center tendinopathy admitted to Xiamen Rehabilitation Hospital from January 2021 to September 2022 were selected as the study objects.They were divided into observation group(102 cases)and control group(98 cases)according to random number table method.The observation group was given centrifugal training of triceps calf muscle combined with extracorporeal shock wave,and the control group was given centrifugal training of triceps calf muscle.Pain degree,lower limb dynamic balance function,activity of daily living ability 1 month,3 months and 6 months after treatment and quality of life before and after treatment were compared between the two groups.Result:At 1 month,3 months and 6 months after treatment,the Victorian Institute of sport assessment achilles questionnaire(VISA-A)scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).At 1 month,3 months and 6 months after treatment,the overall stability index of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).At 1 month,3 months and 6 months after treatment,the lower extremity functional scale(LEFS)scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the psychological,physiological,environmental,spiritual support,social management and independent scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:The effect of centrifugal training of triceps calf muscle combined with extracorporeal shock wave in the treatment of patients with chronic achilles tendon dead center tendinopathy is remarkable,can effectively reduce pain degree,improve clinical symptoms and restore activity level.