髌股疼痛综合征的局部肌肉特征与运动康复策略研究进展

Advances on the local muscle characteristics and exercise rehabilitation strategies for patellofemoral pain syndrome

髌股疼痛综合征(patellofemoral pain syndrome,PFPS)是一种常见的膝关节疾病,占膝关节运动损伤的25%~40%^([1])。该疾病的主要特征为髌后或髌骨周围疼痛,尤其是在膝关节负荷增加的活动中,如跑步、骑自行车、下蹲、上下楼梯、久坐等^([2]),其它的症状包括关节摩擦感和“打软腿”等。

Patellofemoral pain syndrome(PFPS)is a common knee disorder characterized by pain around the knee joint,especially during the movement with increased load.The risk factors for the disorder mainly include neuromuscular factors and sociopsychological factors.Patients with patellofemoral pain syndrome may experience a series of changes in local muscle characteristics,including muscle strength,electromyographic,and morphology features.Clarifying local muscle characteristics can help carry out clinical rehabilitation practice and guide scientific research.Patellofemoral pain syndrome is mainly intervened through non-surgical methods,among which sport rehabilitation intervention is the most effective means.At present,knee sport rehabilitation,hip and knee combined sport rehabilitation,sport taping,and rehabilitation education are listed as rehabilitation strategies.In clinical practice,evidence-based medicine should be used as the basis to establish a patient-centered comprehensive plan for early recovery.