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目的:通过水中运动疗法和常规疗法的对比,观察水中运动疗法对髌腱腱围炎患者的康复作用.方法:将符合标准的20位髌腱腱围炎患者分为实验组与对照组,每组10人.对照组进行常规疗法治疗,实验组在常规疗法基础上进行水中运动.互作疗效对比.结果:两组治疗前后膝关节功能评分均有非常显著性差异(P<0.01);治疗组相比对照组在治疗后膝关节功能评分有显著性差异(P<0.05).结论:水中运动疗法更适合膑腱腱围炎患者的功能康复.  相似文献   
2.
Groin injuries are common in soccer and often cause time-loss from training. While groin injuries have been linked to full effort kicking, the role of inside passing is unclear. Therefore, the purpose of this study was to investigate hip joint kinematics and muscle force, stress and contraction velocity for adductor longus and gracilis during inside passing. 3D kinematics of ten soccer players (23.4 yrs; 77.5 kg; 1.81 m) were captured with a motion capture system inside a Footbonaut. Muscle force and contraction velocity were determined with AnyBody Modelling System. Gracilis muscle forces were 9% lower compared to adductor longus (p = 0.005), but muscle stress was 183% higher in gracilis (p = 0.005). Contraction velocity reveals eccentric contraction of gracilis in the last quarter of the swing phase. Considering the combination of eccentric contraction, high muscle stress and the repetitive nature of inside passing, gracilis accumulates high loads in matches and training. These results indicate that the high incidence of groin injuries in soccer could be linked to isolated pass training. Practitioners need to be aware of the risk and refrain from sudden increases in the amount of pass training. This gives the musculoskeletal system time to adapt and might avoid career threatening injuries.  相似文献   
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Abstract

Cartilage oligomeric matrix protein is a structural protein of the extracellular matrix, while thrombospondin-2 is a matricellular protein involved in cell–matrix interactions. Recent studies have shown that genetic variation is a significant risk factor for Achilles tendinopathy, and the genes encoding cartilage oligomeric matrix protein (COMP) and thrombospondin-2 (THBS2) were identified as good candidate genes for association with Achilles tendinopathy. This study aimed to test the association of sequence variants within these candidate genes with the risk of Achilles tendinopathy in participants from South Africa (SA) and Australia (AUS). Three-hundred and forty (133 SA; 207 AUS) control participants with no history of Achilles tendinopathy and 178 (94 SA; 84 AUS) participants clinically diagnosed with Achilles tendinopathy were genotyped for five single nucleotide polymorphisms within the COMP and THBS2 genes in this case-control study. There was no difference in genotype distributions between control and tendinopathy groups for either the THBS2 variants rs9505888, rs6422747 and rs9283850, or the COMP variants rs730079 and rs28494505 in the SA and AUS populations. As the selection of COMP and THBS2 as candidate genes was hypothesis driven, based on biological function, the possibility that other variants within these genes are associated with Achilles tendinopathy cannot be excluded.  相似文献   
4.
摘要:目的:观察1个疗程(7天)的治疗后PNF牵伸术对患有髌腱腱围炎的运动员Irrgang膝关节功能评定法(适用于运动员)的影响,探讨PNF牵伸术治疗运动员髌腱腱围炎的疗效。方法:60名符合诊断标准的运动员随机分为实验组和对照组,每组30人。实验组运用PNF牵伸术进行治疗1个疗程,对照组采用针灸结合手法进行治疗1个疗程,收集治疗前、后每个运动员的Irrgang膝关节功能评定法评分,并对实验结果进行分析。结果:实验组实际收集25名运动员,对照组实际收集27名运动员。实验组治疗前评分62.32±7.16,治疗后评分77.36±12.97,治疗前后评分上升了14.96±10.25;对照组治疗前评分63.19±8.12,治疗后评分84.89±7.22,治疗前后评分上升了21.70±8.90,经过统计学分析,Z=-2.265,P=0.024<0.05,差异有显著性意义。结论:PNF牵伸术有明确的实用价值,经过治疗可以改善患有髌腱腱围炎运动员的膝关节功能。但从临床意义上讲,PNF牵伸术作为一种独立的治疗技术,目前还无法完全替代针灸、手法等传统优势治疗项目,我们建议治疗时与其他手段联合使用。  相似文献   
5.
介绍“阻断法”的操作方法,并以实验对用此方法配合康复方案治疗篮球运动员髌腱末端病进行研究。结果表明,“阻断法”配合康复方案比单纯使用该康复方案效果更为明显。篮球运动员在实践中熟练地使用该技术对损伤的预防与康复均有良好效果。  相似文献   
6.
目的:评估体外冲击波联合肌内效贴治疗跟腱腱病的临床疗效。方法:选取20名研究对象,随机分成单纯冲击波治疗(ESWT)组和体外冲击波联合肌内效贴共同治疗(ESWT+KT)组,每组各10人。分别于治疗前、治疗后1个月、治疗后3个月对所有患者采用VISA-A跟腱腱病评分表进行评分。在治疗后3个月时采用6点Likert评分表对患者主观满意度进行评价,在治疗前和治疗后3个月用高频彩超对比跟腱纤维形态变化。结果:(1)VISA-A评分:ESWT、ESWT+KT两组治疗后VISA-A评分与其治疗前比较存在显著的统计学差异(P<0.01);ESWT+KT组治疗后各时间点与治疗前的VISA-A评分差值与ESWT组相比存在统计学差异(P<0.05)。(2) 6点Likert评分:ESWT+KT组的患者满意率为100%,高于ESWT组(80%)。(3)高频彩超:ESWT、ESWT+KT两组治疗后的跟腱肿胀比治疗前都有缓解,且ESWT+KT组的肿胀改善程度优于ESWT组。结论:体外冲击波治疗跟腱腱病和联合肌内效贴共同治疗跟腱腱病都能够改善症状,患者满意程度高,且联合治疗组的疗效要优于单独治疗组。  相似文献   
7.
Abstract

Chronic knee disorders, such as patellofemoral pain syndrome and patellar tendinosis, are common injuries in volleyball players. Using a randomized clinical trial, the aim of the present study was to determine the effect of a 4-month in-season intervention programme on the prevalence of anterior knee pain in volleyball players. No significant differences were observed between the intervention and control group for the prevalence of anterior knee pain after the intervention programme (odds ratio =1.58 [95% confidence interval: 0.60–4.20]). Also, no significant differences were observed for individuals with previously sustained anterior knee pain (OR =0.81 [95% CI: 0.33–2.20]). It was revealed that the risk for recurrent anterior knee pain is significantly higher than the risk for newly sustained anterior knee pain (OR =5.79 [95% CI: 1.59–21.00]). In conclusion, we were unable to confirm any preventive effect of the intervention programme on the prevalence of anterior knee pain. However, a previous study using the same intervention and measuring the effect on the intrinsic risk factors of anterior knee pain showed a positive effect.  相似文献   
8.
目的:采用磁共振(MRI)超短回波时间序列(UTE)评估冈上肌腱的病变程度,探讨UTE序列在游泳运动员冈上肌腱腱病中的诊断价值。方法:纳入2016年3月-2017年2月于复旦大学附属华山医院运动医学科就诊的肩痛游泳运动员共10名(病变组),并招募健康志愿者10名(对照组)。对所有受试者肩关节行MRI常规序列和UTE序列,对冈上肌腱病变进行分级,测量UTE-T2*值后做两组间的比较及病变组内不同分级病例间的比较。结果:所有受检者的常规MRI图像均无明显的肩袖撕裂征象。磁共振常规序列显示对照组中0级4例,1级6例;而病变组中0级3例,1级7例,两组之间结果没有显著差异(P>0.05)。磁共振UTE序列结果显示病变组冈上肌腱整体区域及止点区域T2*值均显著高于对照组(P<0.05);病变组0级病例止点区域T2*值与1级病例之间没有显著差异(P>0.05)。结论:UTE序列能够定量评估冈上肌腱情况,这有助于游泳运动员肩关节疼痛的早期发现与准确诊断。  相似文献   
9.
篮球运动中膝关节髌骨劳损是最为常见的损伤,结合劳损原因,阐述篮球运动中膝关节髌骨劳损的体育康复方法和预防措施。  相似文献   
10.
采用点揉、点穴、膝关节摇法、膝关节屈伸等推拿手法,对实验兔骨关节炎实施手法,通过对膝关节活动度、髌韧带拉伸长度及强度的对照比较,证明推拿治疗能改善关节活动度,恢复韧带弹性。通过检测和对比软骨厚度以及IL-1、IL-6在软骨中的平均光密度表达,证实推拿可使炎性反应明显减轻,关节软骨缺失得到延缓。  相似文献   
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