中国组织工程研究

中国组织工程研究 ›› 2022, Vol. 26 ›› Issue (11): 1662-1668.doi: 10.12307/2022.348

• 肌肉肌腱韧带组织构建 tissue construction of the muscle, tendon and ligament • 上一篇    下一篇

八段锦训练治疗髌腱末端病的随机对照：改善疼痛、肌肉柔韧性及下肢平衡稳定性

赵田芋1，晋  松2，张  迪2，刘晓潇1，马  江1，王  菊1   

  1. 1成都中医药大学，四川省成都市   610072；2成都中医药大学附属医院，四川省成都市   610075
  • 收稿日期:2021-03-10 修回日期:2021-03-11 接受日期:2021-03-31 出版日期:2022-04-18 发布日期:2021-12-11
  • 通讯作者: 晋松，博士，教授，成都中医药大学附属医院，四川省成都市 610075
  • 作者简介:赵田芋，女，1996年生，四川省达州市人，汉族，2021年成都中医药大学毕业，硕士，主要从事骨关节疾病的临床及基础研究。
  • 基金资助:
    四川省科技厅课题(2020YFS0381)，课题名称：石墨烯扶阳杵针防治膝关节半月板损伤的研究，项目负责人：晋松

Baduanjin training for patellar tendinopathy in a randomized controlled trial: improving pain, muscle flexibility and lower limb balance stability

Zhao Tianyu1, Jin Song2, Zhang Di2, Liu Xiaoxiao1, Ma Jiang1, Wang Ju1   

  1. 1Chengdu University of Traditional Chinese Medicine, Chengdu 610072, Sichuan Province, China; 2Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, Sichuan Province, China
  • Received:2021-03-10 Revised:2021-03-11 Accepted:2021-03-31 Online:2022-04-18 Published:2021-12-11
  • Contact: Jin Song, MD, Professor, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, Sichuan Province, China
  • About author:Zhao Tianyu, Master, Chengdu University of Traditional Chinese Medicine, Chengdu 610072, Sichuan Province, China
  • Supported by:
    a grant from Sichuan Provincial Department of Science and Technology, No. 2020YFS0381 (to JS) 

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摘要：

文题释义：
髌腱末端病：特指发生在髌腱末端区域的肌腱末端病，又被称为跳跃膝、髌骨末端炎等，主要表现为起跳或者下蹲时髌骨下端疼痛，膝关节酸软无力等运动功能降低。
八段锦训练：是中国传统运动功法之一，总共包含8个术式，能够调整肢体功能。

背景：髌腱末端病的现有治疗方法有待进一步完善，探索针对髌腱末端病的普适性运动训练方案对于优化髌腱末端病的临床治疗措施具有积极意义。
目的：探究八段锦训练联合冲击波治疗对髌腱末端病的临床疗效。
方法：将髌腱末端病患者随机分为2组，进行为期4周的临床干预，对照组采用冲击波治疗，试验组在对照组基础上联合八段锦训练。以目测类比评分、闭目单足站立时长、改良托马斯试验膝屈曲角度、垂直纵跳状态、三维步态等为观察指标，在干预前后对受试者的疼痛程度、肌肉柔韧性和运动功能等进行评估，并对受试者的疼痛情况进行为期1个月的随访观察，通过对比两组差异来评估八段锦训练对髌腱末端病的临床疗效。
结果与结论：①随访1个月，试验组髌腱末端病患者的目测类比评分显著低于对照组(t=-2.744，P < 0.05)；②干预4周后，试验组改良托马斯试验时的膝关节屈曲角度显著大于对照组(t=2.738，P < 0.05)；③干预4周后，试验组患者闭目单足站立时间明显长于对照组(z=-4.544， P < 0.05)；④干预4周后，试验组患者落地时的髋关节屈曲角度(t=2.584，P < 0.05)、膝关节屈曲角度(t’=2.053，P < 0.05)均显著大于对照组；⑤干预4周后，试验组患者步行过程中的膝伸展角度小于对照组(t=-3.081，P < 0.05)；⑥结果表明八段锦训练可以缓解髌腱末端病患者的疼痛，增加患者下肢平衡稳定性以及肌肉的柔韧性，提升下肢发力与缓冲能力，减少患者步行过程中的异常膝伸展，缩短整个康复周期。 

https://orcid.org/0000-0002-4748-1628 (赵田芋) 

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

关键词: 八段锦, 髌腱末端病, 冲击波, 三维步态, 膝关节, 髋关节, 随机对照

Abstract: BACKGROUND: Existing treatments for patellar tendinopathy need to be further improved. It is of positive significance to explore universal exercise training for patellar tendinopathy in clinical practice.
OBJECTIVE: To explore the clinical effect of Baduanjin training combined with shockwave therapy for patellar tendinopathy.
METHODS: Patients with patellar tendinopathy were randomly divided into two groups, followed by 4 weeks clinical intervention: shockwave therapy was given in the control group, while Baduanjin training combined with shockwave therapy was given in the trial group. Pain, muscle flexibility, and motor function were assessed using several observational indicators, including Visual Analogue Scale score, time of standing on one foot with closed eyes, knee flexion angle in modified Thomas test, vertical jump state and three-dimensional gait. All the patients were followed up for 1 month in terms of pain assessment. Clinical efficacy of Baduanjin training for patellar tendinopathy was compared between two groups. 
RESULTS AND CONCLUSION: Findings from the 1-month follow-up showed that Baduanjin training could significantly decrease the Visual Analogue Scale scores of patients patellar tendinopathy (t=-2.744, P < 0.05). After 4 weeks of intervention, Baduanjin training could significantly increase the knee flexion angle in the modified Thomas test (t=2.738, P < 0.05). The standing time of patients with closed eyes was significantly prolonged after Baduanjin training as compared with the shockwave therapy (z=-4.544, P < 0.05). Baduanjin training could increase the hip joint flexion angle (t=2.584, P < 0.05) and the knee joint flexion angle (t'=2.053, P < 0.05). Baduanjin training could decrease the knee extension angle during walking (t=-3.081, P < 0.05). To conclude, Baduanjin training could relieve the pain of patients with patellar tendinopathy, increase the balance stability and muscle flexibility of the lower limbs, improve the power and buffer ability of the lower limbs, reduce the abnormal knee extension during walking, and shorten the time of whole rehabilitation.

Key words: Baduanjin, patellar tendinopathy, shockwave, three-dimensional gait, knee joint, hip joint, randomized controlled trial

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