中国组织工程研究

中国组织工程研究 ›› 2025, Vol. 29 ›› Issue (18): 3798-3803.doi: 10.12307/2025.656

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

运动疗法激活臀肌改善青年男性膝前痛患者的下肢肌力

吴  悦1，2，任  爽2，黄红拾2，代瑞兰1，敖英芳1，2，苟  波3   

  1. 1天津体育学院，天津市  301617；2北京大学第三医院运动医学科，北京大学运动医学研究所，北京市运动医学关节伤病重点实验室，北京市  100191；3西安体育学院，陕西省西安市  710068

  • 收稿日期:2024-06-17 接受日期:2024-07-30 出版日期:2025-06-28 发布日期:2024-11-28
  • 通讯作者: 敖英芳，硕士，主任医师，教授，博士生导师，天津体育学院，天津市 301617；北京大学第三医院运动医学科，北京大学运动医学研究所，北京市运动医学关节伤病重点实验室，北京市 100191 共同通讯作者：苟波，博士，教授，硕士生导师，西安体育学院，陕西省西安市 710068
  • 作者简介:吴悦，女，1995年生，河北省廊坊市人，汉族，天津体育学院在读博士，主要从事运动损伤康复研究。 通讯作者：
  • 基金资助:
    国家自然科学基金项目(31900943)，项目负责人：敖英芳；北京市自然科学基金项目(7232354)，项目负责人：任爽；北京大学第三医院院临床重点项目(BYSY2022058)，项目负责人：任爽

Gluteal muscle activation exercise therapy improves lower limb muscle strength in young male patients with anterior knee pain

Wu Yue1, 2, Ren Shuang2, Huang Hongshi2, Dai Ruilan1, Ao Yingfang1, 2, Gou Bo3   

  1. 1Tianjin University of Sports, Tianjin 301617, China; 2Institute of Sports Medicine, Peking University Third Hospital; Beijing Key Laboratory of Sports Injuries, Beijing 100191, China; 3Xi’an Physical Education University, Xi’an 710068, Shaanxi Province, China
  • Received:2024-06-17 Accepted:2024-07-30 Online:2025-06-28 Published:2024-11-28
  • Contact: Gou Bo, PhD, Professor, Master’s supervisor, Xi’an Physical Education University, Xi’an 710068, Shaanxi Province, China
  • About author:Wu Yue, Doctoral candidate, Tianjin University of Sports, Tianjin 301617, China Corresponding author: Ao Yingfang, MS, Chief physician, Doctoral supervisor, Tianjin University of Sports, Tianjin 301617, China; Institute of Sports Medicine, Peking University Third Hospital; Beijing Key Laboratory of Sports Injuries, Beijing 100191, China; Xi’an Physical Education University, Xi’an 710068, Shaanxi Province, China
  • Supported by:
    the National Natural Science Foundation of China, No. 31900943 (to AYF); the Natural Science Foundation of Beijing, No. 7232354 (to RS); Clinical Key Project of Peking University Third Hospital, No. BYSY2022058 (to RS)

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摘要：


文题释义：
运动疗法：是一种以运动和身体活动为主的康复治疗方法，可以帮助患者恢复或提高身体功能、增强身体素质、减轻症状、促进康复和提高生活质量。
臀肌激活：通过对臀肌(主要包含臀大肌、臀中肌和臀小肌)进行训练或锻炼，以增强臀肌力量和功能。


背景：目前发现膝前痛与下肢生物力学有关，但仍缺少臀肌训练对膝关节及下肢日常活动影响的研究。

目的：探究臀肌激活运动疗法对青年男性膝前痛患者髋、膝关节肌群肌肉力量和疼痛的影响。
方法：纳入25例男性青年膝前痛患者，随机分为2组，臀肌激活组12例和空白对照组13例。臀肌激活组进行40 min/次、3次/周、为期6周的臀肌激活运动；空白对照组不进行任何干预。入组和干预6周后评估患侧髋关节、膝关节在60 (°)/s和180 (°)/s下等速屈伸运动测试的相对峰力矩、总功、屈伸肌群比值、肌肉耐力值，爬楼运动测试中停止爬楼的楼层，以及目测类比评分。
结果与结论：①等速屈伸运动测试：髋关节，干预后臀肌激活组在60 (°)/s 和180 (°)/s的相对峰力矩较干预前显著提高29.74%和25.95% (P=0.022，P=0.024)；空白对照组在180 (°)/s时的肌耐力较干预前降低12.12% (P=0.000)。膝关节，干预后臀肌激活组在60 (°)/s 和180 (°)/s的相对峰力矩较干预前显著提高18.69%和7.27% (P=0.006，P=0.033)；空白对照组各指标干预前后无著性变化(P > 0.05)。②爬楼运动测试：臀肌激活组爬楼运动停止时的楼层数较空白对照组高(6.41±6.1)层(P=0.024)，干预后较干预前增高(P=0.016)；空白对照组干预前后无显著改变(P > 0.05)。③疼痛评估：干预后臀肌激活组目测类比评分显著低于空白对照组(P=0.036)，干预后较干预前降低(P=0.000)；空白对照组干预前后无显著性变化(P > 0.05)。结果表明：6周臀肌激活运动疗法可改善下肢肌群的爆发力和耐力，减轻膝前痛程度，对于膝前痛患者有必要进行臀肌训练，以促进康复。
https://orcid.org/0000-0003-4591-807X(吴悦)

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: 臀肌激活, 运动疗法, 膝前痛, 下肢, 髋关节, 膝关节, 等速肌力, 目测类比评分, 工程化运动疗法

Abstract: BACKGROUND: It has been found that anterior knee pain is related to the biomechanics of the lower limbs, but there is still a lack of research on the effects of gluteal muscle training on the knee joint and daily activities of the lower limbs. 
OBJECTIVE: To investigate the effects of gluteal muscle activation exercise therapy on the muscle strength of hip and knee joint muscle groups and pain in young male patients with anterior knee pain. 
METHODS: Twenty-five young male patients with anterior knee pain were enrolled and randomly divided into two groups: gluteal muscle activation group (n=12) and blank control group (n=13). The gluteal muscle activation group performed gluteal muscle activation exercises, 40 minutes each, 3 times/week, for 6 weeks. The blank control group did not perform any intervention. Assessments were conducted at the time of enrollment and again after 6 weeks. The relative peak torque, total work, ratio of flexors and extensors, and muscle endurance values of the affected hip and knee joints were evaluated through isokinetic flexion and extension tests at 60 (°)/s and 180 (°)/s. At the same time, floors at which climbing was stopped in the stair-climbing test were detected and the visual analog scale score was assessed. 
RESULTS AND CONCLUSION: (1) Isokinetic knee extension and flexion test: For the hip joint, the gluteal muscle activation group showed a significant increase in the relative peak torque at 60 (°)/s and 180 (°)/s by 29.74% and 25.95% respectively after intervention (P=0.022, P=0.024); the blank control group showed a 12.12% decrease in muscle endurance at 180 (°)/s compared to before intervention (P=0.000). For the knee joints, the gluteal muscle activation group had a significant increase in the relative peak torque at 60 (°)/s and 180 (°)/s by 18.69% and 7.27% respectively after intervention (P=0.006, P=0.033); there were no significant changes in the blank control group before and after intervention (P > 0.05). (2) Stair-climbing test: The number of floors climbed to cessation in the gluteal muscle activation group was (6.41±6.1) floors, which was higher than that in the blank control group (P=0.024), and increased by 33.11% compared with before intervention (P=0.016); there were no significant changes in all the indicators of the blank control group before and after intervention (P > 0.05). (3) Pain assessment: After intervention, the visual analogue scale score of the gluteal muscle activation group was significantly lower than that of the blank control (P=0.036), and also decreased compared to before intervention (P=0.000); there were no significant changes in the blank control group before and after intervention (P > 0.05). To conclude, the 6-week gluteal activation exercise therapy can improve the explosive power and endurance of the lower limb muscles, and reduce the degree of anterior knee pain. For patients with anterior knee pain, gluteal muscle training is necessary to promote recovery.

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

Key words: gluteal muscle activation, exercise therapy, anterior knee pain, lower limb, hip, knee joint, isokinetic strength, visual analogue scale score, engineered exercise therapy

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