浮针联合高负荷低速抗阻训练治疗运动员髌腱末端病的随机单盲对照研究

关键词：髌腱末端病  运动员  浮针  高负荷低速抗阻训练

Keywords:patellar tendinopathy  athletes  Fu’s subcutaneous needling  heavy slow resistance training

摘要：

      摘要 目的：探讨浮针联合高负荷低速抗阻训练（HSR）治疗运动员髌腱末端病的疗效。 方法：招募42例患有髌腱末端病的运动员，按照随机数字表法分为联合组与对照组，每组各21例受试者。对照组单纯予以HSR训练干预12周，联合组在对照组基础上加以浮针干预。干预前后使用疼痛视觉模拟评分（VAS）、维多利亚运动研究所髌腱病评估量表（VISA-P）、改良托马斯测试（MTT）、立定跳远距离评估疗效，以及利用肌骨超声评估干预方式对受试者髌腱厚度和血流的影响。 结果：与干预前相比，两组运动员干预后VAS评分、VISA-P评分、MTT测试、立定跳远距离均显著改善（P<0.05），髌腱厚度显著降低（P<0.05），髌腱内血流显著减少。干预12周后，联合组在VAS评分、VISA-P评分、MTT测试、立定跳远距离等指标优于对照组（P<0.05）。两组干预过程中均未出现不良反应。 结论：相比单一HSR训练，浮针联合HSR训练能进一步改善患有髌腱末端病运动员的疼痛症状与运动能力。

Abstract:

      Abstract Objective： To investigate the efficacy of Fu’s subcutaneous needling combined with heavy slow resistance training （HSR） in the treatment of athletes with patellar tendinopathy. Method：Forty-two athletes with patellar tendinopathy were recruited and divided into a combination group and a control group according to random number table， with 21 subjects in each group. The control group received HSR training and intervention for 12 weeks， whereas the combination group received Fu’s subcutaneous needling intervention based on the control group. Before and after the intervention， the Visual Analog Pain Scale （VAS）， the Victoria Institute of Exercise Patellar Tendinopathy Assessment Scale （VISA-P）， the Modified thomas test （MTT）， and Horizontal jump were used to evaluate the efficacy， and Musculoskeletal ultrasound image was used to evaluate the effects of the intervention method on the thickness of the patellar tendon and blood flow. Result： Compared with baseline， the VAS score， VISA-P score， MTT test， and Horizontal jump of the athletes in both groups were significantly improved （P<0.05）， the thickness of the patellar tendon was significantly reduced （P<0.05）， and the blood flow in the patellar tendon was significantly reduced. After 12 weeks of intervention， the combined group was better than the control group in terms of VAS score， VISA-P score， MTT test， Horizontal jump （P<0.05）. No adverse reactions occurred during the intervention process in both groups. Conclusion： Compared with HSR training alone， the combination of Fu’s subcutaneous needling combined and HSR training may improve pain symptoms and athletic performance in athletes with patellar tendinopathy.