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| Clinical Application of Extracorporeal Shock Wave Combined with Eccentric Exercise Training in Patients with Patellofemoral Pain Syndrome |
| LI Gufeng, WU Jian, LI Ling, et al |
| Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 101199, China |
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Abstract Objective: To investigate the clinical effect of extracorporeal shock wave combined with eccentric exercise training on patients with patellofemoral pain syndrome.Methods: A total of 124 patients with patellofemoral pain syndrome admitted to our hospital from January 2019 to December 2021 were selected for research, and they were divided into the experimental group and the control group by a simple random method using a random number table, 62 cases in each group. Both groups received conventional rehabilitation training, and extracorporeal shock wave treatment was given to the control group, and extracorporeal shock wave combined with centrifugal exercise training was given to the test group. After 8 weeks of treatment, the pain visual analog scale (VAS) and Kujala Patellofemoral Score (KPS) were compared between the two groups before and after treatment, and the following parameters in X-ray were analyzed: distal femur valgus angle (distal femur valgus angle) , DFVA), proximal tibial varus angle (PTVA), femoral angle (FA), tibia angle (TA), tibiofemoral angle (TFA), Insall- Salvati index (ISR), ditch angle (SA), lateral patella angle (LPA), congruence angle (CA), patellofemoral index (PI), and Berg balance scale. Results: The difference of VAS scores in the experimental group before and after treatment was greater than that in the control group (P<0.05); the difference in KPS scores in the experimental group before and after treatment was greater than that in the control group (P<0.05); the values of ISR, SA, PA and PI in the experimental group after treatment were lower than those in the control group group (P<0.05); TFA in the experimental group was higher than that in the control group after treatment (P<0.05), and there was no significant difference in DFVA, PTVA, FA, TA, and CA values between the two groups before and after treatment (P>0.05). Conclusion: Extracorporeal shock wave combined with eccentric exercise training can effectively relieve pain in patients with patellofemoral pain syndrome in the short term, and also has a significant effect in improving knee joint function, but further research is needed to evaluate its therapeutic effect from various aspects.
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2022, Vol. 28 
