干针法治疗髌上肌腱炎1例

IF 0.5 4区 医学 Q4 REHABILITATION Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2022-12-10 DOI:10.1055/a-2065-3790
M. Shahbazi
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引用次数: 0

摘要

摘要背景髌骨肌腱炎在跳跃运动中很常见。髌骨肌腱病引起的疼痛很难控制。干针作为肌腱病的独立治疗是支持的。据我们所知,干针从来没有单独使用过。本病例报告描述了在髌骨近端干针刺。病例描述一名43岁男性,表现为左侧髌上肌腱炎。他在没有热身的五人制足球比赛中受伤了四个月。髌骨上极触痛,引起中度疼痛。膝关节屈曲20度时,双腿深蹲时开始感到不适。克拉克的标志,古怪的步骤,并加快测试显示积极的结果。患者在髌骨近端接受5次DN,每周2次。本研究的主要结果是数值疼痛评定量表(NPRS)、Kujala膝关节前侧疼痛评定量表(AKPS)、整体变化评定量表(GRC)和深蹲时膝关节屈曲角度。研究人员在五个阶段收集数据。结果:患者的主要预后指标在3周的DN和3个月的随访后得到改善。NPRS显示疼痛减轻,而AKPS显示残疾减少。结论应用DN成功治疗髌上肌腱病变可能是本病例首次报道。这项研究证明了干针作为治疗有创伤史的慢性肌腱病的一线治疗方法的有效性。
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The Effect of Dry Needling on Suprapatellar Tendonitis: A Case Report
Abstract Background Patellar tendinitis is common in jumping sports. Pain from patellar tendinopathy is challenging to manage. Dry needling as a stand-alone treatment for tendinopathy is supported. To our knowledge, dry needling has never been used alone. This case report depicts dry needling on the proximal patellar pole. Case description A 43-year-old male presented with left suprapatellar tendinitis. He was injured four months before beginning dry needling while playing futsal without warming up. The superior pole of the patellar was tender to palpation and caused moderate pain. At 20 degrees of knee flexion, discomfort began during double leg squats. The Clarke’s Sign, Eccentric Step, and Step Up tests showed positive results. The patient received five sessions of DN at the proximal pole of the patella twice weekly. This study’s primary outcomes were the numeric pain rating scale (NPRS), the Kujala Anterior Knee Pain Scale (AKPS), the global rating of change scale (GRC), and the angle of knee flexion during the squat. The researcher collected data at the five stages. Outcomes The patient’s primary outcome measures improved after three weeks of DN and three months of follow-up. The NPRS showed a reduction in pain, while the AKPS demonstrated a decrease in disability. Conclusion The successful treatment of a patient with suprapatellar tendinopathy utilizing DN is possibly described for the first time in this case report. This study demonstrated the efficacy of dry needling as a first-line treatment for managing chronic tendinopathy with a history of trauma.
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来源期刊
CiteScore
1.10
自引率
25.00%
发文量
70
审稿时长
3 months
期刊介绍: The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine. Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.
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