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髕骨股骨疼痛症候群的整合療法-病例報告

Integrative Therapy for Patellofemoral Pain Syndrome - A Case Report

摘要


髕骨股骨疼痛症候群,為常見的膝關節疼痛原因之一,近四分之一的路跑者因此導致膝關節損傷。此篇病例報告即是一位45歲之女性,六年前因路跑導致膝蓋疼痛反覆不癒,前往本院中醫部就診。經診斷後施以針灸合併經皮神經電刺激與低能量雷射,改善患者反覆膝痛症狀,本病例顯示合併治療方式對於髕骨股骨疼痛症候群所造成的膝蓋疼痛有顯著效果。本文透過此病例進一步探討相關機轉,為中醫針灸結合現代醫學注入新的治療思維模式。

並列摘要


Patellofemoral pain synrdrome (PFPS) or chondromalacia patella syndrome is one of the common causes of knee pain. PFPS affects many running athletes and constitutes nearly 25% of all identified knee injuries. This case is of a 45-year-old woman who often suffered from knee pain after a running race that she participated in 6 years previously. Her pain was relieved after receiving treatment of acupuncture combined with transcutaneous electrical nerve stimulation and low-intensity laser therapy. This case indicates that combined therapy can treat knee pain caused by PFPS. This study aimed to explore the mechanism underlying combined therapy and incorporate the new module into traditional Chinese medicine acupuncture.

參考文獻


Boling, M,Padua, D,Marshall, S,Guskiewicz, K,Pyne, S,Beutler, A.(2010).Gender differences in the incidence and prevalence of patellofemoral pain syndrome.Scand. J. Med. Sci. Sports.20(5),725.
Mizuno, Yasayuki,Kumagai, Masaru,Mattessich, Stephen M.,Elias, John J.,Ramrattan, Navin,Cosgarea, Andrew J.,Chao, Edmund Y. S.(2001).Q-angle influences tibiofemoral and patellofemoral kinematics.Journal of Orthopaedic Research.19(5),834-840.
SOUZA, RICHARD B.(2009).Differences in Hip Kinematics, Muscle Strength, and Muscle Activation Between Subjects With and Without Patellofemoral Pain.J. Orthop. Sports Phys. Ther..39,12-19.
Boling, MC,Padua, DA,Marshall, SW,Guskiewicz, K,Pyne, S,Beutler, A.(2009).A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) cohort.Am. J. Sports Med..37(11),2108.
Rauh, MJ,Macera, CA,Trone, DW,Reis, JP,Shaffer, RA(2010).Selected static anatomic measures predict overuse injuries in female recruits.Mil. Med..175(5),329.

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