冲击波治疗髌腱腱病影像变化及疗效研究-体育学专业论文.docx

ABSTRACT Purpose: To observe the image changes and the effectiveness of the extracorporeal shock wave therapy for patellar tendinopathy from the aspects of eliminating the clinical symptoms,improving the knee function and repairing the patellar tendon tissues.To study the mechanism of the extracorporeal shock wave therapy for treating patellar tendinopathy from the aspect of morphosis and to discuss the value of musculoskeletal ultrasound in application of diagnosis, location and assessment for patellar tendinopathy. Method: The 65 cases were randomly divided into the treatment group (33 cases) and the control group(32 cases), The treatment group received five sessions of radial shock wave therapy at 1-week intervals and the control group just received relative rest. The outcome measurment include VAS, VISA, Lysholm and 2000 IKDC. The image changes were evaluated by musculoskeletal ultrasound examination. The effectiveness were observed from the aspects of eliminating the clinical symptoms,improving the knee function and repairing the patellar tendon tissues. The follow-up were scheduled continu 9 months. Result: 1.VAS score: The total VAS scores both of the treatment group and the control group were improved after 9 months and they were statistically significant (P＜0.05), and the treatment group was better than the control group (P＜0.05). 2.VISA, Lysholm and 2000 IKDC score: The VISA, Lysholm and 2000 IKDC scores both of the treatment group and the control group were improved after 9 months and they were statistically significant (P＜0.01), the treatment group was superior to the control group in all these scores (P＜0.01). 3.Ultrasound evaluation: ①Patellar tendon length.In both the treatment group and the control group, the patellar tendons of their affected legs were longer than that of their normal contralateral legs in length before the intervention (P＜0.05), and the patellar tendons of their affected legs became significantly shorter than before after 6 momths