ارزیابی راستای کشکک در سندرم درد کشککی- رانی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد فیزیوتراپی دانشکده علوم توانبخشی دانشگاه علوم پزشکی ایران. تهران. ایران

2 دکترای تخصصی فیزیوتراپی، استاد گروه آموزشی فیزیوتراپی. دانشکده علوم توانبخشی دانشگاه علوم پزشکی ایران. تهران. ایران

3 دکترای تخصصی فیزیوتراپی، استادیار گروه فیزیوتراپی. آموزشی دانشکده علوم توانبخشی دانشگاه علوم پزشکی ایران. تهران. ایران

چکیده

مقدمه و اهداف
سندرم دردکشککی- رانی یک عارضه رایج عضلانی- اسکلتی است. این سندرم، دارای عوامل مختلفی است. راستای نامناسب کشکک، به عنوان علت درد و اختلال مفصل کشککی- رانی، شناخته شده است. هدف از این مطالعه، مقایسه راستای کشکک بین بیماران مبتلا به سندرم درد کشککی- رانی و افراد سالم بود.
مواد و روش ها
روش نمونه گیری به شیوه غیراحتمالاتی ساده از بیماران مراجعه کننده به کلینیک فیزیوتراپی بود. راستای کشکک بین دو گروه مقایسه شد: بیست و پنج بیمار مبتلا به سندرم درد کشککی رانی با سابقه 15-12 ماه  و 25 فرد سالم همجور با بیماران. زاویه کیو به صورت بالینی با استفاده از گونیومتر و زاویه کانگروئنس، طول کشکک و زاویه تیلت خارجی کشکک با استفاده از تصاویر رادیوگرافی اندازه گیری شد.
 یافته ها
طول کشکک و تیلت خارجی کشکک در گروه بیماران، از نظر آماری بزرگتر از افراد سالم بود. زاویه کیو و زاویه کانگروئنس  بین دو گروه، تفاوت آماری معناداری نداشت.
نتیجه گیری
عدم درمان به موقع و سریع بیماران مبتلا به سندرم درد کشککی- رانی زمینه مساعدی برای تغییر راستای کشکک فراهم می کند. بنابراین برای پیشگیری از تغییرات راستای کشکک در این بیماران مناسب است در طراحی برنامه درمانی به رفع هر چه سریعتر عوامل زمینه ساز و اصلاح راستای کشکک توجه شود.

کلیدواژه‌ها


عنوان مقاله [English]

Evaluation of Patellofemoral alignment in patellofemoral pain syndrome

نویسندگان [English]

  • Zohreh Ebrahimi 1
  • Mohammad Akbari 2
  • Ali Amiri 3
1 MSc in Physiotherapy, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran.
2 Professor of Physiotherapy, Department of Physiotherapy, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran
3 Assistant Professor of Physiotherapy, Department of Physiotherapy, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Aim: Patellofemoral pain syndrome (PFPS) is one of the most frequentl musculoskeletal disorders. The cause of PFPS has been reported to be multifactorial. Patellar malalignments are accepted as the leading cause of PF pain and PF joint disorders. The purpose of the present study was to compare the patellar alignment between subjects with patellofemorall pain syndrome and healthy subjects.
Materials and Methods: Patellar alignment was compared in two groups.  Twenty five patients with 12-15 months of PFPS and 25 matched healthy subjects were selected to take part in the study. Congruence angle, Patella height, and Lateral patellar tilt angle were measured by radiographic images. Also, quadriceps angle was measured clinically.
Results: The patella alta and lateral patellar tilt angle were significantly greater in patients group compared with those in the healthy group. There was no significant difference in Q angle and Congruence angle between the two groups.
Conclusion: Delays in treatment of patients with patellofemoral pain syndrome provide direction changes of patellar alignment. Therefore, to prevent further changes to the patellar alignment in these patients, early resolving of the possible predisposing factors is essential.

کلیدواژه‌ها [English]

  • patellofemoral pain syndrome
  • Patellar alignment
  • Q angle
  • Congruence angle
  • Patella height
  • Lateral patellar tilt angle
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