冲击波疗法治疗排球运动员髌腱末端病临床疗效观察

目的：探讨排球运动员髌腱末端病采用冲击波疗法（shock wave therapy,SWT）治疗的临床效果。方法：回顾分析70例2008年3月～2009年4月我院体育系排球运动员因髌腱末端病在附属医院理疗科接受非手术保守治疗的临床资料,根据接受治疗方式的不同分为两组：采用SWT治疗（SWT组）33例,对照组37例,采用支具固定和离子电渗透疗法治疗。治疗前及治疗后1、3、12个月采用视觉模拟量表（visual analogue scale,VAS）疼痛评分、Victorian运动学会评价标准（victorian institute of sport assessment,VISA）评分以及Roles-Maudsley（RM）评分评估两组运动员的治疗效果。结果：两组治疗前各评分比较差异无统计学意义（P〉0.05）;治疗后1、3、12个月时VAS疼痛评分、VISA评分以及RM评分均较术前显著改善,差异均有统计学意义（P〈0.05）,SWT组优于对照组（P〈0.05）。治疗后12个月,SWT组33例运动员均返回排球赛场;而对照组37例运动员中只有26例（70.2%）返回赛场,两组比较差异有统计学意义（χ2=11.640,P=0.001）。结论：SWT是治疗排球运动员髌腱末端病的一种安全、有效方法,有利于运动员尽早返回运动赛场。

Effect of shock wave therapy on treatment of chronic patellar tendinopathy in volleyball players

Objective：To explore the effect of single shock wave therapy（SWT）on treatment of chronic patellar tendinopathy in volleyball players.Methods：Clinical data of 70volleyball players with chronic patellar tendinopathy from March 2008to April 2009was retrospectively analyzed.They were divided into two groups according to different therapy,SWT group（n=33）and control group receiving bracing and iontophoresis therapy（n=37）.Visual analogue scale（VAS）,Victoria institute of sport assessment score for patellar tendinopathy（VISA）score and Roles and Maudsley（RM）score were evaluated at before treatment and 1month,3months,and 12months after treatment.Results：There was no significant difference in all indexes between two groups（P0.05）.VAS score,VISA score and RM score were significantly improved 1,3,12months after treatment（P0.05）.The improvement in SWT group was significantly better than that of control group（P0.05）.Twelve months after treatment,all athletes in the SWT group returned to the volleyball arena,while only 26cases（70.2%）in the control group returned to the game（χ2= 11.640,P=0.001）.Conclusions：A single application of SWT is an effective treatment for chronic patellar tendinopathy in volleyball players.It can help athletesrecovery.