Taking the pain out of the patellofemoral joint: articulating a bone of contention
Taking the pain out of the patellofemoral joint: articulating a bone of contention
复制标题
消除髌股关节的疼痛：阐明争论的焦点
DOI：
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发表时间：
2018
影响因子：
18.4
通讯作者：
M. Rathleff
中科院分区：
文献类型：
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作者：
B. Vicenzino;L. Maclachlan;M. Rathleff
最近国际髌股疼痛务虚会（IPFR）的一个有趣观察结果是，提交的摘要中关注疼痛科学的比例相对较低（即，6%（3/50;英国曼彻斯特，2015）1和29%（15/52;澳大利亚黄金海岸）。再加上最近的IPFR共识文件强烈地将生物力学因素与髌股关节负荷升高和疼痛联系起来，我们不禁要问，我们对疼痛的当代理解适合哪里？
髌股关节疼痛的研究充满了评估一系列生物力学特征的研究。大多数情况下，这些研究是不同的，样本量小。Powers等人（2）完成了有效审查和总结这一系列工作的艰巨任务，值得赞扬和认可。虽然这个框架有助于理解一系列复杂的身体特征，但我们不得不解决一个可能阻碍框架指导临床实践的问题。当孤立地观察时，病理力学框架假定髌股关节疼痛是一种基于外周的伤害性感受。这引起了争论，...
An interesting observation from recent International Patellofemoral Pain Retreats (IPFR) is the relatively low proportion of submitted abstracts focusing on pain sciences (ie, 6% (3/50; Manchester, UK, 2015)1 and 29% (15/52; Gold Coast, Australia). Coupled with a recent IPFR consensus document strongly linking biomechanical factors to elevated patellofemoral joint load and pain, we are left questioning where our contemporary understanding of pain fits?
Patellofemoral pain research is replete with studies evaluating a range of biomechanical features of the condition. For the most, these studies are disparate, with small samples. Powers et al 2 deserve credit and recognition for completing the huge task of efficiently reviewing and summarising this body of work. While this framework helps make sense of a complex range of physical features, we are compelled to address an issue that will likely impede the framework’s usefulness to guide clinical pracice. When viewed in isolation, the pathomechanical framework posits that patellofemoral pain is a peripherally based nociception. This raises a point of contention, …