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首页> 外文期刊>Physiotherapy theory and practice >Changes in water content in response to an acute bout of eccentric loading in a patellar tendon with a history of tendinopathy: A case report
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Changes in water content in response to an acute bout of eccentric loading in a patellar tendon with a history of tendinopathy: A case report

机译:伴有肌腱病病史的tell腱的急性离心负荷引起的水含量变化:一例报告

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Objective: This case-based report assessed resting water content and exercise-driven water exchange within a tendon with a history of tendinopathy and compared the response to that of a healthy uninvolved tendon. Design: Case Report. Setting: University imaging center. Participant: The participant was a 27-year-old female basketball player 39 months following knee trauma. Patellar tendinopathy developed 12 months after the injury episode and was treated with eccentric exercises. Eighteen months from the beginning of the first eccentric training bout, the participant reported full resolution of symptoms and returned to her pre-injury sport participation without symptoms. Intervention: Eccentric decline squat exercise. Main Outcome Measures: Tendon water content obtained from magnetic resonance imaging (MRI). Results: MRI acquired 39 months post-injury demonstrated increased resting water content of the involved tendon (involved: 91.1% vs. uninvolved: 84.6%). Immediately after the eccentric squat maneuver, water content decreased on both involved and uninvolved tendons (involved: 89.5% vs. uninvolved: 83.3%). Conclusions: Elevated resting water content of the involved tendon found in this report may be indicative of reduced tendon stiffness. A similar amount of water content reduction was observed on both sides following mechanical loading, suggesting that the involved tendon may respond to the eccentric exercise similarly to the uninvolved tendon. Future investigations are needed to study the relationships among tendon water exchanges, mechanical properties, patient symptoms, and tissue injuries.
机译:目的:这份基于病例的报告评估了具有腱病病史的肌腱内的静水含量和运动驱动的水交换,并比较了对健康未累及肌腱的反应。设计:病例报告。地点:大学影像中心。参与者:参与者是膝盖受伤39个月后的一名27岁的女篮球运动员。 the骨肌腱病在损伤发作后12个月发展,并接受离心运动治疗。从第一次离心训练开始的18个月,参与者报告症状已完全缓解,并且恢复了无症状的伤前运动。干预:古怪的下蹲运动。主要指标:肌腱含水量通过磁共振成像(MRI)获得。结果:受伤后39个月获得的MRI显示受累肌腱的静息水含量增加(累及:91.1%,未累及:84.6%)。偏心深蹲动作后,受累和未受累的肌腱水含量立即下降(受累:89.5%,未受累:83.3%)。结论:本报告中发现的受累肌腱静息水含量升高可能表明肌腱僵硬度降低。机械负荷后,在两侧观察到相似的水含量降低,这表明受累的肌腱可能对偏心运动的反应类似于未受累的肌腱。需要进一步的研究来研究肌腱水交换,力学性能,患者症状和组织损伤之间的关系。

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