摘要
[目的]比较两种冲击波方法治疗慢性跖筋膜炎的不同疗效。[方法]选取112例慢性跖筋膜炎患者为研究对象,随机分为足底组和复合组,足底组对足底区进行冲击波治疗,复合组在足底区治疗的基础上对同侧小腿三头肌进行冲击波治疗。分别于治疗前,治疗终结时,治疗后1、4、12周对两组进行视觉模拟评分(VAS)及足底部压痛阈值(PPT)比较分析。[结果]两组在治疗终结时,治疗后1、4、12周VAS评分较治疗前明显降低,差异有统计学意义,尤以复合组显著(P<0.05)。复合组在治疗后各时间点VAS评分与足底组比较更低,两组间差异有统计学意义(P<0.05)。两组在治疗终结时、治疗后1周PPT与治疗前无明显变化(P>0.05),在治疗后4、12周PPT明显改善,与治疗前差异有统计学意义,尤以复合组显著(P<0.05)。复合组在治疗后4、12周与足底组比较改善更为明显,两组间差异有统计学意义(P<0.05)。[结论]足底筋膜与小腿三头肌同时冲击波治疗效果优于单纯足底筋膜治疗。
[Objective] To compare the outcomes of two different shock wave regimens for chronic plantar fasciitis. [Meth- ods] According to the shock wave regimen applied, 112 patients with chronic plantar fasciitis were randomly divided into two groups： the plantar group had shock wave applied only in the plantar area, whereas the composite group had the treatment uti- lized in the triceps surae besides the plantar area. The visual analogue scale （VAS） and pressure pain threshold （PPT） of plantar area were compared between the two groups. [Results] Compared with those before treatment, the VAS in both groups signifi- cantly decreased immediately after treatment, at 1 week, 4 weeks and 12 weeks after treatment, especially in the composite group （P〈0.05） . The VAS in the composite group at each time point after treatment was lower than that in the plantar group （P〈 0.05）, although no significant difference was noted between them before treatment （P〉0.05）. Additionally, the PPT significantly increased at 4 weeks and 12 weeks after treatment, especially in the composite group （P〈0.05）, in spite of no statistically distin- guishable PPT change between the two groups among the time points before treatment, immediately after treatment and 1 week after treatment （P〉0.05） . The PPT in the composite group at 4 weeks and 12 weeks after treatment was significantly higher than that in the plantar group （P〈0.05）. [Conclusion] For treatment of plantar fasciitis, shock wave applied on the triceps surae combined with plantar fascia is superior to that used only on the plantar fascia.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2018年第5期401-404,共4页
Orthopedic Journal of China
关键词
冲击波
跖筋膜炎
疼痛
shock wave, plantar fasciitis, pain
