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冲击波对足底筋膜炎疼痛及功能的即时疗效分析及筋膜形态学与疼痛的网络相关性研究

Study on Instant Efficacy of Pain and Function in Plantar Fasciitis Treated with Shock Wave and Correlation in Fascia Morphology and Pain Network

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【作者】 李建新方建辉邓建林张志杰

【Author】 LI Jian-xin;FANG Jian-hui;DENG Jian-lin;ZHANG Zhi-jie;Guangdong Provincial Occupational Injury Rehabilitation Hospital;Guangdong Provincial Sports Hospital;

【机构】 广东省工伤康复医院广东省体育医院

【摘要】 目的:分析体外冲击波治疗对足底筋膜炎疼痛及功能的即时疗效,并探讨筋膜形态学与疼痛的相关性。方法:20例慢性足底筋膜炎患者均采用冲击波治疗,分别于治疗前后采用视觉模拟评分法(VisualAnalogue Scale,VAS)对患者的疼痛程度进行评价,测试单腿跳跃距离,并应用肌骨超声测量足底筋膜厚度,分析足底筋膜厚度与疼痛程度的相关性。结果:经冲击波治疗后,患者的VAS评分及单腿跳跃距离均较治疗前显著改善(P<0.05);足底筋膜厚度与VAS评分呈正相关,即足底筋膜越厚,疼痛越严重。结论:冲击波治疗慢性足底筋膜炎即时疗效显著,且足底筋膜厚度与疼痛有一定相关性。

【Abstract】 Objective:To analyze the instant efficacy of pain and function in plantar fasciitis treated with extracorporeal shock wave,and to explore the correlation in fascia morphology and pain network.Methods:20 cases of patients with chronic plantar fasciitis were all treated with shock wave,before and after treatment the degree of pain was respectively evaluated with Visual Analogue Scale(VAS),distance of single leg jumping was tested,and plantar fascia thickness was measured with musculoskeletal ultrasound,to analyze the correlation between plantar fascia thickness and degree of pain.Results:After treatment shock wave VAS score and single leg jumping distance were both significantly better than those before treatment(P<0.05);the plantar fascia thickness had positive correlation with VAS score,which meant the thicker the plantar fascia,the more serious the pain.Conclusion:Instant efficacy of shock wave in chronic plantar fasciitis is remarkable,and plantar fascia thickness has certain correlation with pain.

【基金】 广东省医学科研基金项目,编号:A2012472
  • 【文献出处】 按摩与康复医学 ,Chinese Manipulation & Rehabilitation Medicine , 编辑部邮箱 ,2014年12期
  • 【分类号】R686
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