体外冲击波治疗跖筋膜炎的临床疗效观察
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摘要
目的探讨体外冲击波治疗跖筋膜炎的初期临床疗效。方法回顾性分析2014-01/2018-01月于作者医院治疗的72例跖筋膜炎患者,其中治疗组36例接受体外冲击波疗法,对照组36例接受局部封闭治疗。比较两组治疗前后的视觉模拟评分(visual analogue scales,VAS)及足踝功能评分(foot and ankle ability measures,FAAM),并根据跖筋膜炎临床疗效评估标准评价两组总有效率。结果治疗组总有效率91.67%,高于对照组的77.78%。治疗前两组VAS评分、FAAM评分差异均无统计学意义(P>0.05),疗程结束后两组VAS评分、FAAM评分比较均有统计学差异(P<0.01)。结论体外冲击波治疗跖筋膜炎的临床疗效较理想,安全性好。
Objective To investigate the clinical efficacy of extracorporeal shock wave in the treatment of plantar fasciitis.Methods A total of 72 patients with plantar fasciitis in authors' hospital from January 2014 to January 2018 were retrospectively analyzed.The treatment group cases(n=36) received extracorporeal shock wave therapy,while control group cases(n=36) received local blocking therapy.The visual analogue scales(VAS) scores, foot and ankle ability measures(FAAM) scores of two groups before and after treatment were compared.The total effective rates of the two groups were evaluated according to the clinical efficacy evaluation criteria of plantar fasciitis.Results The total effective rate of treatment group(91.67%) was higher than that of control group(77.78%).There were no significant differences in VAS scores and FAAM scores between two groups before treatment(P>0.05),while there were significantly different in VAS scores and FAAM scores between two groups after treatment(P<0.01).Conclusion Extracorporeal shock wave is an effective and safe treatment for plantar fasciitis.
Objective To investigate the clinical efficacy of extracorporeal shock wave in the treatment of plantar fasciitis.Methods A total of 72 patients with plantar fasciitis in authors' hospital from January 2014 to January 2018 were retrospectively analyzed.The treatment group cases(n=36) received extracorporeal shock wave therapy,while control group cases(n=36) received local blocking therapy.The visual analogue scales(VAS) scores, foot and ankle ability measures(FAAM) scores of two groups before and after treatment were compared.The total effective rates of the two groups were evaluated according to the clinical efficacy evaluation criteria of plantar fasciitis.Results The total effective rate of treatment group(91.67%) was higher than that of control group(77.78%).There were no significant differences in VAS scores and FAAM scores between two groups before treatment(P>0.05),while there were significantly different in VAS scores and FAAM scores between two groups after treatment(P<0.01).Conclusion Extracorporeal shock wave is an effective and safe treatment for plantar fasciitis.
引文
[1] 张洫,罗庆金,欧阳建彬.浅谈跖筋膜炎[J].中西医结合心血管病电子杂志,2017,5(29):25
[2] 周增华,蒋宗滨,张爱民,等.不同次数冲击波治疗对跟痛症的临床疗效研究[J].中国康复医学杂志,2017,32(2):226-228
[3] Sun J,Gao F,Wang Y,et al.Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis:a meta-analysis of RCTs[J].Medicine (Baltimore),2017,96(15):e6621
[4] Schmitz C,Császár NB,Milz S,et al.Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions:a systematic review on studies listed in the PEDro database[J].Br Med Bull,2015,116:115-138
[5] 贝尔,迈赫伦.运动损伤临床指南[M].高崇玄,译.北京:人民体育出版社,2007:7
[6] 李剑峰,刘福云.两种冲击波方法治疗慢性跖筋膜炎疗效的比较[J].中国矫形外科杂志,2018,26(5):401-404
[7] 李宝林,孔庆波,赵巍,等.体外冲击波治疗持续性跟骨痛的临床研究[J].中华全科医师杂志,2015,14(10):781-783
[8] 任映梅.体外冲击波治疗足跟痛的疗效观察[J].中国医药指南,2017,15(4):152-153
[9] Seligman DA,Dawson DR.Customized heel pads and soft orthotics to treat heel painand plantar fasciitis[J].Arch Phys Med Rehabil,2003,84(10):1564-1567
[10] Riddle DL,Pulisic M,Pidcoe P,et al.Risk factors for Plantar fasciitis:a matched case-control study[J].J Bone Joint Surg Am,2003,85-A(5):872-877
[11] Chen CP,Hsu CC,Pei YC,et al.Changes of synovial fluid protein concentrations in supra-patellar bursitis patients after the injection of different molecular weights of hyaluronic acid[J].Exp Gerontol,2014,52:30-35
[12] Lee HS,Choi YR,Kim SW,et al.Risk factors affecting chronic rupture of the plantar fascia[J].Foot Ankle Int,2014,35(3):258-263
[13] 范建宁,徐晓艳.体外冲击波配合中医护理治疗跟痛症疗效分析[J].心理医生,2016,22(26):221-222
[14] Moretti B,Garofalo R,Patella V,et al.Extracorporeal shock wave therapy in runners with a symptomatic heel spur[J].Knee Surg Sport Traumatol Arthrosc,2006,14(10):1029-1032
[15] Gollwitzer H,Saxena A,DiDomenico LA,et al.Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis:a randomized,controlled multicenter study[J].J Bone Joint Surg Am,2015,97(9):701-708
[16] Roerdink RL,Dietvorst M,van der Zwaard B,et al.Complications of extracorporeal shockwave therapy in plantar fasciitis:systematic review[J].Int J Surg,2017,46:133-145
[17] Gerdesmeyer L,Frey C,Vester J,et al.Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis:results of a confirmatory randomized placebo -controlled multicenter study[J].Am J Sports Med,2008,36(11):2100-2109
[18] Verstraelen FU,In den Kleef NJ,Jansen L,et al.Highenergy versus low-energy extracorporeal shock wave therapy for calcifying tendinitis of the shoulder:which is superior? A meta-analysis[J].Clin Orthop Relat Res,2014,472(9):2816-2825
[2] 周增华,蒋宗滨,张爱民,等.不同次数冲击波治疗对跟痛症的临床疗效研究[J].中国康复医学杂志,2017,32(2):226-228
[3] Sun J,Gao F,Wang Y,et al.Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis:a meta-analysis of RCTs[J].Medicine (Baltimore),2017,96(15):e6621
[4] Schmitz C,Császár NB,Milz S,et al.Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions:a systematic review on studies listed in the PEDro database[J].Br Med Bull,2015,116:115-138
[5] 贝尔,迈赫伦.运动损伤临床指南[M].高崇玄,译.北京:人民体育出版社,2007:7
[6] 李剑峰,刘福云.两种冲击波方法治疗慢性跖筋膜炎疗效的比较[J].中国矫形外科杂志,2018,26(5):401-404
[7] 李宝林,孔庆波,赵巍,等.体外冲击波治疗持续性跟骨痛的临床研究[J].中华全科医师杂志,2015,14(10):781-783
[8] 任映梅.体外冲击波治疗足跟痛的疗效观察[J].中国医药指南,2017,15(4):152-153
[9] Seligman DA,Dawson DR.Customized heel pads and soft orthotics to treat heel painand plantar fasciitis[J].Arch Phys Med Rehabil,2003,84(10):1564-1567
[10] Riddle DL,Pulisic M,Pidcoe P,et al.Risk factors for Plantar fasciitis:a matched case-control study[J].J Bone Joint Surg Am,2003,85-A(5):872-877
[11] Chen CP,Hsu CC,Pei YC,et al.Changes of synovial fluid protein concentrations in supra-patellar bursitis patients after the injection of different molecular weights of hyaluronic acid[J].Exp Gerontol,2014,52:30-35
[12] Lee HS,Choi YR,Kim SW,et al.Risk factors affecting chronic rupture of the plantar fascia[J].Foot Ankle Int,2014,35(3):258-263
[13] 范建宁,徐晓艳.体外冲击波配合中医护理治疗跟痛症疗效分析[J].心理医生,2016,22(26):221-222
[14] Moretti B,Garofalo R,Patella V,et al.Extracorporeal shock wave therapy in runners with a symptomatic heel spur[J].Knee Surg Sport Traumatol Arthrosc,2006,14(10):1029-1032
[15] Gollwitzer H,Saxena A,DiDomenico LA,et al.Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis:a randomized,controlled multicenter study[J].J Bone Joint Surg Am,2015,97(9):701-708
[16] Roerdink RL,Dietvorst M,van der Zwaard B,et al.Complications of extracorporeal shockwave therapy in plantar fasciitis:systematic review[J].Int J Surg,2017,46:133-145
[17] Gerdesmeyer L,Frey C,Vester J,et al.Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis:results of a confirmatory randomized placebo -controlled multicenter study[J].Am J Sports Med,2008,36(11):2100-2109
[18] Verstraelen FU,In den Kleef NJ,Jansen L,et al.Highenergy versus low-energy extracorporeal shock wave therapy for calcifying tendinitis of the shoulder:which is superior? A meta-analysis[J].Clin Orthop Relat Res,2014,472(9):2816-2825
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