针刺运动结合手法治疗跟痛症临床观察
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摘要
目的观察针刺运动结合手法治疗跟痛症的临床效果。方法选取2017年1月—12月收治的90例跟痛症患者,均分为针刺运动结合手法组与跟骨垫治疗组,分别采用针刺运动结合手法治加跟骨垫和单纯使用跟骨垫治疗,应用Maryland足功能评分分别于治疗开始前、治疗后及治疗后1个月进行治疗效果评估。结果治疗结束及治疗结束后1个月Maryland足功能评分针刺运动结合手法组为(92±5. 75)分、(89±5. 0)分,高于跟骨垫治疗组(78±5. 05)分、(68±5. 75)分。治疗组治疗效果明显优于跟骨垫治疗组。结论传统针刺手法结合运动是治疗跟痛症的有效疗法,值得临床应用。
Objective To observe the clinical effect of acupuncture and physical exercise combined with manipulation in the treatment of calcaneodynia. Methods 90 patients from January 2017 to December 2017 were divided into acupuncture exercise combined with manipulation group and calcaneal pad treatment group,They were treated withacupuncture exercise combined with manipulation and simple use of calcaneal pad respectively. Maryland foot function score was used to evaluate the therapeutic effect before,after and one month after treatment. Results At the end of treatment and one month after the end of treatment,Maryland's foot function score in the acupuncture exercise combined with manipulation group was( 92 ± 5. 75) and( 89 ± 5. 0),higher than that in the calcaneal pad group( 78 ± 5. 05) and( 68 ± 5. 75). The therapeutic effect of the acupuncture exercise combined with manipulation group was significantly better than that of the calcaneal pad treatment group. Conclusion Traditional acupuncture exercise combined with manipulation is an effective treatment for heel pain,which is worthy of clinical application.
Objective To observe the clinical effect of acupuncture and physical exercise combined with manipulation in the treatment of calcaneodynia. Methods 90 patients from January 2017 to December 2017 were divided into acupuncture exercise combined with manipulation group and calcaneal pad treatment group,They were treated withacupuncture exercise combined with manipulation and simple use of calcaneal pad respectively. Maryland foot function score was used to evaluate the therapeutic effect before,after and one month after treatment. Results At the end of treatment and one month after the end of treatment,Maryland's foot function score in the acupuncture exercise combined with manipulation group was( 92 ± 5. 75) and( 89 ± 5. 0),higher than that in the calcaneal pad group( 78 ± 5. 05) and( 68 ± 5. 75). The therapeutic effect of the acupuncture exercise combined with manipulation group was significantly better than that of the calcaneal pad treatment group. Conclusion Traditional acupuncture exercise combined with manipulation is an effective treatment for heel pain,which is worthy of clinical application.
引文
[1]何保宗.跟痛症机理与手法治疗[J].广西中医药,1999,23(S1):50-51,133.
[2] PERELAMN GK,FIGURA MA. Sandberg NS the medial in step Planar fasciotomy[J]. Foot Ankel Surg,1995,34(5):447-457.
[3]刘志雄.骨科常用诊断分类方法和功能结果评定标准[M].北京:北京科学技术出版社,2005:280-282
[4]杨双喜,薛晋玉.脊椎病和软组织损伤的诊断与治疗[M].北京:中国医药科技出版社,2002:141-145.
[5] MICHELSSON O,KONTTINEN YT,PAAVOLAINEN P,et al. Plantar heel pain and its 3-mode 4-stage treatment[J]. Mod Rheumatol,2005,15(5):307-314.
[6]闵红巍,刘克敏,徐峰,等.关节镜下骨刺切除结合射频消融术治疗跟痛症[J].实用骨科杂志,2015,21(4):370-373.
[7] CARSON RE,FLEMING LL,HUTTON WC. The biomechanical relationship between the tendoachilles, plantar fascia and metatarsophalangeal joint dorsi-flexion angle[J]. Foot Ankle Int,2000,21(1):18-25.
[8]胥少汀,葛宝丰,徐印坎.实用骨科学[M].北京:人民军医出版社,2005:1876.
[2] PERELAMN GK,FIGURA MA. Sandberg NS the medial in step Planar fasciotomy[J]. Foot Ankel Surg,1995,34(5):447-457.
[3]刘志雄.骨科常用诊断分类方法和功能结果评定标准[M].北京:北京科学技术出版社,2005:280-282
[4]杨双喜,薛晋玉.脊椎病和软组织损伤的诊断与治疗[M].北京:中国医药科技出版社,2002:141-145.
[5] MICHELSSON O,KONTTINEN YT,PAAVOLAINEN P,et al. Plantar heel pain and its 3-mode 4-stage treatment[J]. Mod Rheumatol,2005,15(5):307-314.
[6]闵红巍,刘克敏,徐峰,等.关节镜下骨刺切除结合射频消融术治疗跟痛症[J].实用骨科杂志,2015,21(4):370-373.
[7] CARSON RE,FLEMING LL,HUTTON WC. The biomechanical relationship between the tendoachilles, plantar fascia and metatarsophalangeal joint dorsi-flexion angle[J]. Foot Ankle Int,2000,21(1):18-25.
[8]胥少汀,葛宝丰,徐印坎.实用骨科学[M].北京:人民军医出版社,2005:1876.