| 包士雷,王彤,刘守国,马国忠,郭宸瑀.下肢整体训练联合髋周筋膜手法对慢性足底筋膜炎的疗效研究[J].中国康复,2022,37(5):293-297 |
| 下肢整体训练联合髋周筋膜手法对慢性足底筋膜炎的疗效研究 |
| Efficacy of lower limb muscle strength training combined with hip myofascial release on chronic plantar fasciitis |
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| DOI： |
| 中文关键词: 足底筋膜炎 筋膜释放技术 下肢肌力训练 下肢稳定性 |
| 英文关键词: plantar fasciitis fascial release technique lower limb muscle strength training lower limb stability |
| 基金项目:南京市重点临床专科资助课题（2019060002） |
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| 中文摘要: |
| 目的：探索下肢整体训练联合髋周筋膜手法对慢性足底筋膜炎症状的疗效。方法：取慢性足底筋膜炎患者56例，随机分为对照组和观察组各28例，对照组接受常规治疗(体外冲击波、踝足牵伸及训练)；观察组接受常规治疗及下肢整体训练联合髋周筋膜手法。2组分别于治疗前后测试美国矫形外科足踝协会踝-后足评分（AOFAS）、“第1步”数字疼痛评分(NPRS)、下肢Y平衡测试（YBT）值、髋外展和伸展肌群的峰力值；并比较观察组各指标间的相关性（Pearson分析）。结果：治疗3周后，2组AOFAS、观察组患侧YBT值较治疗前均明显提高（P<0.05），2组NPRS较治疗前明显降低（P<0.05），且观察组AOFAS及YBT值明显高于对照组（P<0.05）。观察组髋外展及伸展肌群峰力值均较治疗前明显提高（P<0.05），且均明显高于对照组（P<0.05）。观察组髋外展肌群峰力值与AOFAS、YBT值具有相关性（P<0.05），髋伸展肌群峰力值与YBT值具有相关性（P<0.05）。结论:下肢整体训练联合髋周筋膜手法可有效改善慢性足底筋膜炎患者的症状。 |
| 英文摘要: |
| Objective: To explore the efficacy of lower limb muscle strength training combined with hip fascia release manipulation on chronic plantar fasciitis. Methods: A total of 56 patients with chronic plantar fasciitis were randomly divided into the control group and the observation group with 28 cases each. The control group received conventional treatment (extracorporeal shock wave, ankle and foot stretching and training). The observation group received conventional treatment combined with lower limb muscle strength training and hip fascia release manipulation. The two groups were tested before and after treatment with American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale, “step 1” digital pain score (NPRS), lower extremity Y balance test (YBT) value, hip abductor and extensor muscle group peak force values; and the correlation between the indicators in the observation group after treatment was analyzed by Pearson analysis. Results: After 3 weeks of treatment, the values of AOFAS in the two groups and YBT at the affected side of the observation group were significantly higher than those before treatment (P<0.05), the NPRS in the two groups were significantly lower than those before treatment (P<0.05), and the values of AOFAS and YBT in the observation group were significantly higher than those in the control group (P<0.05). The peak force values of hip abductor and extensor muscles in the observation group were significantly higher than those before treatment (P<0.05), and significantly higher than those in the control group (P<0.05). In the observation group, the peak force of hip abductor group was correlated with AOFAS and YBT (P<0.05), and the peak force of hip extensor group was correlated with YBT (P<0.05). Conclusion: Lower limb muscle strength training combined with hip fascia release manipulation can effectively alleviate the symptoms of patients with chronic plantar fasciitis. |
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