| 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. |
