阳性激发点推拿方案治疗足底筋膜炎临床观察

Clinical Observation of Treating Plantar Fasciitis through Positive Reaction Point Massage

目的探讨阳性激发点推拿治疗对足底筋膜炎的临床疗效。方法对2011年3月-8月门诊确诊为足底筋膜炎的52例患者,采用随机方式分为治疗组和对照组各26例,治疗组采用阳性激发点推拿,对照组采用电针治疗。并对两组患者治疗5次后的即时疗效率、日本骨科学会(JOA)足底治疗疗效评分、每次治疗后的疼痛面谱量化评分、3个月随访疼痛复发率等疗效进行对照分析。结果治疗组和对照组经连续治疗5次后,其JOA足底治疗疗效评分分别为(91.32±10.61)、(82.92±13.61)分,总有效率分别为96.15%、80.77%,差异均有统计学意义(P<0.05)。疼痛面谱量化评分,治疗组在第一次治疗后较对照组改善明显,差异有统计学意义(P<0.05)。3个月后随访疼痛复发情况,治疗组复发人数较对照组少,差异有统计学意义(P<0.05)。结论阳性激发点推拿治疗法对改善足底筋膜炎引发的足底疼痛、步行不适等症状优于电针治疗法,值得临床推广运用。

Objective To discuss the clinical effects of positive reaction point massage in treating plantar fasciitis. Methods Fifty-two patients diagnosed to have plantar fasciitis between March and August 2011 in our hospital were randomly divided into the treatment group and the control group with 26 patients in each.Patients in the treatment group were treated by positive reaction point massage,while those in the control group were treated by acupuncture.Then,the immediate effective rate after 5 times of treatment,Japanese Orthopedic Association（JOA） Scores,the assessment face scale（AFS） scores,and recurrences after 3 months were compared and analyzed between the two groups of patients. Results After 5 times of continuous treatment,JOA scores for patients in the treatment group and the control group were respectively 91.32 ± 10.61 and 82.92 ± 13.61,and the total effective rate were 96.15% and 80.77% for the two groups, which were both significantly different（P 0.05）.AFS scores for the treatment group was statistically higher than those for the control group on the first treatment（P 0.05）.The treatment group was significantly lower than the control group in terms of the recurrence rate after 3 months after the treatmentdiffer（P 0.05）.Conclusion Compared with acupuncture, positive reaction point massage treatment has a better clinical effect in alleviating pain in the sole and discomfort during walking,which is worthy of clinical application.