郑氏经穴推拿联合肌内效贴治疗Haglund综合征的临床疗效

Effect of Zheng’s acupoint massage combined with Kinesiology tape therapy on Haglund syndrome

目的探讨郑氏经穴推拿联合肌内效贴治疗Haglund综合征的临床疗效。方法选取2015年4月~2017年12月四川省骨科医院及成都体育学院附属医院就诊的48例Haglund综合征病例为研究对象,年龄18~45岁,平均27.5岁;单足29例,双足19例。按数字表法随机分为观察组与对照组,每组24例。两组患者均给予郑氏经穴推拿治疗,观察组在此基础上辅以肌内效贴贴扎,连续治疗4个疗程后,观测两组患者疼痛、功能和自主活动、支撑情况、最大步行距离、地面步行、反常步态、前足活动(屈曲加伸展)、后足活动(内翻加外翻)及踝-后足稳定性等指标,参照AOFAS踝-后足评分系统评定临床疗效。结果治疗前,两组患者各项指标比较,差异无统计学意义(P>0.05);治疗后,按照AOFAS踝-后足评分系统评定,观察组较对照组改善更明显(P<0.05)。治疗期间,两组均未发生不良事件及并发症。所有病例均随访2~6个月,观察组3例、对照组4例因参加高强度运动诱发症状复发,再经研究组方法配合物理疗法治疗后症状好转,其余病例均无症状加重或复发。结论郑氏经穴手法推拿联合肌贴治疗Haglund综合征,可明显缓解局部症状,改善患足功能,避免了患者早期接受手术治疗,且操作简单、安全适用,值得在临床推广应用或在篮球、排球、足球等高发运动项中预防性应用。

ObjectiveTo explore the clinical effect of Zheng's acupoint massage combined with Kinesiology tape therapy on Haglund syndrome. Methods48 patients of Haglund syndrome, aged 18-45 years, median 27.5 years;29 cases of single foot (11 cases of left foot, 18 cases of right foot);19 cases of both feet were randomly divided into Research group and observation group. Two groups of patients were treated with Zheng's acupoint massage. The Research group was supplemented with Kinesiology tape. After 4 courses of treatment, pain, function and autonomous movement, support, maximum walking distance, ground walking, abnormal gait, forefoot movement (flexion and extension), hind foot movement (inversion and valgus) were observed. The ankle foot and hind foot stability were assessed with reference to the AOFAS ankle foot score system. ResultsThere was no significant difference between the two groups before treatment ( P > 0.05). After 4 courses of treatment, according to the AOFAS ankle-hind foot scoring system, the foot function score of the Research group was significantly improved compared with the observation group (75.23±8.71vs87.43±7.64),( P < 0.01). No adverse events and complications occurred in the 2 groups during treatment. All cases were followed up for 2 to 6 months. The symptoms of 3 cases in the Research group and 4 cases in the observation group were relapsed due to high intensity exercise. The symptoms of the patients in the treatment group were improved after physical therapy. The rest of the patients had no symptoms aggravation or recurrence. ConclusionZheng's acupoint massage combined with Kinesiology tape can obviously relieve local symptoms and improve foot function, avoid early surgical treatment, and it is simple, safe and applicable. It is worth popularizing and applying in clinic or in basketball, volleyball, football and other high-risk sports.