体外冲击波联合矫形鞋垫治疗足底筋膜炎的疗效观察

Therapeutic effect of extracorporeal shock wave combined with orthopaedic insole on plantar fasciitis

目的:观察体外冲击波联合矫形鞋垫治疗足底筋膜炎的疗效。方法:将153例足底筋膜炎患者随机分成联合组(n=51)、冲击波组(n=53)和矫形组(n=49)。联合组采用体外冲击波联合矫形鞋垫治疗,冲击波组采用体外冲击波治疗,矫形组采用矫形鞋垫治疗。比较患者治疗前和治疗后2周、1个月、3个月视觉模拟评分法(visual analogue scale,VAS)评分和持续行走时间、疗效及足底筋膜厚度。结果:3组治疗后VAS评分均较治疗前降低(P<0.05);2周时冲击波组高于矫形组,2周和3个月时联合组低于矫形组(P<0.05);1个月、3个月时矫形组与联合组均低于冲击波组(P<0.05);3组治疗后行走时间较治疗前明显提高,足底筋膜明显变薄(P<0.05);联合组的治愈率、总有效率明显高于其它两组,矫形组的治愈率高于冲击波组(P<0.05)。结论:体外冲击波联合矫形鞋垫治疗足底筋膜炎疗效确切,值得在临床上推广应用。

Objective: To observe the therapeutic effect of extracorporeal shock wave combined with orthopaedic insole on plantar fasciitis. Methods: A total of 153 plantar with plantar fasciitis were randomly divided into a combined group (n=51), an extracorporeal shock wave group (n=53) and an orthopaedic group (n=49). The combined group received treatment of both extracorporeal shock wave and orthopaedic insole while the extracorporeal shock wave or the orthopaedic group only received the treatment of extracorporeal shock wave or orthopaedic insole. The therapeutic parameters such as visual analogue scale (VAS) scores, continued walking time and thickness of the plantar fascia were monitored before and atf er the treatment for 2 weeks, 1 month and 3 months, respectively. Results: The VAS scores in the 3 groups were all reduced after the treatment compared with the corresponding scores before the therapy (P<0.05). hTe VAS score in the extracorporeal shock wave group was greater than that in the orthopedic group atfer the treatment for 2 weeks. hTe VAS score in the combined group was smaller than that in the orthopedic group atfer the treatment for 2 weeks and 3 months (P<0.05). hTe VAS scores in the orthopedic group and the combined group were smaller than those in the extracorporeal shock wave group after the treatment for 1 month or 3 months (P<0.05). The continued walking time and thickness of the plantar fascia was improved after the treatment (P<0.05). hTe cure rate and total effective rate in the combination group were obviously greater than those in the two other groups. hTe cure rate in the orthopedic group was greater than that in the extracorporeal shock wave group (P<0.05). Conclusion: Extracorporeal shock wave combined with orthopaedic insole therapy is an effective method to treat plantar fasciitis. It is recommended to spread in clinic.