足底筋膜炎患者足底压力分布的评估及其与治疗成功和筋膜厚度的关系

Aslıhan Ulusoy, Lale Cerrahoğlu, Şebnem Örgüç
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摘要

目的:足底筋膜炎患者改变他们的步态模式,由于足跟疼痛。我们的目的是研究足底筋膜炎成功治疗后疼痛缓解后足底压力分布是否有显著差异。方法:对49例慢性单侧足底筋膜炎患者进行为期3周的物理治疗干预和家庭锻炼。在干预前和干预后1个月分别进行视觉模拟量表、足底压力测量、足压评估和磁共振成像。随访1个月,根据治疗效果好坏分为两组。治疗的成功标准定义为治疗开始一个月后,与基线相比,足跟疼痛减少的百分比超过60%。结果:44名受试者成功完成研究。第一组以成功应答者为特征,有24名受试者;第二组以不良应答者为特征,有20名受试者。1组治疗后,前足内侧的动态足底压力显著增加(p = 0.015)。然而,反应不良的患者足底压力无明显变化。足底筋膜厚度与拇指动压呈正相关(冠状面p = 0.03 r = 0.434,矢状面r = 0.451 p = 0.02)。结论:筋膜厚度与动态前足足底压力有关。在成人中,由于步态恢复和显著的疼痛减轻,内侧前足足底压力增加。
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The assessment of plantar pressure distribution in plantar fasciitis and its relationship with treatment success and fascial thickness
Aim: Patients with plantar fasciitis modify their gait patterns due to the heel pain. We aimed to investigate whether there was a significant difference in the plantar pressure distribution after pain relief due to successful treatment response in plantar fasciitis. Methods: 49 patients diagnosed with chronic unilateral plantar fasciitis received a 3-week physical therapy intervention and home exercises. Visual analog scale, plantar pressure measurement by pedobarographic assessment and magnetic resonance imaging were performed before and 1 month after the intervention. At the 1-month follow up, participants were divided into 2 groups according to successful or poor response to treatment. The treatment's success criteria was defined as a percentage decrease in heel pain exceeding 60% compared to the baseline, assessed one month after the initiation of treatment. Results: A total of 44 subjects successfully completed the study. In group 1, characterized by successful responders, there were 24 subjects, while group 2, comprising poor responders, included 20 subjects. After treatment in group 1, the dynamic plantar pressure on the medial forefoot showed a significant increase (p = 0.015). However, there was no significant change in plantar pressure in the poor responders. Plantar fascia thickness correlated positively with thumb dynamic pressures (coronal p = 0.03 r = 0.434, sagittal r = 0.451 p = 0.02). Conclusion: The results suggest that fascial thickness and dynamic forefoot plantar pressures may be related. Medial forefoot plantar pressures increased as a result of gait restoration with significant pain reduction in adults.
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