肌能技术和反拉伸技术对平面筋膜炎患者疼痛、功能状态和满意度的比较效果

Taliah Bashir Sandhu, Ayesha Jamil, Syed Asadullah Arslan
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摘要

目的比较肌肉能量技术和反拉伸技术对平面筋膜炎患者疼痛、功能状态和满意度的影响。 方法这项随机临床试验于 2022 年 5 月至 11 月进行。采用目的性抽样技术共招募了 66 名患者。临床确诊的足底筋膜炎患者年龄在 20-60 岁之间,男女不限,疼痛史均为 4 周。A 组采用肌肉能量技术,B 组在常规物理治疗的基础上采用反应变技术。结果测量包括疼痛视觉模拟量表(Visual Analog Scales)、足踝功能测量(Foot and Ankle Ability Measure)和患者满意度问卷-18(Patient Satisfaction Questionnaire-18)。评估在基线、第一周和第二周进行。组间和组内差异采用独立 t 检验和 RM-ANOVA 检验,P? 结果显示结果显示,A 组和 B 组在疼痛(P=0.245)、功能状态(ADL:P=0.862,运动:P=0.092)和满意度(P=0.108)方面无明显差异。然而,在疼痛(p=0.000)、功能状态(p=0.000)和总体满意度(p=0.000)方面,观察到了明显的组内差异。 结论肌肉能量疗法和反拉力疗法在减轻足底筋膜炎患者疼痛、改善其功能状况和提高患者满意度方面具有同等疗效。 关键词反拉力技术;功能状态;足踝能力测量;肌肉能量技术;疼痛;足底筋膜炎;满意度;视觉模拟量表
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COMPARATIVE EFFECTS OF MUSCLE ENERGY TECHNIQUE AND COUNTERSTRAIN TECHNIQUE ON PAIN, FUNCTION STATUS AND SATISFACTION LEVEL IN PLANTER FASCIITIS PATIENTS
Objective: To compare the effects of muscle energy technique and counterstrain technique on pain, functional status and satisfaction level in patients with planter fasciitis. Methods: This randomized clinical trial was conducted from May to November 2022. Total 66 patients were recruited using purposive sampling technique. Clinically diagnosed patients of plantar fasciitis of age 20-60 years, both gender and history of pain?4 weeks were randomly allocated into two groups. Muscle energy technique was applied to group A and Counterstrain technique was given to Group B with routine physiotherapy. Outcomes measure were Visual Analog Scales for pain, Foot and Ankle Ability Measure for functional level and Patient Satisfaction Questionnaire-18 for satisfaction level. Assessment was conducted at baseline, 1st and 2ndweek. Independent t-test and RM-ANOVA was used for between and within-group differences with p?0.05 was significant. Results: The results showed no significant difference between Group A and Group B in pain (p=0.245), functional status (ADL: p=0.862, Sport: p=0.092) and satisfaction level (p=0.108). However, significant within-group difference was observed with pain (p=0.000), functional status (p=0.000) and general satisfaction level (p=0.000). Conclusion: Muscle Energy and Counterstrain Technique are equally beneficial in decreasing pain, enhancing functional status and patient satisfaction level in plantar fasciitis patients. Keywords: Counterstrain Technique; Functional Status; Foot and ankle ability measure; Muscle energy technique; Pain; Planter fasciitis; Satisfaction Level; Visual analog scale
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