使用医用振动平台治疗足底筋膜炎患者

S. I. Dzhadayev, A. V. Dzhadayeva, V. V. Ivanov, M. V. Kovrizhnyh, D. T. Aliev, O. E. Aprishko
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摘要

目的:评估使用医用振动平台对足底筋膜炎患者疼痛严重程度、生活质量、足部和踝关节功能和解剖特征的影响。材料和方法:研究涉及 91 名足底筋膜炎患者,其中女性 73 人(80.2%),男性 18 人(19.8%)。患者分为两组:主组 43 人,对照组 48 人。主治疗组采用标准治疗方法,包括冲击波疗法、肌腱绑带、第一周的标准锻炼以及第二和第三周在医疗振动平台上的锻炼;对照组则在第二和第三周让患者站在地板上进行锻炼。为了评估治疗的动态效果,使用 VAS、AOFAS 量表和 SF-36 问卷进行了问卷调查。仪器检查方法包括弗里德兰足部指数评估、Y 平衡测试。结果显示:在足底筋膜炎患者的综合治疗中使用医用振动平台进行运动疗法与在地板上进行运动疗法相比,在统计学上能显著降低治疗后的疼痛程度(P < 0.05),增加足部和踝关节的稳定性(P < 0.结论:在医用振动平台上进行理疗锻炼有助于减轻治疗后和治疗 3 个月后的疼痛程度,改善长期生活质量,以及增强足部的稳定性。
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The use of a medical vibration platform in the treatment of patients with plantar fasciitis
Aim: to evaluate the effect of using a medical vibration platform on the severity of pain, quality of life, functional and anatomical characteristics of the foot and ankle in patients with plantar fasciitis.Materials and methods: the study involved 91 patients with plantar fasciitis, among them 73 (80.2 %) women, 18 (19.8 %) men. The patients were divided into two groups: the main group consisted of 43 patients, the control group — 48 patients. In the main group, standard treatment was performed, including shock wave therapy, kinesio taping, standard exercises in the first week and exercises on a medical vibration platform in the second and third weeks, in the control group, exercises in the second and third weeks were performed with the patient standing on the floor. To assess the dynamics of treatment, a questionnaire was conducted using the VAS, the AOFAS scale, and the SF-36 questionnaire. Instrumental methods of examination included the evaluation of Friedland’s podological index, Y-balance test. All parameters were assessed before treatment, after treatment, and 3 months after treatment.Results: the use of exercise therapy on a medical vibration platform in the complex treatment of patients with plantar fasciitis, compared with exercise therapy on the floor, made it possible to statistically significantly reduce the level of pain after treatment (p < 0.05), increase the stability of the feet and ankle joint (p < 0.05 ), and in the long-term period allowed to significantly reduce the level of pain (p <0.05), improve the quality of life (p < 0.05), increase the stability of the foot and ankle joint (p < 0.05).Conclusion: the use of physiotherapy exercises on a medical vibroplatform helps to reduce the level of pain after treatment and after 3 months after treatment, improve the quality of life in the long term, as well as increase the stability of the feet.
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