Martin J E, Hosch J C, Goforth W P, Murff R T, Lynch D M, Odom R D
Division of Podiatry, Texas A&M University Health Science Center, College of Medicine, Temple, TX, USA.
J Am Podiatr Med Assoc. 2001 Feb;91(2):55-62. doi: 10.7547/87507315-91-2-55.
A randomized, prospective study was conducted to compare the effectiveness of three individual mechanical modalities in the treatment of plantar fasciitis. Two hundred fifty-five subjects were randomly assigned to one of three treatment groups: custom-made orthoses, over-the-counter arch supports, or tension night splints. Subjects were treated for 3 months, with follow-up visits at 2, 6, and 12 weeks. No statistically significant difference was noted among treatment groups with respect to final outcomes based on first-step pain or pain felt during the day. However, there was a statistically significant difference among the three groups with respect to early patient withdrawal from the study due to continued severe pain, noncompliance, or inability to tolerate the device. Patient compliance was greatest with the use of custom-made orthoses.
进行了一项随机前瞻性研究，以比较三种个体机械治疗方式在治疗足底筋膜炎方面的有效性。255名受试者被随机分配到三个治疗组之一：定制矫形器、非处方足弓支撑器或夜间拉伸夹板。受试者接受3个月的治疗，并在第2、6和12周进行随访。基于第一步疼痛或白天所感受到的疼痛，各治疗组在最终结果方面未发现统计学上的显著差异。然而，在三组之间，由于持续剧痛、不依从或无法耐受器械而导致早期退出研究的情况存在统计学上的显著差异。使用定制矫形器时患者的依从性最高。
