De Garceau Denise, Dean Danielle, Requejo Susan Mais, Thordarson David B
Foot Ankle Int. 2003 Mar;24(3):251-5. doi: 10.1177/107110070302400309.
Twenty-two patients with plantar fasciitis, 23 patients with other types of foot pain, and 30 patients in a control group were evaluated with the Windlass test performed in a weightbearing and non-weightbearing position. In the non-weightbearing test, the first MP joint was maximally dorsiflexed with the ankle stabilized. The weightbearing test was performed with the toes hanging off the edge of a stool and dorsiflexion of the first MP was performed. Seven of the 22 patients in the plantar fasciitis group had a positive weightbearing Windlass test (31.8%), while only three had a positive test result in a non-weightbearing position (13.6%). None of the patients in the other foot pain group or control group had pain in the weightbearing and non-weightbearing positions. Despite its high rate of specificity, the low rate of sensitivity of the Windlass test may limit its usefulness in the clinical evaluation in patients with plantar fasciitis.
对22例足底筋膜炎患者、23例其他类型足部疼痛患者以及30例对照组患者在负重和非负重位进行了“绞盘试验”评估。在非负重试验中，在踝关节稳定的情况下，第一跖趾关节最大限度地背屈。负重试验是让脚趾悬在凳子边缘进行，同时进行第一跖趾关节的背屈。足底筋膜炎组22例患者中有7例负重“绞盘试验”呈阳性（31.8%），而非负重位只有3例试验结果为阳性（13.6%）。其他足部疼痛组或对照组的患者在负重和非负重位均无疼痛。尽管“绞盘试验”特异性较高，但其低敏感性可能会限制其在足底筋膜炎患者临床评估中的应用价值。
