University of Kentucky, Lexington, KY.
J Athl Train. 2004 Jan;39(1):77-82.
Plantar fasciitis is a prevalent problem, with limited consensus among clinicians regarding the most effective treatment. The purpose of this literature review is to provide a systematic approach to the treatment of plantar fasciitis based on the windlass mechanism model.
We searched MEDLINE, SPORT Discus, and CINAHL from 1966 to 2003 using the key words plantar fasciitis, windlass mechanism, pronation, heel pain, and heel spur.
We offer a biomechanical application for the evaluation and treatment of plantar fasciitis based on a review of the literature for the windlass mechanism model. This model provides a means for describing plantar fasciitis conditions such that clinicians can formulate a potential causal relationship between the conditions and their treatments.
CONCLUSIONS/RECOMMENDATIONS: Clinicians' understanding of the biomechanical causes of plantar fasciitis should guide the decision-making process concerning the evaluation and treatment of heel pain. Use of this approach may improve clinical outcomes because intervention does not merely treat physical symptoms but actively addresses the influences that resulted in the condition. Principles from this approach might also provide a basis for future research investigating the efficacy of plantar fascia treatment.
足底筋膜炎是一种常见的问题，临床医生对于最有效的治疗方法尚未达成共识。本文旨在根据辘轳机制模型为足底筋膜炎的治疗提供一种系统的方法。
我们检索了从 1966 年到 2003 年的 MEDLINE、 SPORT Discus 和 CINAHL，使用的关键词有足底筋膜炎、辘轳机制、旋前、足跟痛和跟骨骨刺。
我们根据文献回顾为基于辘轳机制模型的足底筋膜炎评估和治疗提供了生物力学应用。该模型提供了一种描述足底筋膜炎状况的方法，使临床医生能够在这些状况及其治疗之间建立潜在的因果关系。
结论/建议：临床医生对足底筋膜炎生物力学病因的理解应指导足跟痛评估和治疗的决策过程。这种方法的应用可能会改善临床结果，因为干预不仅仅是治疗身体症状，而是积极解决导致这种状况的影响。该方法的原则也可能为未来研究足底筋膜治疗的疗效提供基础。
