Hyland Matthew R, Webber-Gaffney Alisa, Cohen Lior, Lichtman P T Steven W
Department of Physical Therapy, Mercy College, Dobbs Ferry, NY USA.
J Orthop Sports Phys Ther. 2006 Jun;36(6):364-71. doi: 10.2519/jospt.2006.2078.
STUDY DESIGN: Prospective, experimental, randomized, single-factor, pretest/posttest design. OBJECTIVES: To examine the effects of a calcaneal and Achilles-tendon-taping technique, utilizing only 4 pieces of tape and not involving the medial arch, on the symptoms of plantar heel pain. BACKGROUND: Plantar fasciitis is one of the most common causes of heel and foot pain. Physical therapists have applied many techniques in an attempt to relieve the symptoms of plantar heel pain, including various taping methods for which there is little existing evidence. METHODS AND MEASURES: Subjects (n=41) were randomly assigned into 4 groups: (1) stretching of the plantar fascia, (2) calcaneal taping, (3) control (no treatment), and (4) sham taping. A visual analog scale (VAS) for pain and a patient-specific functional scale (PSFS) for functional activities were measured pretreatment and after 1 week of treatment (posttreatment). RESULTS: A significant difference was found posttreatment among the groups for the VAS (P < .001). Specifically, significant differences were found between stretching and calcaneal taping (mean + SD, 4.6 +/- 0.7 versus 2.7 +/- 1.8; P = .006), stretching and control (mean +/- SD, 4.6 +/- 0.7 versus 6.2 +/- 1.0; P = .026), calcaneal taping and control (mean +/- SD, 2.7 +/- 1.8 versus 6.2 +/- 1.0; P < .001), and calcaneal taping and sham taping (mean +/- SD, 2.7 +/- 1.8 versus 6.0 +/- 0.9; P < .001). No significant difference among groups was found for posttreatment PSFS (P = .078). CONCLUSIONS: Calcaneal taping was shown to be a more effective tool for the relief of plantar heel pain than stretching, sham taping, or no treatment.
研究设计:前瞻性、实验性、随机、单因素、前后测设计。 目的:研究一种仅使用4条胶带且不涉及内侧足弓的跟骨及跟腱贴扎技术对足底足跟痛症状的影响。 背景:足底筋膜炎是足跟和足部疼痛最常见的原因之一。物理治疗师采用了多种技术试图缓解足底足跟痛症状,包括各种贴扎方法,但现有证据很少。 方法与测量:受试者(n = 41)被随机分为4组:(1)足底筋膜拉伸组,(2)跟骨贴扎组,(3)对照组(不治疗),(4)假贴扎组。在治疗前及治疗1周后(治疗后)测量疼痛视觉模拟量表(VAS)和功能活动患者特定功能量表(PSFS)。 结果:治疗后,各组间VAS有显著差异(P <.001)。具体而言,拉伸组与跟骨贴扎组之间有显著差异(均值±标准差,4.6±0.7对2.7±1.8;P =.006),拉伸组与对照组之间有显著差异(均值±标准差,4.6±0.7对6.2±1.0;P =.026),跟骨贴扎组与对照组之间有显著差异(均值±标准差,2.7±1.8对6.2±1.0;P <.001),跟骨贴扎组与假贴扎组之间有显著差异(均值±标准差,2.7±1.8对6.0±0.9;P <.001)。治疗后各组间PSFS无显著差异(P =.078)。 结论:与拉伸、假贴扎或不治疗相比,跟骨贴扎被证明是缓解足底足跟痛更有效的方法。
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