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业余运动员足底筋膜炎的治疗:两种不同的治疗方案。

Treatment of plantar fasciitis in recreational athletes: two different therapeutic protocols.

作者信息

Karagounis Panagiotis, Tsironi Maria, Prionas George, Tsiganos Georgios, Baltopoulos Panagiotis

机构信息

Laboratory of Functional Anatomy and Sports Medicine, University of Athens, Greece.

出版信息

Foot Ankle Spec. 2011 Aug;4(4):226-34. doi: 10.1177/1938640011407320.

DOI:10.1177/1938640011407320
PMID:21868796
Abstract

Plantar fasciitis (PF) commonly causes inferior heel pain and occurs in up to 10% of the US population. Treatment protocols in most studies include the use of ice therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and stretching and strengthening protocols. The aim of the current study was to examine the effectiveness of 2 different therapeutic approaches on the treatment of PF in recreational athletes using the Pain and Disability Scale for the evaluation. A total of 38 participants with PF were randomly allocated to 2 different groups of 19 male participants in each group. Group 1 was treated with ice, non-steroidal anti-inflammatory medication, and a stretching and a strengthening program. Group 2 received the same therapeutic procedures as group 1, reinforced by acupuncture treatment. The primary outcomes, nominated a priori, were pain description and mobility-function at 1 and 2 months. Outcomes were measured with the pain scale for PF. The mean total score of the acupuncture group at the third measurement was statistically minor compared with the mean total score of the first group. Acupuncture should be considered as a major therapeutic instrument for the decrease of heel pain, combined with traditional medical approaches.

摘要

足底筋膜炎(PF)通常会导致足跟下部疼痛,在美国人群中的发病率高达10%。大多数研究中的治疗方案包括使用冰敷疗法、非甾体类抗炎药(NSAIDs)以及伸展和强化方案。本研究的目的是使用疼痛和残疾量表进行评估,检验两种不同治疗方法对休闲运动员足底筋膜炎的治疗效果。共有38名足底筋膜炎患者被随机分为两组,每组19名男性参与者。第1组接受冰敷、非甾体类抗炎药物治疗以及伸展和强化方案。第2组接受与第1组相同的治疗程序,并辅以针灸治疗。预先确定的主要结局指标是1个月和2个月时的疼痛描述和活动功能。采用足底筋膜炎疼痛量表测量结局。在第三次测量时,针灸组的平均总分与第一组相比在统计学上较低。针灸应被视为与传统医学方法相结合减轻足跟疼痛的主要治疗手段。

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