跟痛症矫形器和高浓度染料贴扎对足底筋膜炎患者足底压力和疼痛的即时影响。

Immediate effects of a heel-pain orthosis and an augmented low-dye taping on plantar pressures and pain in subjects with plantar fasciitis.

机构信息

Human Movement Sciences, Old Dominion University, Norfolk, Virginia 23529, USA.

出版信息

Clin J Sport Med. 2011 Nov;21(6):474-9. doi: 10.1097/JSM.0b013e3182340199.

PMID:22011796

Abstract

OBJECTIVE: To determine the effects of augmented low-dye (ALD) taping and a heel-pain orthosis (HPO) on pain, peak plantar pressure (PPP), and mean plantar pressure (MPP) while walking and jogging. DESIGN: Cross-over study design. SETTING: University clinical laboratory. PARTICIPANTS: Seventeen physically active or sedentary individuals with plantar fasciitis. INTERVENTIONS: Both PPP and MPP were evaluated after 45 seconds of walking and jogging during the 3 interventions (control, ALD, HPO) under 4 areas of the foot: lateral rearfoot and forefoot, and medial rearfoot and forefoot. Pain was assessed during each intervention (at 60-second mark) using the visual analog scale (VAS). MAIN OUTCOME MEASURES: Peak plantar pressure, MPP, and VAS. RESULTS: The ALD produced a decrease in walking MPP (44.66 ± 14.46) under the lateral rearfoot compared with the control (57.92 ± 22.18; P = 0.024) and in jogging MPP (55.05 ± 18.27) compared with the control (67.22 ± 20.95; P = 0.002) and HPO (68.51 ± 17.57; P = 0.002). Scores of VAS decreased with the application of HPO (7.12 ± 10.08; P < 0.002 and 12.15 ± 15.61; P < 0.003) and ALD (6.24 ± 5.71; P < 0.006 and 10.09 ± 8.87; P < 0.001) while walking and jogging when compared with the control (17.32 ± 17.86 and 26.65 ± 22.38). CONCLUSIONS: Although the HPO and ALD produced statistically and clinically decreased VAS scores while walking and jogging, further research is needed beyond these preliminary findings to determine long-term outcomes related to pain relief.

摘要

目的：确定增强低染料（ALD）贴扎和足跟痛矫形器（HPO）在行走和慢跑时对疼痛、峰值足底压力（PPP）和平均足底压力（MPP）的影响。

设计：交叉研究设计。

设置：大学临床实验室。

参与者：17 名患有足底筋膜炎的活跃或久坐的个体。

干预措施：在 4 种足部区域（外侧足跟和前足，内侧足跟和前足）下，在 3 种干预措施（对照、ALD、HPO）下行走和慢跑 45 秒后，评估 PPP 和 MPP。在每个干预措施期间（在 60 秒标记时）使用视觉模拟量表（VAS）评估疼痛。

主要观察指标：峰值足底压力、MPP 和 VAS。

结果：ALD 在外侧足跟下行走时 MPP（44.66 ± 14.46）与对照组（57.92 ± 22.18；P = 0.024）相比降低，在慢跑时 MPP（55.05 ± 18.27）与对照组（67.22 ± 20.95；P = 0.002）和 HPO（68.51 ± 17.57；P = 0.002）相比降低。HPO 应用时 VAS 评分降低（7.12 ± 10.08；P < 0.002 和 12.15 ± 15.61；P < 0.003）和 ALD（6.24 ± 5.71；P < 0.006 和 10.09 ± 8.87；P < 0.001），行走和慢跑时与对照组（17.32 ± 17.86 和 26.65 ± 22.38）相比。

结论：尽管 HPO 和 ALD 在行走和慢跑时产生了统计学和临床上降低的 VAS 评分，但需要进一步的研究来确定与疼痛缓解相关的长期结果。