Lee Winson C C, Wong W Y, Kung Eddy, Leung Aaron K L
Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
J Rehabil Res Dev. 2012;49(10):1557-64. doi: 10.1682/jrrd.2011.09.0181.
Foot orthoses and night splints have been used separately to treat patients with plantar fasciitis, but were not always successful. Combined use of both orthoses might give better outcomes. This study evaluated the effectiveness of a soft and self-adjustable dorsiflexion night splint in combination with an accommodative foot orthosis for patients with plantar fasciitis. Twenty-eight patients were assigned to group A (foot orthosis only) and group B (combination of foot orthosis and dorsiflexion night splints). A foot function index (FFI) questionnaire was used to evaluate the pain and functions of feet just before, 2 weeks after, and 8 weeks after the treatments. Results showed that subjects in group B had significantly reduced pain scores at week 2 (p < 0.001) and week 8 (p < 0.001). In group A, no statistical differences were noted in the pain (p = 0.15), disability (p = 0.56), activity limitation (p = 0.75), and total FFI (p = 0.35) scores for the three time periods. The application of foot orthoses with adjustable dorsiflexion night splints was found to be more effective than the application of foot orthoses alone in relieving foot pain in patients with plantar fasciitis.
足矫形器和夜间夹板已分别用于治疗足底筋膜炎患者，但并非总能取得成功。两者联合使用可能会有更好的效果。本研究评估了一种柔软且可自我调节的背屈夜间夹板与适应性足矫形器联合使用对足底筋膜炎患者的有效性。28例患者被分为A组（仅使用足矫形器）和B组（足矫形器与背屈夜间夹板联合使用）。使用足部功能指数（FFI）问卷评估治疗前、治疗后2周和治疗后8周时足部的疼痛和功能。结果显示，B组患者在第2周（p < 0.001）和第8周（p < 0.001）时疼痛评分显著降低。在A组中，三个时间段的疼痛（p = 0.15）、残疾（p = 0.56）、活动受限（p = 0.75）和FFI总分（p = 0.35）评分均无统计学差异。研究发现，在缓解足底筋膜炎患者的足部疼痛方面，使用可调节背屈夜间夹板的足矫形器比单独使用足矫形器更有效。
