Yan Wenguang, Sun Shaodan, Li Xuhong
Department of Rehabilitation Medicine, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Dec;39(12):1326-30. doi: 10.11817/j.issn.1672-7347.2014.12.017.
To observe the therapeutic effect of extracorporeal shock wave combined with orthopaedic insole on plantar fasciitis.
A total of 153 plantar with plantar fasciitis were randomly divided into a combined group (n=51), an extracorporeal shock wave group (n=53) and an orthopaedic group (n=49). The combined group received treatment of both extracorporeal shock wave and orthopaedic insole while the extracorporeal shock wave or the orthopaedic group only received the treatment of extracorporeal shock wave or orthopaedic insole. The therapeutic parameters such as visual analogue scale (VAS) scores, continued walking time and thickness of the plantar fascia were monitored before and aft er the treatment for 2 weeks, 1 month and 3 months, respectively.
The VAS scores in the 3 groups were all reduced after the treatment compared with the corresponding scores before the therapy (P< 0.05). The VAS score in the extracorporeal shock wave group was greater than that in the orthopedic group after the treatment for 2 weeks. The VAS score in the combined group was smaller than that in the orthopedic group after the treatment for 2 weeks and 3 months (P< 0.05). The VAS scores in the orthopedic group and the combined group were smaller than those in the extracorporeal shock wave group after the treatment for 1 month or 3 months (P< 0.05). The continued walking time and thickness of the plantar fascia was improved after the treatment (P< 0.05). The cure rate and total effective rate in the combination group were obviously greater than those in the two other groups. The cure rate in the orthopedic group was greater than that in the extracorporeal shock wave group (P< 0.05).
Extracorporeal shock wave combined with orthopaedic insole therapy is an effective method to treat plantar fasciitis. It is recommended to spread in clinic.
观察体外冲击波联合矫形鞋垫治疗足底筋膜炎的疗效。
将153例足底筋膜炎患者随机分为联合组（n = 51）、体外冲击波组（n = 53）和矫形组（n = 49）。联合组接受体外冲击波和矫形鞋垫治疗，而体外冲击波组或矫形组仅接受体外冲击波或矫形鞋垫治疗。分别在治疗前及治疗后2周、1个月和3个月监测视觉模拟评分（VAS）、持续行走时间和足底筋膜厚度等治疗参数。
与治疗前相应评分相比，3组治疗后VAS评分均降低（P < 0.05）。治疗2周后，体外冲击波组VAS评分高于矫形组。治疗2周和3个月后，联合组VAS评分低于矫形组（P < 0.05）。治疗1个月或3个月后，矫形组和联合组VAS评分低于体外冲击波组（P < 0.05）。治疗后持续行走时间和足底筋膜厚度得到改善（P < 0.05）。联合组治愈率和总有效率明显高于其他两组。矫形组治愈率高于体外冲击波组（P < 0.05）。
体外冲击波联合矫形鞋垫治疗是治疗足底筋膜炎的有效方法，建议在临床上推广。
