Giordani Federico, Bernini Andrea, Müller-Ehrenberg Hannes, Stecco Carla, Masiero Stefano
Department of Physical and Rehabilitation Medicine, University of Padua, Padua, Italy.
Private Clinic Orthopädische Privatpraxis Dr. Hannes Müller-Ehrenberg, Münster, Germany.
Eur J Transl Myol. 2019 Sep 9;29(3):8372. doi: 10.4081/ejtm.2019.8372. eCollection 2019 Aug 2.
Extracorporeal Shockwaves Treatment is considered an effective therapeutic option for plantar fasciitis, but the standard application in the medial insertion of the plantar fascia on the calcaneus has provided ambiguous evidences. In this case, a 63-year man with plantar fasciitis was treated in a 3-session program and Foot and Ankle Outcome Scale and Foot Functional Index questionnaires were chosen for the clinical outcome evaluation. The therapy was focused on the active trigger or myofascial points of the leg, thigh and pelvis in order to return the correct equilibrium of the myofascial system of the whole limb. The patient has already reported an improvement after the second session (FAOS: 76 vs 33, FFI: 85%) which was confirmed in the third one and in the 1-month follow up (FAOS: 79, FFI: 6%) Results suggest that plantar fasciitis may be due to proximal rigidity or tension of the fascia and a global approach using ESWT may have a similar or better outcome respect to the standard application.
体外冲击波治疗被认为是治疗足底筋膜炎的一种有效治疗选择，但在跟骨处足底筋膜内侧附着点的标准应用所提供的证据并不明确。在本病例中，一名63岁的足底筋膜炎男性患者接受了为期3次的治疗方案，并选择足踝结果量表和足部功能指数问卷进行临床结果评估。治疗集中在小腿、大腿和骨盆的主动触发点或肌筋膜点，以恢复整个肢体肌筋膜系统的正确平衡。患者在第二次治疗后（足踝结果量表：76对33，足部功能指数：85%）就已报告症状改善，第三次治疗及1个月随访时得到证实（足踝结果量表：79，足部功能指数：6%）。结果表明，足底筋膜炎可能是由于筋膜近端僵硬或紧张所致，与标准应用相比，采用体外冲击波疗法的整体治疗方法可能具有相似或更好的效果。
