Professor, Department of Orthopaedic Surgery, Korea University Anam Hospital, Seoul, South Korea.
Professor, Department of Orthopaedic Surgery, Korea University Ansan Hospital, Ansan-si, South Korea.
J Foot Ankle Surg. 2021 Jul-Aug;60(4):733-737. doi: 10.1053/j.jfas.2021.02.004. Epub 2021 Mar 6.
This study aimed to compare the mean ankle dorsiflexion range between individuals with and without plantar fasciitis using passive ankle dorsiflexion with consistent pressure, and to identify the prevalence of an isolated gastrocnemius and gastrocnemius soleus complex contracture in 2 groups. 91 participants were prospectively classified into the plantar fasciitis group (45 subjects) and the control group (46 subjects). Ankle dorsiflexion was measured with the knee extended and with the knee flexed 90° using a standard orthopedic goniometer while a consistent force of 2 kg was applied under the plantar surface of the forefoot using a custom-made scale. Intraclass correlation coefficients (ICC) were calculated to determine the interobserver and intraobserver reliability of the current ankle dorsiflexion measurement. The current ankle dorsiflexion measurement revealed excellent interobserver and intraobserver reliability. The mean ankle dorsiflexion in the knee extended was -9.6° ± 8.1° and -11.2° ± 8.2° in the study and control groups, respectively (p = .353). The mean ankle dorsiflexion in the knee flexed was 7.8° ± 6.5° and 5.1° ± 7.4° in the study and control groups, respectively (p = .068). In the study and control groups, 68.9% and 65.2%, respectively, had an isolated gastrocnemius contracture and 24.4% and 30.4%, respectively, had a gastrocnemius-soleus complex contracture (p = .768). The present study demonstrated that there were no significant differences in passive ankle dorsiflexion and in the prevalence of an isolated gastrocnemius or gastrocnemius soleus complex contracture between individuals with and without plantar fasciitis.
本研究旨在比较在施加一致压力的情况下，跟腱炎患者与无跟腱炎患者的被动踝关节背屈幅度，以及识别 2 组患者中孤立性比目鱼肌和比目鱼肌-腓肠肌复合体挛缩的发生率。91 名参与者前瞻性地分为跟腱炎组（45 名受试者）和对照组（46 名受试者）。在伸展膝关节和弯曲 90°的情况下测量踝关节背屈度，使用标准矫形量角器，在前足的足底表面施加 2kg 的一致力，使用定制的量表。计算组内相关系数（ICC）以确定当前踝关节背屈测量的观察者间和观察者内可靠性。当前的踝关节背屈测量具有出色的观察者间和观察者内可靠性。在伸展膝关节时，研究组和对照组的平均踝关节背屈分别为-9.6°±8.1°和-11.2°±8.2°（p=0.353）。在弯曲膝关节时，研究组和对照组的平均踝关节背屈分别为 7.8°±6.5°和 5.1°±7.4°（p=0.068）。在研究组和对照组中，分别有 68.9%和 65.2%的患者存在孤立性比目鱼肌挛缩，分别有 24.4%和 30.4%的患者存在比目鱼肌-腓肠肌复合体挛缩（p=0.768）。本研究表明，在跟腱炎患者与无跟腱炎患者之间，被动踝关节背屈幅度以及孤立性比目鱼肌或比目鱼肌-腓肠肌复合体挛缩的发生率没有显著差异。
