Juchli Lydia
MacEwan University Alumni, Edmonton, AB, Canada T6C 2J3.
Int J Ther Massage Bodywork. 2021 Jun 1;14(2):22-29. eCollection 2021 Jun.
Plantar fasciitis (PF) is a common degenerative condition of the plantar fascia. Symptoms include tenderness on the plantar surface of the foot, pain on walking after inactivity, and difficulty with daily activities. Rest, non-steroidal anti-inflammatories, and manual therapies are frequently used treatments for PF. Trigger point release (TrPR) for PF has been found as a viable treatment option.
To determine the effects of massage, including proximal TrPR, for pain and functional limitations in a patient with PF.
A student massage therapist from MacEwan University administered five massages, one initial and one final assessment over five weeks to a 46-year-old female with diagnosed PF. She complained of unilateral plantar heel pain (PHP) and deep pulling from mid-glutes to the distal lower limb bilaterally. Evaluation involved active and passive range of motion, myotomes, dermatomes, reflexes, and orthopedic tests. The treatment aim was to decrease PHP by releasing active trigger points (TrPs) along the posterior lower extremity to the plantar surface of the foot, lengthening the associated muscles and plantar fascia. Hydrotherapy, Swedish massage, TrPR, myofascial release, and stretches were implemented. Pain was measured using the numerical rating scale pre- and post-treatments, and the Foot Function Index was used to assess function at the first, middle, and last appointments to assess the effectiveness of massage including proximal TrPR for PF.
PHP and functional impairments decreased throughout the five-week period.
The results indicate massage, including proximal TrPR, may decrease pain and functional impairments in patients with PF. Further research is necessary to measure its efficacy and confirm TrPR as a treatment option.
足底筋膜炎（PF）是足底筋膜常见的退行性疾病。症状包括足底表面压痛、休息后行走时疼痛以及日常活动困难。休息、非甾体抗炎药和手法治疗是PF常用的治疗方法。已发现针对PF的触发点释放（TrPR）是一种可行的治疗选择。
确定按摩（包括近端TrPR）对PF患者疼痛和功能受限的影响。
麦克艾文大学的一名学生按摩治疗师对一名46岁确诊为PF的女性进行了五次按摩，在五周内进行了一次初始评估和一次最终评估。她主诉单侧足跟足底疼痛（PHP）以及双侧从中臀肌到下肢远端的深部牵拉感。评估包括主动和被动活动范围、肌节、皮节、反射和骨科检查。治疗目的是通过释放下肢后部至足底表面的活跃触发点（TrP）、拉长相关肌肉和足底筋膜来减轻PHP。实施了水疗、瑞典式按摩、TrPR、肌筋膜释放和拉伸。在治疗前后使用数字评分量表测量疼痛，并在第一次、中间和最后一次就诊时使用足部功能指数评估功能，以评估包括近端TrPR在内的按摩对PF的有效性。
在五周期间，PHP和功能障碍均有所减轻。
结果表明，包括近端TrPR在内的按摩可能会减轻PF患者的疼痛和功能障碍。有必要进一步研究以衡量其疗效并确认TrPR作为一种治疗选择。
