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超声成像观察足底筋膜炎患者外在足底肌的特征:一项回顾性病例对照研究

Features of Extrinsic Plantar Muscles in Patients with Plantar Fasciitis by Ultrasound Imaging: A Retrospective Case Control Research.

作者信息

Canosa-Carro Lorena, López-López Daniel, García-Sanz Fernando, Díaz-Meco-Conde Raquel, García-Bermejo Paula, de-la-Cruz-Torres Blanca, Marszalek Jolanta, Romero-Morales Carlos

机构信息

Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain.

Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Universidade da Coruña, 15403 Ferrol, Spain.

出版信息

Diagnostics (Basel). 2022 Apr 4;12(4):897. doi: 10.3390/diagnostics12040897.

DOI:10.3390/diagnostics12040897
PMID:35453945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9026851/
Abstract

The present study aimed to compare by ultrasound imaging (USI) the tibial posterior (TP), medial gastrocnemius (MG) and soleus muscle in patients with and without plantar fasciitis (PF). A sample of 42 individuals was recruited and divided into two groups: PF and a healthy group. The thickness, cross-sectional area (CSA), echointensity and echovariation were assessed in both groups by USI. TP, soleus and MG variables did not report differences (p > 0.05) for thickness and CSA. For the echotexture parameters significant differences were found for MG echointensity (p = 0.002), MG echovariation (p = 0.002) and soleus echointensity (p = 0.012). Non-significant differences (p > 0.05) were reported for soleus echovariation, TP echointensity and TP echovariation variables. The thickness and CSA of the TP, GM and soleus muscle did not show significant differences between individuals with and without PF measured by USI. Muscle quality assessment reported an increase of the MG echointensity and echovariation, as well as a decrease of echointensity of the soleus muscle in the PF group with respect to the healthy group. Therefore, the evaluation of the structure and muscle quality of the extrinsic foot muscles may be beneficial for the diagnosis and monitoring the physical therapy interventions.

摘要

本研究旨在通过超声成像(USI)比较患有和未患有足底筋膜炎(PF)的患者的胫后肌(TP)、腓肠肌内侧头(MG)和比目鱼肌。招募了42名个体并将其分为两组:PF组和健康组。通过USI评估两组的厚度、横截面积(CSA)、回声强度和回声变化。TP、比目鱼肌和MG变量在厚度和CSA方面未报告差异(p>0.05)。对于回声纹理参数,发现MG回声强度(p = 0.002)、MG回声变化(p = 0.002)和比目鱼肌回声强度(p = 0.012)存在显著差异。比目鱼肌回声变化、TP回声强度和TP回声变化变量报告无显著差异(p>0.05)。通过USI测量,患有和未患有PF的个体之间,TP、GM和比目鱼肌的厚度和CSA没有显示出显著差异。肌肉质量评估报告称,与健康组相比,PF组的MG回声强度和回声变化增加,比目鱼肌回声强度降低。因此,评估足部外在肌肉的结构和肌肉质量可能有助于诊断和监测物理治疗干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25d8/9026851/cf624105718a/diagnostics-12-00897-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25d8/9026851/7407b79e2358/diagnostics-12-00897-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25d8/9026851/cf624105718a/diagnostics-12-00897-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25d8/9026851/7407b79e2358/diagnostics-12-00897-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25d8/9026851/cf624105718a/diagnostics-12-00897-g002.jpg

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Rev Bras Ortop (Sao Paulo). 2021 Jun;56(3):368-371. doi: 10.1055/s-0040-1716762. Epub 2020 Oct 29.
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Quantitative Muscle Ultrasonography Using 2D Textural Analysis: A Novel Approach to Assess Skeletal Muscle Structure and Quality in Chronic Kidney Disease.二维纹理分析的定量肌肉超声:评估慢性肾脏病骨骼肌肉结构和质量的新方法。
Ultrason Imaging. 2021 May;43(3):139-148. doi: 10.1177/01617346211009788. Epub 2021 Apr 15.
3
Ultrasound Imaging Is Reliable for Tibialis Posterior Size Measurements.
超声成像在测量胫后肌尺寸方面具有可靠性。
J Ultrasound Med. 2020 Dec;39(12):2305-2312. doi: 10.1002/jum.15340. Epub 2020 May 15.
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Lived experience and attitudes of people with plantar heel pain: a qualitative exploration.足跟痛患者的生活体验和态度:一项定性研究
J Foot Ankle Res. 2020 Mar 6;13(1):12. doi: 10.1186/s13047-020-0377-3.
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Exercise induced changes in echo intensity within the muscle: a brief review.运动引起的肌肉回声强度变化:简要综述。
J Ultrasound. 2020 Dec;23(4):457-472. doi: 10.1007/s40477-019-00424-y. Epub 2020 Jan 10.
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Effects of Strengthening and Stretching Exercises on the Temporospatial Gait Parameters in Patients With Plantar Fasciitis: A Randomized Controlled Trial.强化和伸展运动对足底筋膜炎患者时空步态参数的影响:一项随机对照试验。
Ann Rehabil Med. 2019 Dec;43(6):662-676. doi: 10.5535/arm.2019.43.6.662. Epub 2019 Dec 31.
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