From the Brigham Foot and Ankle Center at the Faulkner (Keyser, Dr. Bluman, Dr. Smith, Dr. Chiodo), Jamaica Plain, MA (Keyser, Bluman, Smith, and Chiodo), and Harvard Combined Orthopaedic Residency Program (Dr. Kaiser, Dr. Crawford), Boston, MA (Kaiser and Crawford).
J Am Acad Orthop Surg. 2022 Jul 15;30(14):682-689. doi: 10.5435/JAAOS-D-21-00009.
Although formal physical therapy (PT) is effective in treating plantar fasciitis (PF), it is unclear how this compares with home-based plantar fascia stretching (HS).
Fifty-seven patients with PF were enrolled in a prospective randomized trial comparing PT with HS. Visual analog scale (VAS), Foot and Ankle Ability Measure (FAAM), and Short Form (36) Health Survey (SF-36) scores were analyzed at 6 weeks, 3 months, 6 months, and 1 year.
At 6 months, VAS improved in both HS (35% decrease; P < 0.001) and PT (26% decrease; P = 0.002) relative to baseline. FAAM Activities of Daily Living scores improved 13.0% (P = 0.005) in HS and 21.3% (P < 0.001) in PT at 6 months relative to baseline. The SF-36 Physical Component Summary Scores demonstrated improvement at all time points in both groups. There were no notable intergroup differences in VAS, FAAM, or SF-36 at any time point.
The clinical outcomes of a home stretching protocol and PT did not markedly differ for the treatment of PF.
Therapeutic Level I.
尽管正规的物理疗法（PT）在治疗足底筋膜炎（PF）方面非常有效，但尚不清楚它与家庭足底筋膜拉伸（HS）相比如何。
57 名足底筋膜炎患者参与了一项前瞻性随机试验，比较了 PT 与 HS。在 6 周、3 个月、6 个月和 1 年时，分析了视觉模拟量表（VAS）、足踝能力测量（FAAM）和简明健康调查量表 36 项（SF-36）评分。
在 6 个月时，HS（减少 35%；P < 0.001）和 PT（减少 26%；P = 0.002）均较基线时 VAS 明显改善。HS 的日常生活活动评分改善了 13.0%（P = 0.005），PT 改善了 21.3%（P < 0.001）。SF-36 生理成分综合评分在两组中均在所有时间点均有改善。在任何时间点，VAS、FAAM 或 SF-36 均无明显的组间差异。
家庭拉伸方案和 PT 治疗足底筋膜炎的临床结果没有明显差异。
治疗性 I 级。
