College of Physical Education and Health, Southwest University of Science and Technology, Mianyang, Sichuan, China.
Rehabilitation Centre, Sichuan Sports College, Chengdu, Sichuan, China.
J Back Musculoskelet Rehabil. 2023;36(5):1203-1211. doi: 10.3233/BMR-220389.
Extracorporeal shock wave therapy (ESWT) combined with Kinesio Tape (KT) for plantar fasciitis (PF) is lacking in the literature.
This study aimed to investigate the effect of ESWT combined with KT on foot pain and function in patients with PF based on ultrashort wave therapy and stretching.
A total of 91 patients with PF were randomly divided into the ESWT group (ETG, n= 23), KT group (KTG, n= 23), combined treatment group (CTG, n= 22) and control group (CG, n= 23). Herein, changes in visual analysis scale (VAS) score, plantar fascia thickness (PFT) and American Orthopaedic Foot and Ankle Society (AOFAS) score were examined.
The groups were compared after 4 weeks and the results showed that the VAS scores of ETG, KTG and CTG were significantly smaller than that of CG (P< 0.05). In addition, the VAS score of CTG was significantly smaller than that of KTG (P< 0.001). Meanwhile, the AOFAS scores of ETG and CTG were significantly greater than that of CG (P< 0.001). Moreover, the AOFAS score of CTG was significantly greater than those of ETG and KTG (P< 0.01). Comparisons within groups were also conducted at weeks 0 and 4 and the results showed that the VAS scores of ETG, KTG and CTG significantly decreased (P< 0.001); the PFT of ETG and CTG significantly decreased (P< 0.05); and the AOFAS score of ETG, KTG and CTG significantly increased (P< 0.001).
Based on ultrashort wave therapy and stretching, ESWT and KT therapy could improve the foot pain and function of patients with PF, and the combined modality therapy is more effective. ESWT and combined treatment has a positive effect on patients' PFT. However, single KT treatment has a limited effect on PFT.
体外冲击波疗法（ESWT）联合肌内效贴（KT）治疗足底筋膜炎（PF）的相关研究较少。
本研究旨在探讨基于超短波和拉伸的 ESWT 联合 KT 治疗足底筋膜炎患者的足部疼痛和功能的效果。
91 例足底筋膜炎患者随机分为体外冲击波治疗组（ETG，n=23）、KT 组（KTG，n=23）、联合治疗组（CTG，n=22）和对照组（CG，n=23）。观察各组治疗前后视觉模拟评分（VAS）、足底筋膜厚度（PFT）和美国足踝外科协会（AOFAS）评分的变化。
治疗 4 周后，与 CG 组相比，ETG、KTG 和 CTG 的 VAS 评分显著减小（P<0.05）。此外，CTG 的 VAS 评分显著小于 KTG（P<0.001）。同时，ETG 和 CTG 的 AOFAS 评分显著大于 CG（P<0.001）。而且，CTG 的 AOFAS 评分显著大于 ETG 和 KTG（P<0.01）。组内比较结果显示，ETG、KTG 和 CTG 的 VAS 评分均显著降低（P<0.001），ETG 和 CTG 的 PFT 显著降低（P<0.05），ETG、KTG 和 CTG 的 AOFAS 评分显著升高（P<0.001）。
在超短波和拉伸的基础上，ESWT 和 KT 治疗可改善 PF 患者的足部疼痛和功能，联合治疗模式效果更优。ESWT 和联合治疗对患者的 PFT 有积极影响，而单纯 KT 治疗对 PFT 的影响有限。
