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足跟痛患者胫后动脉血流速度增加。

Posterior Tibial Artery Blood Flow Velocity Is Increased in Patients with Plantar Heel Pain.

作者信息

Kaneko Fumiya, Katayama Sho, Kudo Shintarou

机构信息

Inclusive Medical Science Research Institute, 1-26-16 Nankokita, Suminoe Ward, Osaka 559-8611, Japan.

Department of Rehabilitation, Meidaimae Orthopedic Clinic, 1-38-25, Matsubara Setagaya Ward, Tokyo 156-0043, Japan.

出版信息

J Clin Med. 2024 May 28;13(11):3153. doi: 10.3390/jcm13113153.

Abstract

: This study aimed to investigate the relationship between posterior tibial artery blood flow velocity and plantar heel pain (PHP). : The PHP group comprised patients diagnosed with plantar fasciitis with plantar heel pain during gait, and the control group comprised healthy participants without plantar heel pain. The peak systolic velocity of the posterior tibial artery was measured using ultrasonography; it was measured three times on each side, and the mean value was calculated. Receiver operating characteristic curve analysis was performed to calculate the peak systolic velocity cutoff value for plantar heel pain. : 23 patients (age 58.0 ± 16.5 years; 13 males and 10 females) and 23 healthy participants (age 51.3 ± 17.3 years; 10 males and 13 females) formed the PHP and control groups, respectively. Peak systolic velocity on the affected side was significantly greater in the PHP group (44.1 ± 13.1 cm/s) than in the control group (32.7 ± 5.9 cm/s). No significant difference was observed between the left and right sides in the PHP (7.1 ± 9.8 cm/s) and control (3.7 ± 3.0 cm/s) groups. A cutoff value of 38.2 cm/s was observed on the affected side. : We quantified the increase in posterior tibial artery blood flow velocity in patients with plantar heel pain. Peak systolic velocity measurements can aid in quantitatively evaluating these patients. This study was registered as a clinical trial (UMIN000046875) on 1 October 2021.

摘要

本研究旨在探讨胫后动脉血流速度与足底足跟痛(PHP)之间的关系。PHP组包括在步态期间被诊断为足底筋膜炎且伴有足底足跟痛的患者,对照组包括无足底足跟痛的健康参与者。使用超声测量胫后动脉的收缩期峰值速度;每侧测量3次,并计算平均值。进行受试者工作特征曲线分析以计算足底足跟痛的收缩期峰值速度临界值。23例患者(年龄58.0±16.5岁;男13例,女10例)和23名健康参与者(年龄51.3±17.3岁;男10例,女13例)分别组成PHP组和对照组。PHP组患侧的收缩期峰值速度(44.1±13.1cm/s)显著高于对照组(32.7±5.9cm/s)。PHP组(7.1±9.8cm/s)和对照组(3.7±3.0cm/s)左右两侧之间未观察到显著差异。患侧的临界值为38.2cm/s。我们对足底足跟痛患者胫后动脉血流速度的增加进行了量化。收缩期峰值速度测量有助于对这些患者进行定量评估。本研究于2021年10月1日注册为一项临床试验(UMIN000046875)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1f/11172846/43200fbedbb1/jcm-13-03153-g001.jpg

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