Koo See-Won, Yoon Yong-Soon, Yoon Myeong-Kwon, Choi Seung-Gue, Kim Dong-Wuk, Jang Hong-Young
Department of Rehabilitation Medicine, Presbyterian (Jesus) Medical Center, Jeonju 54987, Republic of Korea.
Innovation Division, Mokwon University, Daejeon 35349, Republic of Korea.
J Clin Med. 2024 Aug 7;13(16):4624. doi: 10.3390/jcm13164624.
Plantar fasciitis (PF) is a common condition that causes heel pain. While various conservative treatment modalities for PF exist, no previous studies have investigated the effectiveness of shoe rotation (ShR) in patients with PF pain. This study aimed to compare the therapeutic effectiveness of ShR with that of two conventional treatments for PF-namely, foot orthosis (FO) and physical therapy (PT). : Charts of 42 patients with heel pain were retrospectively reviewed. Participants were allocated to one of three treatment groups: the ShR group, the customized FO group, and the PT group. Pain and functional outcomes were assessed using the Visual Analog Scale (VAS), Digital Pain Scale (DPS), Foot Function Index (FFI), Foot Pain and Function Scale (FPFS), and American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS-AHS) at baseline and at 4 and 12 weeks after the intervention. : The ShR, FO, and PT groups all showed improvements, with statistically significant decreases in VAS, DPS, and FFI scores and significant increases in FPFS and AOFAS-AHS scores over time ( < 0.05). All three interventions resulted in significant improvements from baseline to 4 weeks and further to 12 weeks ( < 0.05). The ShR group exhibited a slightly larger effect on all measurements than the other groups. : ShR, FO, and PT contributed to pain reduction and functional improvement, and alternating the shoes alleviated PF pain. These results suggest a new approach to managing PF and serve as a basis for providing convenient treatment for patients with PF.
足底筋膜炎（PF）是一种导致足跟疼痛的常见病症。虽然存在多种针对PF的保守治疗方式，但此前尚无研究调查过鞋子轮换（ShR）对PF疼痛患者的有效性。本研究旨在比较ShR与两种PF传统治疗方法——即足部矫形器（FO）和物理治疗（PT）——的治疗效果。：对42例足跟疼痛患者的病历进行了回顾性分析。参与者被分配到三个治疗组之一：ShR组、定制FO组和PT组。在基线以及干预后4周和12周时，使用视觉模拟量表（VAS）、数字疼痛量表（DPS）、足部功能指数（FFI）、足部疼痛与功能量表（FPFS）以及美国矫形足踝协会踝 - 后足量表（AOFAS - AHS）评估疼痛和功能结果。：ShR组、FO组和PT组均有改善，随着时间推移，VAS、DPS和FFI评分在统计学上显著降低，而FPFS和AOFAS - AHS评分显著升高（<0.05）。从基线到4周再到12周，所有三种干预措施均导致显著改善（<0.05）。ShR组在所有测量指标上的效果比其他组略大。：ShR、FO和PT均有助于减轻疼痛和改善功能，轮换鞋子可缓解PF疼痛。这些结果提示了一种管理PF的新方法，并为为PF患者提供便捷治疗奠定了基础。
