D'Ambrosia R D
Clin Sports Med. 1985 Oct;4(4):611-8.
The most significant problems that we found in our running population were hamstring contractures, which affected 80 per cent, and Achilles tendon contractures, which affected 40 per cent. On first seeing a running patient who has a connective tissue stress type of injury in his or her lower extremity, we first place the patient through a 6-week trial of stretching our contractures, as this will usually correct the problem. We can correct up to 50 per cent of the problems we see just by pursuing a good stretching program. In general, the running injuries most helped by orthotic devices are the posterior tibial syndrome and pes planovalgum. It is easy to understand how the orthotic device works in these situations because it actually controls the subtalar joints and prevents increased stress on the arch of the foot and the posterior tibial tendon. Orthotic devices are also very helpful for metatarsalgia and calcaneal spurs. By directly relieving the stress area in these two conditions, one can usually expect a good result.
我们在跑步人群中发现的最显著问题是绳肌挛缩，其影响了80%的人，以及跟腱挛缩，其影响了40%的人。初次见到一名在下肢患有结缔组织应力性损伤的跑步患者时，我们首先让患者进行为期6周的拉伸挛缩的试验，因为这通常能纠正问题。仅通过实施一个良好的拉伸方案，我们就能纠正所见到问题的50%。一般来说，矫形器最有助于治疗的跑步损伤是胫后综合征和扁平外翻足。很容易理解矫形器在这些情况下是如何起作用的，因为它实际上控制距下关节，并防止足弓和胫后肌腱上的应力增加。矫形器对跖痛症和跟骨骨刺也非常有帮助。通过直接减轻这两种病症中的应力区域，通常可以期待取得良好的效果。
