发散式体外冲击波与传统方式治疗跖筋膜炎的效果比较

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Abstract Objective To observe whether the clinical effect of radial extracorporeal shock wave therapy for plantar fasciitis is better than conventional treatment therapy. Methods A total of 60 patients underwent treatment continuously from July 2016 to March 2017 were included in this study. All patients were randomly divided into radial extracorporeal shock wave group and traditional treatment group (control group), with 30 cases in each group. Patients in radial extracorporeal shock wave group underwent radial extracorporeal shock wave, with pressure of 2.5-4.0 bar, 2000 impacts each time, one time per week and 3 times totally. The control group was treated with topical solution for Flurbiprofen Cataplasms combined with plantar fascia stretching exercise. The visual analogue scale (VAS) of the two groups was compared before treatment, and 1, 4, 12 and 24 weeks after treatment. The AOFAS scores before treatment and at the end of follow-up were compared between the two groups. The overall superior rate were compared between the two groups after treatment for 24 weeks. Results The VAS scores in the shock wave group were all lower than those in the control group after treatment for 1, 4, 12, and 24 weeks, and the differences were statistically significant (P ＜ 0.05). The function score of shock wave group was higher than that of the control group at 24 weeks′ follow-up, and the difference was statistically significant (P ＜ 0.05). After treatment for 24 weeks, the overall superior rate of the shock wave group was also higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Both therapies can reduce pain and improve the ankle functions for plantar fasciitis patients, but the effect of radial extracorporeal shock wave is significantly better than the traditional treatment of non steroidal anti-inflammatory drugs combined with plantar fascia stretching training, is a new choice for the treatment of plantar fasciitis.

Key words： Radial extracorporeal shock wave Plantar fasciopathy Visual analogue scale

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	YAN Shichang WANG Xinqiang CHENG Tingting PANG Chenglong CHEN Hui

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YAN Shichang WANG Xinqiang CHENG Tingting PANG Chenglong CHEN Hui. Effect comparison of radial divergent extracorporeal shock wave and traditional method in the treatment of plantar fasciitis[J]. 中国医药导报, 2018, 15(27): 66-69.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I27/66

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