北京中医药大学学报2016，Vol.39Issue(5)：413-416,4.DOI:10.3969/j.issn.1006-2157.2016.05.012
小针刀松解术治疗跟痛症的足底应力研究∗
Effects of needle -knife surgery on plantar stress for treating calcaneo-dynia
摘要
Abstract
Objective To study the difference of plantar pressure before and after needle-knife surgery on patients with calcaneodynia, so as to evaluate its efficacy and provide evidence to the clinical applica-tion of needle-knife therapy. Methods A total 70 patients with calcaneodynia were divided into two nee-dle-knife therapy groups ( treatment group, each n=35 ) . After local anesthesia, the needle-knife was inserted into quickly guided by the plantar fascia scale, perpendicular to the direction of metatarsal fasci-a, then cut and separated the ligaments and fascia attached to the bone spur three to five times. In treat-ment group 1, the needle-knives were inserted to half of the scale, and in the treatment group 2, the nee-dle-knives were inserted to quarter of the scale. 35 more patients were assigned to the control group who received blocking therapy. Peak pressure values of medial forefoot ( MFF) , lateral forefoot ( LFF) , mid-foot ( MF) , medial heel ( MHEEL) and lateral heel ( LHEEL) were measured before and after treatment using Footscan USB2 System manufactured in RSscan Co. Ltd. Results There was no difference of MFF pressure in the two treatment groups before and after need-knife therapy, but pressures of LFF, MF, MHEEL and LHEEL showed significant differences between after and before treatement ( P<0 . 05 ) . In control group, the pressures of MFF, MF and MHEEL had no significant differences between before and after treatment, while that of LFF and LHEEL showed differences(P <0. 05). Conclusion Needle-knife surgery can effectively attenuate the plantar stress changes of the patients with calcaneodynia, and be benefit for recovery the normal lines of force of patients’ feet.关键词
小针刀/足底应力/足弓/跟痛症Key words
needle-knife surgery/plantar pressure/arch of the foot/calcaneodynia分类
医药卫生引用本文复制引用
殷岳杉,王庆甫,马玉峰,祁印泽,杨黎黎,时宗庭,王欢,张栋..小针刀松解术治疗跟痛症的足底应力研究∗[J].北京中医药大学学报,2016,39(5):413-416,4.基金项目
北京市科技计划项目(No. Z121107001012071) （No. Z121107001012071）
