中医康复2025，Vol.2Issue(2)：51-55,5.DOI:10.19787/j.issn.2097-3128.2025.02.009
推拿结合牵伸技术治疗慢性跖筋膜炎合并功能性腓肠肌挛缩的疗效观察
Therapeutic Effect of Massage Combined with Stretch Technique on Chronic Plantar Fasciitis Complicated with Functional Gastrocnemitis Contracture
摘要
Abstract
Objective:To observe the clinical effect of massage combined with stretch technique on chronic plantar fasciitis compli-cated with functional gastrocnemitis contracture.Methods:Seventy patients with chronic plantar fasciitis with functional gastrocne-mius contracture were divided into control group(n=35)and treatment group(n=35)by randomized blocks method.The control group was treated with shockwave therapy for 3 times with an interval of 7 days;the stretching exercises were performed three times a day,in three time periods:early morning,noon,and evening.The plantar fascia and calf muscle stretching were each performed twice,with 10 consecutive stretches in each round.The groups could take a break as needed,and the stretching was continued for 4 weeks.Massage therapy was administered once a day,five days a week,and continued until foot pain symptoms subsided,then ev-ery other day for 4 weeks,and then every other day for 2 weeks after that.After 4 weeks,plantar fascia and triceps calf stretching ex-ercises were performed every 2 days.VAS score,AOFAS-AHS score,the ankle dorsiflexion angles were used to evaluate the out-come of treatment before treatment,4 weeks after treatment and 12 weeks after treatment.Results:After 4 weeks and 12 weeks of treatment,the VAS score,AOFAS-AHS score,and ankle dorsiflexion angles improvement in the treatment group were significantly better than those in the control group(P<0.05).Conclusion:Massage combined with extension technique in the treatment of chronic plantar fasciitis combined with functional gastrocnemius contracture has good clinical effect,and the effect is better than that of shock wave therapy alone.关键词
慢性跖筋膜炎/功能性腓肠肌挛缩/推拿/牵伸技术/疼痛/足功能/踝关节背伸Key words
chronic plantar fasciitis/functional gastrocnemius contracture/massage/stretching technique/pain/foot function/dorsi-flexion of ankle joint分类
中医学引用本文复制引用
周凌,胡毓诗,付志彬,田野,刘志杨,周勋..推拿结合牵伸技术治疗慢性跖筋膜炎合并功能性腓肠肌挛缩的疗效观察[J].中医康复,2025,2(2):51-55,5.基金项目
国家自然科学基金项目(82074576) （82074576）
四川省中医药管理局科学技术研究专项课题(2023MS284) （2023MS284）
