王娟 张沛 王颖颖 刘志成

【摘要】 目的：探讨不同频率体外冲击波治疗足底筋膜炎的步态变化。方法：符合足底筋膜炎诊断标准的患者160例。所有患者随机分为四组，每组40例。分别给予不同频率体外冲击波治疗，A组1 Hz，B组5 Hz，C组10 Hz，D组15 Hz。治疗前及治疗后1周进行足底压力和步态参数的变化情况，对数据进行统计学处理。结果：治疗前四组患者的动态足底压力差、跨步长、支撑相和摆动相比较，差异均无统计学意义（P>0.05）;各组患者治疗前后的动态足底压力、跨步长、支撑相和摆动相比较，差异均有统计学意义（P<0.05）;治疗后B组患者与其余三组患者比较，其动态足底压力差、跨步长、支撑相和摆动相比较，差异均有统计学意义（P<0.05），C组患者结果优于A组和D组（P<0.05），A组和D组患者结果比较差异均无统计学意义（P>0.05）。结论：体外冲击波治疗足底筋膜炎有效，其中5 Hz频率体外冲击波治疗足底筋膜炎效果较佳。

【关键词】 不同频率 体外冲击波治疗 足底筋膜炎 步态分析

Gait Analysis of the Treatment of Plantar Fasciitis with Different Frequency of Extracorporeal Shock Wave/WANG Juan， ZHANG Pei， WANG Yingying， LIU Zhicheng. //Medical Innovation of China， 2021， 18（01）： 0-018

[Abstract] Objective： To investigate the gait changes of different frequency extracorporeal shock wave in the treatment of plantar fasciitis. Method： There were 160 patients with plantar fasciitis， all patients were randomly divided into four groups， 40 cases in each group. Different frequency extracorporeal shock wave therapy was given， group A of 1 Hz， group B of 5 Hz， group C of 10 Hz， group D of 15 Hz. The changes of plantar pressure and gait parameters before and 1 week after treatment were analyzed statistically. Result： There was no significant difference in dynamic plantar pressure difference， stride length， support phase and swing phase between the first four groups （P>0.05）; there were significant differences in dynamic plantar pressure， stride length， support phase and swing phase before and after treatment in each group （P<0.05）; after treatment， there were significant differences in dynamic plantar pressure difference， stride length， support phase and swing phase in group B compared with the other three groups difference （P<0.05）; the results of group C were better than those of group A and group D （P<0.05）; there was no significant difference between group A and group D （P>0.05）. Conclusion： Extracorporeal shock wave is effective in the treatment of plantar fasciitis.

[Key words] Different frequency Extracorporeal shock wave therapy Plantar fasciitis Gait analysis

First-authors address： Qingdao Municipal Hospital East Destrict， Qingdao 266000， China

doi：10.3969/j.issn.1674-4985.2021.01.004

足底筋膜炎（plantar fasciitis，PF）作为一种劳损性疾病，文献[1]报道8～80岁人群都可能发生，尤其是运动员、女性及肥胖更为多见，常在舞蹈家、网球运动员、篮球运动员以及职业上需要持久负重的非运动员身上，其病因主要是由于肌肉韧带的失衡，导致骨膜受到不当的牵扯，最终造成软组织损伤的一种慢性劳损伴局部无菌性炎症，严重的情况可以造成局部软组织增厚、粘连、挛缩或局部慢性损伤渗血后钙盐的沉积导致骨刺形成等形态学的改变。患者常表现的典型症状为晨起第一步时疼痛明显，行走困难，坚持短距离行走数分钟后疼痛缓解，长距离行走后疼痛加重，主要表现为足跟下针刺样疼痛，疼痛症状可持续数月至数年，此病大多有反复发作的病史[2]，严重影响患者的日常工作和生活。目前……