《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (07): 442-444.

• 临床康复 • 上一篇    下一篇

体外冲击波治疗跟痛症

常华; 郑荔英; 纪树荣   

  1. 北京博爱医院 北京 100077
  • 收稿日期:2003-03-13 出版日期:2003-07-25 发布日期:2003-07-25

Effect of extracorporeal shock wave therapy on managing heel pain

CHANG Hua,ZHENG Li-ying,JI Shu-rong   

  1. Beijing Charity Hospital,Beijing 100077,China
  • Received:2003-03-13 Published:2003-07-25 Online:2003-07-25

PDF (PC)

摘要： 目的观察体外冲击波治疗跟痛症的疗效。方法22例患者被随机分为治疗组12例和对照组10例,治疗组采用体外冲击波治疗3周,治疗前、治疗中每周、治疗后、治疗后3周,采用目测类比定级法(VAS)评定患者双足负重时疼痛的强度,包括:起床时、持续行走或站立后、足底牵拉及足跟受压时;每次评定时,记录患者1周内最长可持续行走或站立的时间。采用Mayo Clin ical Scoring System (MCSS)足部功能评定法评定患者的整体功能水平。结果与对照组相比,治疗组足底牵拉检查指数(P<0.05)及足底受压检查指数(P<0.01)减小、患者最长可持续行走或站立时间延长(P<0.05)、MCSS足部功能评定分值增加(P<0.05)。结论体外冲击波治疗跟痛症疗效显著,且维持时间长。

关键词: 体外冲击波, 跟痛症

Abstract: ObjectiveTo observe the effect of extracorporeal shock wave therapy (ESWT) on managing heel pain. Methods22 patients were divided into 2 groups,12 cases in treatment group who accepted ESWT, 10 cases in control group.The intensity of morning pain on weight bearing, pain triggered by prolonged walking/standing, pain on tension and palpation tests were assessed by Visual Analogue Scale (VAS) before and after each treatment session, including the follow-up session,3 weeks after treatment. In addition, Mayo Clinical Scoring System (MCSS) was used to evaluate the treatment outcomes. ResultsAfter 3 weeks of treatment and 3 weeks' follow-up, the intensity of pain on tension test(P<0.05)as well as that on palpation test (P<0.01)decreased, the maximum duration of prolonged walking or standing (P<0.05)and MCSS scores (P<0.05)improved. Conclusions ESWT seems to be a more effective treatment modality for managing heel pain.

Key words: extracorporeal shock wave therapy (ESWT), heel pain