超声引导下针刺触发点治疗足底筋膜炎

目的 观察超声引导下针刺触发点治疗足底筋膜炎的临床效果。方法 选取48例足底筋膜炎患者,并随机分为2组,对单纯组（n=24）采用单纯非负重跖腱膜拉伸训练,联合组（n=24）采用超声引导下针刺触发点结合非负重跖腱膜拉伸训练;分别于治疗前（T₀）及治疗后1个月（T₁）、3个月（T₂）对患者进行"第1步"数字疼痛评分（NPRS）、美国矫形外科足踝协会踝-后足功能评分（AOFAS）以及36条目健康调查量表中生理（PCS）和心理（MCS）评分。结果 治疗前后2组NPRS、AOFAS、PCS和MCS评分总体差异均有统计学意义（P均<0.01）,治疗后均较治疗前改善。联合组T₁和T₂的NPRS均低于单纯组（P均<0.01）,T₁和T₂的AOFAS、PCS评分均高于单纯组（P均<0.05）,而2组间T₁和T₂的MCS评分差异均无统计学意义（P均>0.05）。结论 超声引导下针刺触发点联合拉伸训练和单纯非负重跖腱膜拉伸训练对于足底筋膜炎均有效,前者缓解疼痛和改善足踝功能效果更佳。

Ultrasound-guided dry needling for myofascial trigger points in treatment of plantar fasciitis

Objective To explore the clinical effect of ultrasound-guided dry needling of myofascial trigger points in treatment of plantar fasciitis. Methods Totally 48 patients with plantar fasciitis were randomly divided into 2 groups. Patients in the simple treatment group (n=24) received sole non-weight-bearing plantar fascia stretching training, and the ones in the combined treatment group (n=24) received ultrasound-guided dry needling for myofascial trigger points combined with stretching training. The numeric pain-rating scale (NPRS) of the first move, American Orthopaedic Foot and Ankle Society Hindfoot Score (AOFAS), physical component summary (PCS) and mental component summary (MCS) of 36-item short-form health survey were evaluated before (T₀) as well as 1 month (T₁) and 3 months (T₂) after treatment respectively. Results The overall differences of NPRS, AOFAS, PCS and MCS were significant before and after treatment in both two groups (all P<0.01), and the all scores after treatment were improved compared with those before treatment. NPRS of T₁ and T₂ in the combined treatment group were lower than those in the simple treatment group (both P<0.01), and AOFAS and PCS of T₁ and T₂ in the combined treatment group were higher than those in the simple treatment group (all P<0.05). There was no difference in the MCS of T₁ and T₂ between 2 groups (both P>0.05). Conclusion Ultrasound-guided dry needling for myofascial trigger points combined with stretching training and sole non-weight-bearing plantar fascia stretching training are both effective for treatment of plantar fasciitis, while the former is better for relieving pain and improving ankle function.