Effects of kinesio-tape and dry needling on pain, performance, and plantar fascia thickness in patients with plantar fasciitis: a randomized controlled trial.
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引用次数: 0
Abstract
Introduction: Plantar Fasciitis (PF) is a common foot disorder. Kinesio Taping (KT) and dry needling (DN) are frequently used treatment options; however, their comparative efficacy remains poorly understood. This study aimed to evaluate and compare the effects of KT and DN on pain, functional performance, and plantar fascia thickness in patients with PF.
Methods: In this single-blinded randomized controlled trial, 52 PF patients (30 women and 22 men; mean age 45.3 ± 8.1 years) were randomly assigned to DN, KT, and control groups. All groups received routine physiotherapy five days per week. Pain, functional performance, and plantar fascia thickness were evaluated at three time points: before, immediately, and two weeks post-intervention. Assessments included the Visual Analog Scale (VAS) for pain, the Foot and Ankle Outcome Score (FAOS) for performance, and ultrasonography for plantar fascia thickness.
Results: VAS scores decreased significantly across all groups immediately post-intervention (p < 0.05). However, no significant interaction effect was observed, indicating similar pain reduction trends among groups at the two-week follow-up. The mean VAS scores before the intervention were 6.53 ± 0.91 (DN group), 6.07 ± 1.10 (KT group), and 6.00 ± 1.51 (control group), and after the intervention were 4.20 ± 2.00 (DN group), 4.33 ± 1.87 (KT group), and 4.87 ± 2.16 (control group). Both KT and DN groups showed improvements in FAOS score (p < 0.02), with a significant time × group interaction effect favoring greater improvements in the DN group compared to the control group. A significant group effect was observed for D2 thickness, with the DN group showing a greater reduction compared to the KT and control groups (p < 0.002).
Conclusion: All interventions effectively reduced pain, improved performance, and decreased plantar fascia thickness in PF patients. DN demonstrated superior efficacy in reducing central plantar fascia thickness (D2) compared to KT.
足底筋膜炎（PF）是一种常见的足部疾病。肌内效贴（KT）和干针（DN）是常用的治疗方案；然而，它们的相对疗效仍然知之甚少。本研究旨在评估和比较KT和DN对PF患者疼痛、功能表现和足底筋膜厚度的影响。方法：在这项单盲随机对照试验中，52例PF患者(30名女性和22名男性；平均年龄45.3±8.1岁)，随机分为DN组、KT组和对照组。所有组均接受常规物理治疗，每周5天。疼痛，功能表现和足底筋膜厚度在三个时间点进行评估：干预前，立即和干预后两周。评估包括疼痛的视觉模拟评分（VAS），足踝预后评分（FAOS）和足底筋膜厚度的超声检查。结果：干预后各组VAS评分均显著下降（p p p）。结论：所有干预措施均有效减轻了PF患者的疼痛，改善了工作表现，降低了足底筋膜厚度。与KT相比，DN在减少足底中央筋膜厚度（D2）方面表现出更好的疗效。
期刊介绍：
The Journal of Manual & Manipulative Therapy is an international peer-reviewed journal dedicated to the publication of original research, case reports, and reviews of the literature that contribute to the advancement of knowledge in the field of manual therapy, clinical research, therapeutic practice, and academic training. In addition, each issue features an editorial written by the editor or a guest editor, media reviews, thesis reviews, and abstracts of current literature. Areas of interest include: •Thrust and non-thrust manipulation •Neurodynamic assessment and treatment •Diagnostic accuracy and classification •Manual therapy-related interventions •Clinical decision-making processes •Understanding clinimetrics for the clinician
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