健康人与足底筋膜炎患者的足底筋膜厚度和僵硬度对比。

IF 2.4 2区 医学 Q2 ORTHOPEDICS
Tanwarat Thanwisate,Palanan Siriwanarangsun,Sitha Piyaselakul,Theerawoot Tharmviboonsri,Bavornrit Chuckpaiwong
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引用次数: 0

摘要

背景足底筋膜炎是足跟痛的主要原因,它是由于足底筋膜反复受到创伤,导致筋膜结构发生变化。据观察,足底筋膜炎患者的足底筋膜厚度超过正常人。然而,足底筋膜炎患者足底筋膜的生物力学特性仍不清楚。因此,本研究旨在比较健康人和足底筋膜炎患者在不同部位的足底筋膜硬度。方法将 58 名参与者分为两组:29 名健康人和 29 名足底筋膜炎患者。采用 B 型超声波检查评估足底筋膜厚度,而剪切波弹性检查则测量足底筋膜硬度。研究主要集中在 3 个不同的区域:小腿根部、1 厘米远端区域和 2 厘米远端区域。结果研究结果表明,与健康组相比,足底筋膜炎组几乎所有区域的足底筋膜僵硬度都明显高于健康组(P < .05)。此外,与足底筋膜炎组的其他区域相比,疼痛最严重区域的足底筋膜硬度值最高(P < .05)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Plantar Fascia Thickness and Stiffness in Healthy Individuals vs Patients With Plantar Fasciitis.
BACKGROUND Plantar fasciitis is a major cause of heel pain, resulting from repetitive trauma to the plantar fascia and leading to structural changes within the fascia. It has been observed that plantar fascia thickness in plantar fasciitis patients exceeds that of normal individuals. However, the biomechanical properties of the plantar fascia in patients with plantar fasciitis remain unclear. Therefore, this study aimed to compare plantar fascia stiffness between healthy individuals and patients with plantar fasciitis across different areas. METHODS Fifty-eight participants were divided into 2 groups: 29 healthy individuals and 29 individuals with plantar fasciitis. B-mode ultrasonography was used to assess plantar fascia thickness, whereas shear wave elastography was employed to measure plantar fascia stiffness. The study focused on 3 distinct areas: calcaneal insertion, 1-cm distal area, and 2-cm distal area. Additionally, the most painful area reported by patients was marked in the plantar fasciitis group. RESULTS The findings showed that the plantar fasciitis group exhibited significantly greater plantar fascia stiffness in almost all areas compared to the healthy group (P < .05). Moreover, the stiffness of the plantar fascia in the most painful area demonstrated the highest value compared with other areas within the plantar fasciitis group (P < .05). CONCLUSION This study suggests structural and mechanical changes in the plantar fascia in patients with plantar fasciitis.
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来源期刊
Foot & Ankle International
Foot & Ankle International 医学-整形外科
CiteScore
5.60
自引率
22.20%
发文量
144
审稿时长
2 months
期刊介绍: Foot & Ankle International (FAI), in publication since 1980, is the official journal of the American Orthopaedic Foot & Ankle Society (AOFAS). This monthly medical journal emphasizes surgical and medical management as it relates to the foot and ankle with a specific focus on reconstructive, trauma, and sports-related conditions utilizing the latest technological advances. FAI offers original, clinically oriented, peer-reviewed research articles presenting new approaches to foot and ankle pathology and treatment, current case reviews, and technique tips addressing the management of complex problems. This journal is an ideal resource for highly-trained orthopaedic foot and ankle specialists and allied health care providers. The journal’s Founding Editor, Melvin H. Jahss, MD (deceased), served from 1980-1988. He was followed by Kenneth A. Johnson, MD (deceased) from 1988-1993; Lowell D. Lutter, MD (deceased) from 1993-2004; and E. Greer Richardson, MD from 2005-2007. David B. Thordarson, MD, assumed the role of Editor-in-Chief in 2008. The journal focuses on the following areas of interest: • Surgery • Wound care • Bone healing • Pain management • In-office orthotic systems • Diabetes • Sports medicine
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