医学
足底筋膜炎
足底筋膜
脚踝
可视模拟标度
随机对照试验
筋膜炎
物理疗法
踝关节背屈
前瞻性队列研究
随机化
脚(韵律)
临床试验
外科
内科学
鞋跟
哲学
解剖
语言学
作者
Philip Kaiser,Cornelia Keyser,Alexander M Crawford,Eric M. Bluman,Jeremy T. Smith,Christopher P. Chiodo
出处
期刊:Journal of the American Academy of Orthopaedic Surgeons
[American Academy of Orthopaedic Surgeons]
日期:2022-07-15
卷期号:30 (14): 682-689
被引量:5
标识
DOI:10.5435/jaaos-d-21-00009
摘要
Although formal physical therapy (PT) is effective in treating plantar fasciitis (PF), it is unclear how this compares with home-based plantar fascia stretching (HS).Fifty-seven patients with PF were enrolled in a prospective randomized trial comparing PT with HS. Visual analog scale (VAS), Foot and Ankle Ability Measure (FAAM), and Short Form (36) Health Survey (SF-36) scores were analyzed at 6 weeks, 3 months, 6 months, and 1 year.At 6 months, VAS improved in both HS (35% decrease; P < 0.001) and PT (26% decrease; P = 0.002) relative to baseline. FAAM Activities of Daily Living scores improved 13.0% (P = 0.005) in HS and 21.3% (P < 0.001) in PT at 6 months relative to baseline. The SF-36 Physical Component Summary Scores demonstrated improvement at all time points in both groups. There were no notable intergroup differences in VAS, FAAM, or SF-36 at any time point.The clinical outcomes of a home stretching protocol and PT did not markedly differ for the treatment of PF.Therapeutic Level I.
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