针刺肌筋膜触发点结合拉伸治疗足跟痛的临床效果观察*

EFFECT OF ACUPUNCTURE OF MYOFASCIAL TRIGGER POINTS COMBINED WITH STRETCHING IN THE TREATMENT OF PLANTAR HEEL PAIN

摘要:

目的：观察针刺肌筋膜触发点结合拉伸治疗足跟痛的临床效果。方法：将38例足跟痛患者随机分为实验组和对照组,对照组采用拉伸方式,每天2次,每次3分钟,持续4周；实验组在对照组的基础上加针刺肌筋膜触发点的治疗,每周一次,共进行4周。所有受试者在治疗前、治疗2周、4周以及治疗后3个月随访时采用疼痛数字评价量表(Numerical Rating Scale, NRS)、足部健康状况问卷(Foot Health Status Questionnaire, FHSQ)和36项简明健康调查量表(36-Item ShortForm Health Survey, SF-36)评估。结果：治疗前组间NRS 、FHSQ和SF-36评分均无统计学意义；治疗2周后,实验组各项评分较治疗前均存在统计学意义(P<0.05),对照组FHSQ、SF-36评分较治疗前存在统计学意义(P<0.05),组间各项评分均存在统计学意义(P<0.05)；治疗4周和治疗后3个月随访时,实验组、对照组各项评分较治疗前均存在统计学意义(P<0.05)且组间均存在统计学意义(P<0.05)。结论：针刺肌筋膜触发点结合拉伸能够治疗足跟痛,且治疗效果优于拉伸组。

Abstract:

Objective: To observe the clinical effect of acupuncture of myofascial trigger points combined with stretching in the treatment of plantar heel pain.Methods: 38 patients with plantar heel pain were randomly divided into test group and control group. The control group was stretched for 3 minutes twice a day for 4 weeks.The test group received acupuncture on the basis of the control group once a week for 4 weeks.All subjects were evaluated by the Numerical Rating Scale (NRS), Foot Health Status Questionnaire (FHSQ) and 36 items ShortForm Health Survey (sf-36) at the before, 2 weeks, 4 weeks and 3 months after treatment of follow-up.Results: The scores of NRS, FHSQ and sf-36 were not statistically significant before treatment.After 2 weeks of treatment;all scores in the test group were statistically significant (P<0.05) compared with those before treatment;FHSQ and SF-36 scores in the control group were statistically significant compared with those before treatment (P<0.05).At 4 weeks after treatment and 3 months after treatment of follow-up, all scores in the test group and control group were statistically significant compared with those before treatment (P<0.05), and there was statistical significance between the groups (P<0.05).Conclusion: Acupuncture of myofascial trigger points combined with stretching can treat heel pain, and the therapeutic effect is better than that of stretching group.