红外热成像技术在冲击波治疗足底筋膜炎中的作用

Effect of infrared thermal imaging in shock wave therapy of plantar fasciitis

摘要:

摘 要 目的 探究红外热成像技术在冲击波治疗足底筋膜炎中的作用，为冲击波治疗足底筋膜炎提供影像学指导。方法 选取2021年至2022年就诊于我院疼痛科门诊的足底筋膜炎患者60例。将患者随机分为试验组和对照组，各30例。治疗前标记两组患者患侧小腿腓肠肌及足底筋膜的红外热成像异常高温点；对照组额外接受经验丰富的医师手法触诊并标记触发点。两组患者接受同一位医师针对标记点的冲击波治疗，1次/周，治疗3次。收集患者一般资料及治疗前、1、2、3次后的VAS评分、AOFAS评分、最远步行距离、踝背屈关节活动度以及红外热成像图异常高温点的平均温度差值。结果 治疗前两组患者的一般资料及治疗前的主要观察指标均无统计学差异，具有可比性。治疗1、2、3次后两组患者的VAS评分及AOFAS评分、最远步行距离、踝关节背屈范围均有统计学意义，两组各时间节点进行方差分析有统计学差异；治疗1次后两组红外热成像差值无统计学差异，治疗2、3次后有统计学意义。结论 红外热成像下冲击波失活触发点是治疗足底筋膜炎的有效手段。

Abstract:

Abstract: Objective To explore the effect of infrared thermal imaging technology in extracorporeal shock wave therapy for patients with plantar fasciitis, to provide imaging guidance for shock wave therapy of plantar fasciitis, and improve the treatment efficiency and satisfaction of patients. Methods A total of 60 patients with plantar fasciitis admitted to the pain clinic of our hospital from 2021 to 2022 were selected. The patients were randomly divided into an experimental group and a control group, with 30 cases in each group. Before treatment, abnormally high-temperature points of calf gastrocnemius muscle and plantar fascia on infrared thermal imaging were marked in both groups. The control group received manual palpation and marked trigger points by experienced physicians. Patients in both groups received shockwave therapy at the marked sites by the same physician once a week for 3 times. General data of patients and VAS score, AOFAS score, farthest walking distance, range of motion of ankle dorsiflexor joint, and average temperature difference of abnormally high-temperature points in infrared thermal imaging were collected before treatment, 1, 2, and 3 times after treatment. Results There was no statistical difference in the general information and the main observation indexes before treatment between the two groups. After 1, 2, and 3 times of treatment, VAS score, AOFAS score, farthest walking distance, and ankle dorsiflexion range were statistically significant between the two groups, and variance analysis at each time point was statistically different between the two groups. There was no statistical difference in the difference in infrared thermal imaging between the two groups after 1 treatment, but there was statistical significance after 2 or 3 treatments. Conclusion Shock wave inactivation trigger point is an effective method for the treatment of plantar fasciitis, and infrared thermal imaging recognition of trigger point treatment is more significant.