| 摘要: |
| 目的
通过剪切波弹性成像技术，观察足底筋膜炎患者在接受中医正骨手法治疗前后足底筋膜厚度与弹性的改变。
方法
回顾分析2017年5月至9月52名足底筋膜炎患者的临床资料。比较这些患者在接受中医正骨手法治疗前后足底筋膜的厚度和弹性模量值。
结果
治疗前患者患侧足底筋膜较健侧增厚(3.16±0.81 mm vs. 2.38±0.41 mm, P<0.01)，弹性模量值减小(40.84±16.58 kPa vs. 61.14±19.97 kPa, P<0.01)。治疗后，患者足底疼痛评分降低(2 (1,2) vs. 3 (2,4)，p<0.05)，足底筋膜弹性模量值升高(60.04±26.83 kPa vs. 40.84±16.58 kPa, p<0.01 )，足底筋膜厚度无显著变化(3.10±0.83 mm vs. 3.16±0.81 mm, p=0.175 )。
结论
足底筋膜厚度增加及弹性降低可能与足底筋膜炎疼痛相关，中医正骨手法可能通过改善足底筋膜弹性在短期内缓解了足底筋膜炎的疼痛症状。 |
| 关键词: 剪切波弹性成像 杨氏模量 中医正骨 足底筋膜炎 |
| DOI： |
| 投稿时间：2018-09-23修订日期：2018-12-29 |
| 基金项目:陕西科技厅社会发展项目(2018SF-271) |
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| Shear Wave Elastic Imaging Technique in Measuring Changes of Young's Modulus after Traditional Chinese Medicine for Plantar Fasciitis |
| Xu Lei,Yin Jichao |
| () |
| Abstract: |
| Objective
To investigate the potential mechanism of TCM (Traditional Chinese Medicine) orthopedic treatment in treating plantar fasciitis by shear wave elastic imaging technique.
Patients and Methods
Clinical record of 52 patients diagnosed with plantar fasciitis from May to September 2017 were retrospectively reviewed. The characteristics of the plantar fascia before and after TCM orthopedic treatment were compared. Shear wave elastic ultrasound was used to measure the characteristic of plantar fascia. The measurement indexes included the thickness of the plantar fascia and the elastic modulus. The measuring site of plantar fascia was selected at the position which is 1cm from the calcaneal.
Results
The average age of the patients was 39.7±12.9 years and the BMI was 23.7±1.4 kg/m2. The media visual analogue scale points was 3. Before the therapy, thicker plantar fascia (3.16±0.81mm vs. 2.38±0.41 mm, P<0.01) and decreased Young's modulus (40.84±16.58kPa vs. 61.14±19.97 kPa, P<0.01) were observed in the affected limb compared with the contralateral side. After the TCM therapy, the visual analogue scale points was significantly decreased(2 (1,2) vs. 3 (2,4)，p<0.05), and the plantar fascia elasticity was improved (60.04±26.83 kPa vs. 40.84±16.58 kPa, p<0.01). No significant difference of plantar fascia thickness was observed (3.10±0.83 mm vs. 3.16±0.81 mm, p=0.175).
Conclusions
The plantar heel pain of plantar fasciitis is associated with increased thickness and decreased elasticity of the plantar fascia. TCM orthopedic treatment may improve the pain symptom of plantar fascia by increasing the elasticity of plantar fascia. Shear wave elastic imaging quantitatively evaluates the hardness of plantar fascia and provides objective basis for evaluating the curative effect of TCM orthopedic treatment. |
| Key words: plantar fasciitis shear wave elastography TCM orthopedic treatment Young"s modulus |
