CAJ | 학술논문

目的：分析体外冲击波治疗对足底筋膜炎疼痛及功能的即时疗效，并探讨筋膜形态学与疼痛的相关性。方法：20例慢性足底筋膜炎患者均采用冲击波治疗，分别于治疗前后采用视觉模拟评分法（Visual Analogue Scale，VAS）对患者的疼痛程度进行评价，测试单腿跳跃距离，并应用肌骨超声测量足底筋膜厚度，分析足底筋膜厚度与疼痛程度的相关性。结果：经冲击波治疗后，患者的VAS评分及单腿跳跃距离均较治疗前显著改善（P<0.05）；足底筋膜厚度与VAS评分呈正相关，即足底筋膜越厚，疼痛越严重。结论：冲击波治疗慢性足底筋膜炎即时疗效显著，且足底筋膜厚度与疼痛有一定相关性。
목적：분석체외충격파치료대족저근막염동통급공능적즉시료효，병탐토근막형태학여동통적상관성。방법：20례만성족저근막염환자균채용충격파치료，분별우치료전후채용시각모의평분법（Visual Analogue Scale，VAS）대환자적동통정도진행평개，측시단퇴도약거리，병응용기골초성측량족저근막후도，분석족저근막후도여동통정도적상관성。결과：경충격파치료후，환자적VAS평분급단퇴도약거리균교치료전현저개선（P<0.05）；족저근막후도여VAS평분정정상관，즉족저근막월후，동통월엄중。결론：충격파치료만성족저근막염즉시료효현저，차족저근막후도여동통유일정상관성。
Objective:To analyze the instant efficacy of pain and function in plantar fasciitis treated with extracorporeal shock wave, and to explore the correlation in fascia morphology and pain network. Methods:20 cases of patients with chronic plantar fasciitis were all treated with shock wave, before and after treatment the degree of pain was respectively evaluated with Visual Analogue Scale (VAS), distance of single leg jumping was test-ed, and plantar fascia thickness was measured with musculoskeletal ultrasound, to analyze the correlation between plantar fascia thickness and degree of pain. Results:After treatment shock wave VAS score and single leg jumping distance were both significantly better than those before treatment (P<0.05);the plantar fascia thickness had positive correlation with VAS score, which meant the thicker the plantar fascia, the more serious the pain. Con-clusion:Instant efficacy of shock wave in chronic plantar fasciitis is remarkable, and plantar fascia thickness has certain correlation with pain.