康复治疗结合计算机辅助设计与制作矫形鞋垫对扁平足合并足底筋膜炎的临床疗效观察  

Clinical efficacy observation of rehabilitation therapy combined with computer-aided design and production of orthopedic insoles for flat feet with plantar fasciitis

作　　者：赵维维 付选明 王勇[3] 赖华兵 ZHAO Wei-wei;FU Xuan-ming;WANG Yong;LAI Hua-bing(Department of Rehabilitation,Sichuan Orthopedics Hospital,Chengdu 610041,China;No.2 Department of Foot and Ankle,Sichuan Orthopedics Hospital,Chengdu 610041,China;Department of Orthopedics,Sichuan Academy of Medical Sciences·Sichuan Provincial People's Hospital(Affiliated Hospital of University of Electronic Science and Technology of China),Chengdu 610072,China)

机构地区：[1]四川省骨科医院康复科,四川成都610041 [2]四川省医学科学院·四川省人民医院(电子科技大学附属医院)骨科,四川成都610072 [3]四川省骨科医院足踝2科,四川成都610041

出　　处：《实用医院临床杂志》2024年第3期90-93,共4页Practical Journal of Clinical Medicine

基　　金：四川省卫生健康委员会科研基金资助项目(编号:19PJ107);四川省骨科医院院内课题基金资助项目(编号:2019QN02)。

摘　　要：目的探讨康复治疗结合计算机辅助设计制作矫形鞋垫对扁平足合并足底筋膜炎的疗效。方法90例足底筋膜炎并伴随扁平足患者,按抽签法分为康复治疗组、鞋垫组与联合治疗组各30例。康复治疗组给予康复治疗,鞋垫组给予矫形鞋垫,联合治疗组给予康复治疗加矫形鞋垫,12周后比较三组患者临床疗效。结果治疗前三组VAS评分和行走时间比较差异无统计学意义(P>0.05)。三组治疗1周时与治疗前比较VAS评分显著降低,治疗12周与治疗1周时VAS评分差异有统计学意义(P<0.05);三组治疗1周时与治疗前比较行走时间明显延长,治疗12周与治疗1周行走时间差异有统计学意义(P<0.05)。VAS评分组间比较,鞋垫组和联合治疗组均低于康复治疗组(P<0.05),但鞋垫组与联合治疗组比较,差异无统计学意义(P>0.05)。行走时间组间比较,鞋垫组与康复治疗组比较差异无统计学意义(P>0.05),联合治疗组与康复治疗组比较差异有统计学意义(P<0.05);联合治疗组和鞋垫组有效率高于康复治疗组(P<0.05),但联合治疗组与鞋垫组有效率比较差异无统计学意义(P>0.05)。结论鞋垫治疗扁平足合并足底筋膜炎疗效明显,但联合治疗效果更佳,可用于临床推广。Objective To explore the effect of rehabilitation therapy combined with computer-aided design and computer-aided manufacture(CAD/CAM)orthopedic insole for patients with flat foot complicated with plantar fasciitis.Methods 90 patients with plantar fasciitis accompanied by flat feet were selected.The patients were randomly divided into a rehabilitation group,an insole group and a combined treatment group by drawing lots,30 in each group.The rehabilitation group was given rehabilitation treatment.The insole group was given orthopedic insole.The combined treatment group was given rehabilitation treatment and orthopedic insole.The clinical effect was compared among the three groups.Results There was no significant difference in VAS score and walking time among the three groups before treatment(P>0.05).The VAS scores of the three groups were significantly decreased after 1 week of treatment compared with before treatment(P<0.05).The VAS score was significantly different between 12 weeks of treatment and 1 week of treatment(P<0.05).The walking time of the three groups was significantly longer than before 1 week of treatment(P<0.05).There was a significant difference in walking time between 12-week treatment and 1-week treatment(P<0.05). Comparison of VAS between groups showed that insole group and combined treatment group were lower than the rehabilitation group(P<0.05),but there was no significant difference between the insole group and the combined treatment group(P>0.05).There was no statistically significant difference in walking time between the insole group and the rehabilitation group(P>0.05),but there was statistically significant difference between the combined treatment group and the rehabilitation group(P<0.05).The effective rate of the combined treatment group and the insole group was higher than that of the rehabilitation group(P<0.05),but there was no statistically significant difference between the combined treatment group and the insole group(P>0.05).Conclusions Insole is effective in the treatment of fl

关 键 词：矫形鞋垫 扁平足 足底筋膜炎 康复治疗 

分 类 号：R496[医药卫生—康复医学]