常华，郑荔英.体外冲击波与超声波治疗跟痛症疗效对照研究[J].中华物理医学与康复杂志,2003,(10):.-
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| 体外冲击波与超声波治疗跟痛症疗效对照研究 |
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| DOI： |
| 中文关键词: 体外冲击波治疗 超声波治疗 跟痛症 |
| 英文关键词: Extracorporeal shock wave therapy Ultrasound therapy Heel pain |
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| 摘要点击次数: 3186 |
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| 中文摘要: |
| 目的比较体外冲击波与超声波两种治疗方法对跟痛症患者的疗效。 方法37名跟痛症患者被分为外冲击波治疗组（冲击波组）、超声波治疗组（超声波组）与对照组。冲击波治疗选用频率4 Hz，强度0.23~0.37 mJ/mm2，每次冲击1 000次，治疗时间约15 min，每周1次，共3次；超声波治疗选用频率1 MHz，强度1 W/cm2，每次治疗5 min，每周3次，共治疗9次，治疗部位均为患侧足跟后部。采用视觉模拟评级法（VAS）评估患者双足负重时的疼痛强度，包括早晨起床时、最长持续行走或站立后、足底牵拉及足跟受压检查，每次检查时记录患者1周内最长可持续行走或站立时间。 结果患者治疗3周后及治疗后3周随访发现，足底牵拉检查、足跟受压检查和患者最长可持续行走或站立时间均显示体外冲击波疗法效果显著。 结论体外冲击波治疗跟痛症的疗效优于超声波治疗，且疗效持久。 |
| 英文摘要: |
| Objective To examine the relative effectiveness of extracorporeal shock wave therapy (ESWT) and ultrasound therapy (US) on managing heel pain. MethodsThirty seven patients were divided into 3 groups, two treatment groups (groups 1 and 2) and one control group (group 3).Group 1 received ESWT once a week for 3 consecutive weeks.Parameters were set at a frequency of 4Hz with a total of 1000 impulses, intensity at 0.23 to 0.37mJ/mm2. Group 2 received continuous ultrasound therapy for 5 minutes in each session, three times a week for three consecutive weeks. Parameters were set at 1MHz, intensity level at 1W/mm2. Group 3 was the control group and no treatment was given during the study period.The intensity of morning pain on weight bearing, pain triggered by prolonged walking/standing, pain on tension and palpation tests were assessed by use of Visual Analogue Scale (VAS) before and after each treatment session, including the follow up session.In addition, Mayo Clinical Scoring System (MCSS) was used to evaluate the treatment outcomes. ResultsAfter 3 weeks of treatment plus 3 weeks follow up,outcome measures had shown statistical significant difference on the intensity of pain on tension test（P=0.037）,the intensity of pain on palpation test (P=0.019) and the maximum duration of prolonged walking or standing (P=0.002). ConclusionESWT is more effective and efficient for managing heel pain than ultrasound therapy. |
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