浮针疗法配合牵伸训练治疗足底筋膜炎的临床疗效观察OA

Objective:To compare the clinical efficacy of Fu's subcutaneous needling therapy combined with stretching exercises versus stretching exercises alone in the treatment of plantar fasciitis.Methods:A total of 60 patients with plantar fasciitis were randomly divided into an observation group(Fu's subcutaneous needling therapy plus stretching exercises,30 cases)and a control group(stretching exercises alone,30 cases).Patients in the control group received stretching exercises under the guidance of a rehabilitation therapist,targeting the plantar fascia,gastrocnemius and soleus muscles.On the basis of the same stretching exercises,the observation group was additionally treated with Fu's subcutaneous needling therapy,which included scanning and reperfusion movements on the affected relevant muscles.The Visual Analogue Scale(VAS)scores for heel pain were recorded before treatment,immediately after the first treatment,and on the 12th day after treatment(upon completion of two courses).The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale(AOFAS-AH)scores were evaluated before treatment,immediately after the first treatment,on the 6th day after treatment(upon completion of one course),and on the 12th day after treatment(upon completion of two courses).Clinical efficacy was assessed after the entire treatment course.Results:At all post-treatment time points,the VAS scores of both groups were significantly lower than those before treatment(P<0.001).The VAS scores on the 12th day were significantly lower than those immediately after the first treatment in both groups(P<0.001).Moreover,the VAS scores of the observation group were significantly lower than those of the control group at all time points after the first treatment(P<0.001).The AOFAS-AH scores of both groups were significantly higher at all post-treatment time points compared with those before treatment(P<0.001).The scores on the 6th and 12th days were significantly higher than those immediately after the first treatment(P<0.001).Furthermore,the AOFAS-AH scores of the observation group were significantly higher than those of the control group at all time points after the first treatment(P<0.001).After treatment,the subjective pain scores of both groups decreased gradually,while the AOFAS-AH scores increased progressively.By the 12th day of treatment,the difference in the improvement effects of subjective pain and AOFAS-AH scores between the two groups widened gradually.Conclusion:Compared with stretching exercises alone,Fu's subcutaneous needling therapy combined with stretching exercises has more significant advantages in relieving heel pain and improving daily functions as well as ankle-hindfoot functions.