摘要
慢性和复发性一直是足底筋膜炎(PF)治疗的重难点,传统治疗往往关注局部炎症和疼痛感觉的消除,对于身体的整体生物力学再平衡缺乏关注。肌筋膜链理论强调人体肌肉、骨骼及结缔组织完整性,局部出现异常将引起其他组织代偿,这给PF临床治疗提供了思路。该文检索中国知网、万方、PubMed、Web of science等中外数据库有关肌筋膜链理论和PF的文献资料,分析肌筋膜链与PF病理机制的可能关联,并总结肌筋膜链理论在PF相关治疗方法中的运用:筋膜因连续性、整体性以及力传导的功能,具有牵一发而动全身的特点。越来越多的研究证实,PF患者可能存在“后表链”的紧张导致的代偿,以及筋膜张力的异常传导。PF治疗除了处理足底局部痛点,缓解紧张的后表链也逐渐被关注,以求取得长期疗效。肌筋膜链理论在PF治疗中的应用体现在多种治疗方式中,包括体外冲击波、手法和牵伸、干针和针刺等,通过联合足底局部疼痛区及肌筋膜后表链进行整体治疗,相对于单纯处理局部痛点,具有更积极的远近期疗效。
Chronic recurrence has always been a major difficulty in the treatment of plantar fasciitis(PF). Traditional treatment often focuses on the elimination of local inflammation and pain sensation, and lacks attention to the overall biomechanical rebalancing of the body. "Myofascial Chain Theory" emphasizes the integrity of human muscle, bone and connective tissue, and local abnormalities will lead to compensation by other tissues, which provides ideas for the clinical treatment of PF. In this paper, literatures related to "Myofascial Chain Theory" and "PF" were retrieved from CNKI, Wanfang, Pub Med, Web of Science and other Chinese and foreign databases to analyze the possible correlation between "Myofascial Chain Theory" and the mechanism of PF, and to summarize the application of "Myofascial Chain Theory" in PF related treatment methods: Because of the continuity, integrity and the function of force transmission,fascia has the characteristic of "affecting the whole body". A growing number of studies have confirmed that PF patients may have compensation caused by "back watch chain" tension and abnormal conduction of fascia tension. In addition to the treatment of local pain points in the sole of the foot, the back watch chain that can relieve tension is also gradually concerned in order to achieve long-term efficacy. The application of the "Myofascial Chain Theory" in the treatment of PF is reflected in a variety of treatment methods, including extracorporeal shock wave, manipulation and stretching,dry needle and acupuncture. The overall treatment by combining the local pain area of the foot and the back chain of the myofascial has a more positive near-term effect than the simple treatment of local pain points.
作者
吴婷
郝跃峰
张秋霞
宁迩玉
WU Ting;HAO Yuefeng;ZHANG Qiuxia;NING Eryu(Soochow University,Suzhou,Jiangsu Province,215021 China;Suzhou Hospital Affiliated to Nanjing Medical University,Suzhou,Jiangsu Province,215002 China)
出处
《当代体育科技》
2022年第33期30-35,共6页
Contemporary Sports Technology
基金
苏州市科学技术局项目(项目名称:医学运动处方关键技术应用研究,项目编号:SS202047)
苏州市科学技术局项目(项目名称:基于医学体适能评估的运动健身干预技术的开发与示范,项目编号:SS201805)。
关键词
足底筋膜炎
肌筋膜链理论
体外冲击波
运动损伤
慢性
Plantar fasciitis
Myofascial Chain Theory
Extracorporeal shock wave
Sports injury
Chronic
