Relationship Between Tightness of the Posterior Muscles of the Lower Limb and Plantar Fasciitis
Relationship Between Tightness of the Posterior Muscles of the Lower Limb and Plantar Fasciitis
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DOI：
10.1177/1071100712459173
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发表时间：
2013-01-01
影响因子：
2.7
通讯作者：
Polo Padillo, Juan
中科院分区：
文献类型：
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作者：
Aranda Bolivar, Yolanda;Munuera, Pedro V.;Polo Padillo, Juan
背景：本研究的目的是确定下肢后部肌肉紧张是否与足底筋膜炎相关。方法：总共招募了 100 名受试者的 100 名下肢、50 名患有足底筋膜炎的受试者和 50 名匹配的对照者。通过直腿抬高测试、腘角测试和踝背屈（膝盖伸展和膝盖弯曲）来评估腿筋和小腿肌肉。比较两组之间的所有变量。此外，还计算了肌肉收缩测试的 ROC 曲线、敏感性和特异性，以确定其潜在的预测能力。结果：在所有情况下，用于评估肌肉缩短的两组测试之间的差异均显着 (P < .001)。作为本研究参与者的诊断测试，直腿抬高测试和膝关节伸展的踝背屈测试的敏感性分别为 94% 和 100%，特异性为 82% 和 96%。结论：足底筋膜炎患者存在下肢后部肌肉紧张，但未受影响的参与者则没有。 临床相关性：本研究的结果表明，将采用拉伸方案的治疗师治疗足底筋膜炎时应注意腿筋和小腿三头肌的紧张度。除了适当的组织特异性足底筋膜拉伸方案外，还可以推荐拉伸运动计划来治疗足底筋膜炎，重点是拉伸小腿三头肌和腿筋。证据级别：III 级，病例对照研究。
Background: The aim of this study was to determine whether tightness of the posterior muscles of the lower extremity was associated with plantar fasciitis.Methods: A total of 100 lower limbs of 100 subjects, 50 with plantar fasciitis and 50 matching controls were recruited. Hamstring and calf muscles were evaluated through the straight leg elevation test, popliteal angle test, and ankle dorsiflexion (knee extended and with the knee flexed). All variables were compared between the 2 groups. In addition, ROC curves, sensitivity, and specificity of the muscle contraction tests were also calculated to determine their potential predictive powers.Results: Differences between the 2 groups for the tests used to assess muscular shortening were significant (P < .001) in all cases. The straight leg elevation test and ankle dorsiflexion with the knee extended presented respective sensitivities of 94% and 100% and specificities of 82% and 96% as diagnostic tests for the participants in this study.Conclusion: Tightness of the posterior muscles of the lower limb was present in the plantar fasciitis patients, but not in the unaffected participants.Clinical Relevance: The results of this study suggest that therapists who are going to employ a stretching protocol for treatment of plantar fasciitis should look for both hamstring as well as triceps surae tightness. Stretching exercise programs could be recommended for treatment of plantar fasciitis, focusing on stretching the triceps surae and hamstrings, apart from an adequate tissue-specific plantar fascia-stretching protocol.Level of Evidence: Level III, case control study.