Abstract：
Assessment of myofascial tissue stiffness have a role in identifying physical impairments in plantar fasciopathy (PF). It is still unclear which specific functional and tissue differences exist between individuals with PF.
To compare myofascial stiffness of plantar fascia, Achilles tendon, and triceps surae between symptomatic and asymptomatic limbs in individuals with PF and between individuals with and without PF.
Thirty nine individuals diagnosed with PF and individuals with no history of PF were recruited. Myofascial stiffness of the plantar fascia, Achilles tendon, and triceps surae, range of motion, and clinical tests were performed. Mean difference (MD) and 95% confidence interval (CI) were calculated.
Individuals with PF showed lower mean stiffness in Achilles tendon insertion (MD = -1.00 N/mm; 95%CI: -1.80,-0.21) on the symptomatic limb compared to the corresponding symptomatic limb in control group, a lower mean stiffness in plantar fascia (MD = -0.16 N/mm; 95%CI: -0.30, -0.01) on the symptomatic limb compared to asymptomatic limb, and a lower mean stiffness in the region 3 cm above the Achilles tendon insertion (MD = -0.79; 95%CI: -1.59, -0.00) compared to control. Individuals with PF showed fewer repetitions in heel rise test (MD = -3.97 reps; 95%CI: -5.83, -2.12) and in the step-down test (MD = -5.23 reps; 95%CI: -7.02, -3.44) compared to control.
Individuals with PF present reduced stiffness in Achilles tendon insertion and plantar fascia. The reduced stiffness was more evident in Achilles tendon in individuals with PF compared to individuals without PF. Individuals with PF showed lower performance in clinical tests.
To compare myofascial stiffness of plantar fascia, Achilles tendon, and triceps surae between symptomatic and asymptomatic limbs in individuals with PF and between individuals with and without PF.
Thirty nine individuals diagnosed with PF and individuals with no history of PF were recruited. Myofascial stiffness of the plantar fascia, Achilles tendon, and triceps surae, range of motion, and clinical tests were performed. Mean difference (MD) and 95% confidence interval (CI) were calculated.
Individuals with PF showed lower mean stiffness in Achilles tendon insertion (MD = -1.00 N/mm; 95%CI: -1.80,-0.21) on the symptomatic limb compared to the corresponding symptomatic limb in control group, a lower mean stiffness in plantar fascia (MD = -0.16 N/mm; 95%CI: -0.30, -0.01) on the symptomatic limb compared to asymptomatic limb, and a lower mean stiffness in the region 3 cm above the Achilles tendon insertion (MD = -0.79; 95%CI: -1.59, -0.00) compared to control. Individuals with PF showed fewer repetitions in heel rise test (MD = -3.97 reps; 95%CI: -5.83, -2.12) and in the step-down test (MD = -5.23 reps; 95%CI: -7.02, -3.44) compared to control.
Individuals with PF present reduced stiffness in Achilles tendon insertion and plantar fascia. The reduced stiffness was more evident in Achilles tendon in individuals with PF compared to individuals without PF. Individuals with PF showed lower performance in clinical tests.
摘要：
背景：评估肌筋膜组织硬度在确定足底筋膜病（PF）的身体损伤中具有作用。尚不清楚PF个体之间存在哪些特定的功能和组织差异。
目的：比较足底筋膜的肌筋膜僵硬度，跟腱,PF患者的有症状和无症状肢体之间以及有和没有PF的个体之间的肱三头肌。
方法：招募39名诊断为PF的个体和无PF病史的个体。足底筋膜肌筋膜僵硬度，跟腱,和肱三头肌，运动范围,并进行了临床试验。计算平均差(MD)和95%置信区间(CI)。
结果：与对照组相应的有症状的肢体相比，患有PF的个体在有症状的肢体上的跟腱插入平均刚度较低（MD=-1.00N/mm；95CI：1.80，-0.21）。与无症状肢体相比，有症状肢体的足底筋膜平均硬度较低（MD=-0.16N/mm；95CI：0.30，-0.01），与对照组相比，跟腱插入上方3cm区域的平均刚度较低（MD=-0.79；95CI：1.59，-0.00）。与对照组相比，患有PF的个体在脚跟上升测试（MD=-3.97代表；95CI：5.83，-2.12）和降压测试（MD=-5.23代表；95CI：7.02，-3.44）中的重复次数较少。
结论：患有PF的个体在跟腱插入和足底筋膜中的刚度降低。与没有PF的个体相比，具有PF的个体的跟腱刚度降低更为明显。患有PF的个体在临床试验中表现较低。
目的：比较足底筋膜的肌筋膜僵硬度，跟腱,PF患者的有症状和无症状肢体之间以及有和没有PF的个体之间的肱三头肌。
方法：招募39名诊断为PF的个体和无PF病史的个体。足底筋膜肌筋膜僵硬度，跟腱,和肱三头肌，运动范围,并进行了临床试验。计算平均差(MD)和95%置信区间(CI)。
结果：与对照组相应的有症状的肢体相比，患有PF的个体在有症状的肢体上的跟腱插入平均刚度较低（MD=-1.00N/mm；95CI：1.80，-0.21）。与无症状肢体相比，有症状肢体的足底筋膜平均硬度较低（MD=-0.16N/mm；95CI：0.30，-0.01），与对照组相比，跟腱插入上方3cm区域的平均刚度较低（MD=-0.79；95CI：1.59，-0.00）。与对照组相比，患有PF的个体在脚跟上升测试（MD=-3.97代表；95CI：5.83，-2.12）和降压测试（MD=-5.23代表；95CI：7.02，-3.44）中的重复次数较少。
结论：患有PF的个体在跟腱插入和足底筋膜中的刚度降低。与没有PF的个体相比，具有PF的个体的跟腱刚度降低更为明显。患有PF的个体在临床试验中表现较低。
