这项研究的目的是研究一种新的治疗方法(木薯蜡浴:CWB)与常规治疗(石蜡蜡浴:PWB)在足底筋膜炎(PF)患者中的疗效。40例PF患者被纳入研究(CWB组,n=20,PWB组,n=20)。CWB组患者接受木薯蜡浴,PWB组患者接受常规护理(PWB)。主要结果是疼痛强度(PI)。次要结果是压力疼痛阈值(PPT),疼痛频率(PFr),脚和脚踝能力测量(FAAM),和踝关节背屈运动范围(ADROM)。在五周干预前后评估所有结果,一个月,干预期后三个月。干预之后,两组在干预期后以及1个月和3个月随访期间的所有结局均有统计学意义的改善(P<0.05)。对于所有结果,在评估后的任何时间点均未观察到组间差异,PFr除外(P<0.05)。总之,这项研究的结果表明,CWB在降低PFr方面明显优于PWB。对于其他结果,CWB和PWB在降低PI和增加PPT方面同样有效,FAAM,PF患者的ADROM。因此,CWB可能被认为是PF患者的一种新的有用的治疗选择。试验注册:泰国临床试验注册中心(TCTR)(标识号:TCTR20220128002),首次发布日期:2022年1月28日。
The aim of this
study was to investigate the efficacy of a new therapeutic approach (cassava wax bath: CWB) compared with usual care (paraffin wax bath: PWB) in patients with plantar fasciitis (PF). Forty patients with PF were recruited into the
study (CWB group, n = 20, PWB group, n = 20). Patients in the CWB group received cassava wax bath and patients in the PWB group received usual care (PWB). The primary outcome was pain intensity (PI). The secondary outcomes were the pressure pain threshold (PPT), pain frequency (PFr), foot and ankle ability measure (FAAM), and ankle dorsiflexion range of motion (ADROM). All outcomes were assessed before and after the five-week intervention, one month, and three months after the intervention period. After the intervention, statistically significant improvement was found in all outcomes after the intervention period and during the one month and three months follow-up
study in both groups (P < 0.05). For all outcomes, no between-group differences were seen at any post-assessment time-point, except for PFr (P < 0.05). In conclusion, the findings of this
study indicate that CWB was significantly superior to PWB in reducing PFr. For the other outcomes, CWB and PWB were both equally effective in reducing PI and increasing PPT, FAAM, and ADROM in patients with PF. Therefore, CWB might be considered as a novel useful therapeutic option for PF patients.Trial registration: Thai Clinical Trials Registry (TCTR) (Identification number: TCTR20220128002), First posted date: 28/01/2022.