目的:本研究的目的是评估和比较后足疼痛的有效治疗方案,开发和调查远程康复系统的有效性,并确保患者定期准确地进行锻炼和预防措施,同时监测结果。
方法:后足疼痛(HP)患者(N=77,120英尺)被纳入本研究,分为两种病理:足底筋膜炎和跟腱病。将每种病理的患者随机分为三种不同的康复计划-基于网络的远程康复(PF-T&AT-T),-动手治疗技术结合运动(PF-C&AT-C)-无人监督的家庭锻炼(PF-H&AT-H)计划。残疾,活动限制,第一步疼痛,记录背屈-足底屈的活动范围和运动恐惧症评分.研究组的结果收集在干预前(第8周)。远程康复系统是通过用户驱动的创新开发的,并在正式使用之前进行了测试。
结果:各组疼痛均有显著改善,残疾,功能状态和运动恐惧症(p<0.001)。就功能状态而言,PF-C与其他PF-C具有统计学上的显著差异(p<0.001)。两组之间的疼痛评分在两种病理中没有差异。(p>0.001)。然而,与其他组相比,基于网络的远程康复(PF-T&AT-T)对运动恐惧症更有效(p<0.001).
结论:提出的基于网络的远程康复系统用于管理后足疼痛是一种有效的方法,可能是首选,而不是无监督的家庭锻炼,特别是对于运动恐惧症。此外,脚和脚踝伸展和加强练习协议,就ROM而言,肌筋膜释放和Mulligan概念手动治疗是有效的方式,VISA-A,FAAM,FFI,后足疼痛的TSK和VAS评分。结果表明,三种承诺的不同康复方案可能是HP的有效策略。
OBJECTIVE: The aim of the
study was to evaluate and compare effective therapeutic options for hindfoot pain, develop and investigate the effectiveness of tele-rehabilitation systems, and ensure patients perform their exercises and preventive measures regularly and accurately, while monitoring results.
METHODS: Hindfoot pain (HP) patients (N = 77 with 120 feet) were admitted to this
study and divided into two pathologies; Plantar
Fasciitis and Achilles Tendinopathy. Patients in each pathology were randomized into three different rehabilitation programs-web-based telerehabilitation (PF-T & AT-T), -hands-on healing techniques combined with exercise (PF-C & AT-C)-unsupervised home exercise (PF-H & AT-H) program. Disability, activity restrictions, first-step pain, dorsiflexion-plantar flexion range of motion and kinesiophobia scores were recorded. The outcomes of the
study groups were collected pre-post intervention (8thweek). Telerehabilitation system was developed via user-driven innovation and tested before using formally.
RESULTS: Each group had significant improvements in pain, disability, functional status and kinesiophobia (p < 0.001). In terms of functional status, PF-C had a statistically significant difference from others (p < 0.001). There was no difference between the groups for the pain scores in both pathologies. (p > 0.001). However, web-based telerehabilitation (PF-T & AT-T) were found to be more effective on kinesiophobia compared to the other groups (p < 0.001).
CONCLUSIONS: The presented web-based telerehabilitation system for management of hindfoot pain is an effective way and might be preferred instead of unsupervised home exercise specially for kinesiophobia. Additionally, Foot and ankle stretching and strengthening exercises protocols, myofascial releasing and mulligan concept manual therapy are effective modalities in terms of ROM, VISA-A, FAAM, FFI, TSK and VAS scores for hindfoot pain. The results indicated that three promised different rehabilitation protocols could be an effective strategy for HP.