背景:双脚是一种畸形,具有不同程度的身体影响。患有内旋脚的患者会遇到诸如脚痛之类的问题,脚踝疼痛,脚跟疼痛,胫骨夹板,平衡受损,足底筋膜炎,等。目的:本研究旨在比较IASTM(器械辅助软组织动员)和静态拉伸对踝关节柔韧性的有效性。脚的姿势,足部功能,灵活内旋的患者的平衡。
方法:纳入72名年龄在18-25岁之间的有灵活内旋脚的参与者,并分为三组:对照组,伸展,和IASTM组使用单盲随机化。运动范围(ROM)测量踝关节的灵活性,足部姿势指数(FPI),足部功能指数(FFI),在基线和干预4周后测量动态平衡。对IASTM组应用软组织动员,而拉伸组的目标是对腓肠肌-比目鱼复合体进行静态拉伸,胫骨前肌,和跟腱除了足部锻炼。对照组仅接受足底锻炼4周。
结果:结果显示右支配足ROM足底屈曲有显著改善,(F=3.94,p=0.03),背屈(F=3.15,p=0.05),反转(F=8.54,p=0.001)和外翻(F=5.93,p=0.005),FFI(控制与IASTM,平均差(MD)=5.9,p<0.001),FPI(右脚,控制vs.IASTMMD=0.88,p=0.004),和右腿姿势的动态平衡(前,prevs.post=88.55±2.28vs.94.65±2.28;前内侧,prevs.post=80.65±2.3vs.85.55±2.93;后部,prevs.post=83±3.52vs.87±2.99和横向,prevs.post=73.2±5.02vs.IASTM组78.05±4.29)。与对照组相比,拉伸组的FFI显着增加。
结论:肌筋膜释放技术,即,IASTM与足部锻炼,显著提高了灵活性,脚的姿势,足部功能,与拉伸相比,动态平衡,使其成为灵活的内旋脚患者的治疗选择。
BACKGROUND: Pronated foot is a deformity with various degrees of physical impact. Patients with a pronated foot experience issues such as foot pain, ankle pain, heel pain, shin splints, impaired balance, plantar fasciitis, etc. Objective: The study intended to compare the effectiveness of IASTM (instrument-assisted soft tissue mobilization) and static stretching on ankle flexibility, foot posture, foot function, and balance in patients with a flexible pronated foot.
METHODS: Seventy-two participants between the ages of 18-25 years with a flexible pronated foot were included and allocated into three groups: Control, stretching, and IASTM group using single-blinded randomization. Range of motion (ROM) measuring ankle flexibility, foot posture index (FPI), foot function index (FFI), and dynamic balance was measured at baseline and after 4 weeks of intervention. Soft tissue mobilization was applied on to the IASTM group, while the stretching group was directed in static stretching of the gastrocnemius-soleus complex, tibialis anterior, and Achilles tendon in addition to the foot exercises. The control group received only foot exercises for 4 weeks.
RESULTS: The result shows the significant improvement of the right dominant foot in ROM plantar flexion, (F = 3.94, p = 0.03), dorsiflexion (F = 3.15, p = 0.05), inversion (F = 8.54, p = 0.001) and eversion (F = 5.93, p = 0.005), FFI (control vs. IASTM, mean difference (MD) = 5.9, p < 0.001), FPI (right foot, control vs. IASTM MD = 0.88, p = 0.004), and in dynamic balance of the right-leg stance (anterior, pre vs. post = 88.55 ± 2.28 vs. 94.65 ± 2.28; anteromedial, pre vs. post = 80.65 ± 2.3 vs. 85.55 ± 2.93; posterior, pre vs. post = 83 ± 3.52 vs. 87 ± 2.99 and lateral, pre vs. post = 73.2 ± 5.02 vs. 78.05 ± 4.29) in the IASTM group. The FFI was increased remarkably in the stretching group as compared to the control group.
CONCLUSIONS: Myofascial release technique, i.e., IASTM with foot exercises, significantly improves flexibility, foot posture, foot function, and dynamic balance as compared to stretching, making it a choice of treatment for patients with a flexible pronated foot.