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首页> 外文期刊>Foot and ankle international >The effects of duration and frequency of Achilles tendon stretching on dorsiflexion and outcome in painful heel syndrome: a randomized, blinded, control study.
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The effects of duration and frequency of Achilles tendon stretching on dorsiflexion and outcome in painful heel syndrome: a randomized, blinded, control study.

机译：跟腱伸展的持续时间和频率对疼痛性足跟综合征中背屈和预后的影响：一项随机，盲目对照研究。

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The American Orthopedic Foot and Ankle Society recommends at least six months of nonsurgical treatment before considering surgical intervention for painful heel syndrome. Achilles tendon stretching exercises are consistently reported to be one of the more effective nonsurgical modalities for treatment of painful heel syndrome. However, the optimal duration and frequency of the exercises has not been reported. The purpose of this study was to evaluate and compare the effectiveness of sustained and intermittent Achilles tendon stretching for the relief of pain associated with painful heel syndrome. This prospective, randomized, blinded study was performed from May 1997 to July 2000. A total of 94 people (122 affected feet) fit the inclusion criterion and agreed initially to participate in a treatment study group. To achieve our purpose, study participants were randomized into two stretching groups. One group performed sustained Achilles tendon stretches (three minutes, three times daily), the other performed intermittent stretches (five sets, 20 seconds each, two times daily). Participants were evaluated once a month for a period of four months subsequent to diagnosis. At each monthly visit, participants completed subjective questionnaires about their pain. Also, a physical therapist measured each participant's Achilles tendon flexibility. The study determined that both sustained and intermittent Achilles tendon stretching exercises increase Achilles tendon flexibility. This increase in flexibility correlated with a decrease in pain. There was no significant difference in outcome between the sustained and intermittent stretching groups. The data suggest that both sustained and intermittent Achilles tendon stretching exercises were effective nonsurgical treatments for painful heel syndrome.
机译：美国骨伤足踝学会建议在考虑手术治疗脚后跟疼痛综合征之前，至少应进行六个月的非手术治疗。阿基里斯腱伸展运动一直被认为是治疗脚后跟疼痛综合症最有效的非手术方法之一。但是，尚未报告最佳锻炼时间和频率。这项研究的目的是评估和比较持续的和间歇的跟腱拉伸对于缓解足跟痛综合征所引起的疼痛的有效性。该前瞻性，随机，双盲研究于1997年5月至2000年7月进行。共有94人（122患脚）符合纳入标准，并初步同意参加治疗研究组。为了达到我们的目的，研究参与者被随机分为两个伸展组。一组持续进行跟腱拉伸（三分钟，每天三次），另一组进行间歇性拉伸（五组，每次20秒，每天两次）。诊断后四个月，每月对参与者进行一次评估。在每个月的访问中，参与者填写有关其疼痛的主观问卷。此外，物理治疗师还测量了每个参与者的跟腱弹性。该研究确定，持续的和间歇的跟腱伸展运动均可增加跟腱的柔韧性。这种柔韧性的增加与疼痛的减轻相关。持续性和间歇性拉伸组之间的结果无显着差异。数据表明，持续的和间歇的跟腱伸展运动都是有效的非手术治疗脚跟疼痛综合征的方法。

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