• 제목/요약/키워드: Plantar fascia rupture

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족저근막 파열의 임상양상 (The Clinical Features of Plantar Fascia Rupture)

  • 이호승;이종윤;정재중
    • 대한족부족관절학회지
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    • 제21권1호
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    • pp.17-20
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    • 2017
  • Purpose: The purpose of this study is to analyze the clinical features of plantar fascia rupture. Materials and Methods: We retrospectively reviewed 312 patients with plantar fasciitis between March 2008 and February 2013. We investigated age, sex, site, visual analogue scale (VAS), body mass index (BMI), characteristics of pain, awareness of rupture, and duration of symptoms. Acute rupture was defined as a rupture that occurred during exercise; chronic rupture was defined as a degenerative rupture after plantar fasciitis. We investigated the frequency of acute and chronic rupture. Results: Among 312 patients, 38 patients (12.2%) were diagnosed with plantar fascia rupture. Thirty-eight patients consisted of 14 men (36.8%) and 24 women (63.2%). The mean age of plantar fascia rupture was $58.29{\pm}12.54years$. The mean VAS score was 5.92 points (3~9 points). The mean BMI was $25.92{\pm}1.59kg/m^2$. Among the 38 patients, 2 patients had acute plantar fascia rupture and 36 had chronic plantar fascia rupture. In 34 patients-out of 36 chronic plantar fascia rupture, there were no subjective symptoms. Conclusion: Chronic rupture of the plantar fascia that occurred after plantar fasciitis was more common than acute rupture. Chronic rupture occurred at approximately 12% of patients treated with plantar fasciitis. In chronic rupture of the plantar fascia, there were no subjective symptoms of rupture. Therefore, we should doubt chronic rupture of plantar fascia when plantar fasciitis is prolonged.

족저 근막염의 임상 소견과 초음파 소견의 연관성 (The Relationship Between the Clinical Findings and Ultrasonographic Findings of Plantar Fasciitis)

  • 문정석;배우한;이우천
    • 대한정형외과 초음파학회지
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    • 제2권1호
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    • pp.1-6
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    • 2009
  • 목적: 저자들은 족저 근막염에 대한 초음파 소견과 임상적 변수들과의 연관성을 알아보고자 하였다. 대상 및 방법: 본원에서 2007년 10월부터 2008년 4월까지 이학적 검사 및 초음파 검사를 통해 족저 근막염으로 진단받은 36명 49발과 증상이 없는 21발을 대상으로 하였다. 병변은 23명이 편측, 13명이 양측이었다. 남자 16명, 여자 20명이었고, 평균나이는 48.6세였다. 편측군과 양측군, 환측과 건측의 족저 근막의 두께, 근막 내부의 에코성, 족저 근막 파열 유무, 석회화, 종골하 골극형성을 조사하여 비교하였다. 족저 근막 두께와 평균나이, 체질량 지수, 증상기간, 통증지수와의 상관관계를 조사하였다. 결과: 편측군과 양측군 사이에 나이, 성별, 체질량지수, 증상기간의 차이는 없었다. 족저 근막의 두께는 편측군이 $5.2{\pm}1.5mm$, 양측군이 $4.4{\pm}1.4mm$로 유의한 차이가 있었다(p=0.045). 양 군간 저에코 음영과 종골하 골극의 빈도는 차이가 없었다. 전례에서 근막 파열이나 석회화는 없었다. 환측 족저 근막의 두께는 $4.8{\pm}1.5mm$로 건측의 $3.1{\pm}0.5mm$에 비해 두꺼웠다(p=0.000). 족저 근막의 두께는 증상기간과 음의 상관관계가 있었다(p=0.046). 결론: 족저 근막염에 대한 초음파 검사상 근막의 두께가 반대쪽보다 유의하게 두꺼웠고 편측군이 양측군보다 유의하게 두꺼웠으며 증상기간과 족저 근막의 두께는 반비례 관계를 보였다.

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기능적 테이핑과 심부마찰 마사지가 족저근막염 환자의 균형과 보행능력에 미치는 효과 비교 (Comparison Between Functional Taping and Deep Friction Massage on Balance and Gait Ability in patients with Plantar Fasciitis)

  • 정상모
    • 대한정형도수물리치료학회지
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    • 제21권2호
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    • pp.25-31
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    • 2015
  • Background: A chronic condition that has a fine rupture and inflammation that occurs in the plantar fascia medial calcaneal origin or occur during the rough part is called plantar fasciitis heel pain plantar fasciitis. Using functional taping to fix the subtalar joint were investigated through an experiment for how much the elastic taping effect than applying it to correct by applying the inelastic taping. This study was performed to change the balance and walking ability shown by the groups that do not apply to the application of the functional group taping. Methods: 20 people functional taping group 10 patients, deep friction massage was applied to the group to 10 people. The duration of the experiment were divided into groups going deep friction massage and the month after you apply before applying the functional taping. Results: Analysis showed statistically significant improvement in all time in both groups. All functional taping group and deep friction massage group had no significant difference with respect to balance and walking ability. Conclusion: When you saw the results of this study showed functional taping group is plantar fasciitis is the patients for treatment to mark fasciitis patients than those applying deep friction massage effects that increase is believed to help the symptoms of recovery.

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