| PurposeDesign acupotome treatment of plantar aponeurosis inflammation of operations which in accordance with the plantar fascia anatomy 、acupotomy theory and remarkable curative effect for clinical application. Method 1.The autopsy of plantar fasciaAnatomy of 5(mrale 3,female 2)Faure Marin fixed adult cadavers(10 sides) foot specimens.Since the lateral end connecting to the plantar metatarsophalangeal joint,separation the skin,subcutaneous tissue,superficial fascia,plantar fascia,abductor hallucis muscle,flexor digitorum brevis,abductor digiti minimi,toe muscle,long plantar ligament,and the nerves and blood vessels of medial and lateral plantar layer by layer. To observe the distribution of plantar fascia,plantar fascia enthesitis and its relationship with the surrounding tissue adjacent to the. To observe the anatomic relationship between the plantar fascia and surrounding structure, With the calcaneal tuberosity in the front of the lateral process as a reference point.Measuring the plantar fascia thickness,width and the distance between plantar nerve and vascular bundle and the inner V and outer edge of the starting point of the plantar fascia. 2. Literature researchReview of relevant literature,understanding and analysis the different understanding about Chinese and Western medicine and the traditional acupuncture therapy on the etiology and pathogenesis of plantar fasciitis. 3. clinical applicationThe screening of 50 cases of patients with plantar fasciitis(23 males,17 females),aged 28-70 years,duration of 6-18 months.They were randomly divided into experimental group(25 cases)and control group(25 cases), according to the treatment sequence.The experimental group adopted treatment of the new design,1 times of treatment;the control group using acupotomy tenderness point treatment,1 times of treatment. A week after the end of treatment and 3 months after the follow-up clinical evaluation,the two groups were observed in patients with clinical comprehensive curative effect,main symptoms and signs,and carries on the statistical analysis. Result1. The average value of the starting point at the width of the plantar fascia is 24.45mm;average thickness(middle part:2.91mm;2.12mm;the lateral part of themedial part:1.54mm).The plantar fascia in the medial process of calcaneal tuberosity attachment in the lateral plantar nerve,margin,vascular bundledistance average(medial lateral:12.54mm;10.42mm).2.Combined with the theoretical guidance of plantar fascia anatomy and acupotomy of plantar fasciitis pathological mechanism,design the surgical acupotomy two loosening therapy in the treatment of plantar fasciitis,namely acupotomy at the central part of the starting point of the plantar fascia and the medial part of the.3.A week after the end of treatment the cure rate of the control group(24%);the experimental group cure rate(52%),two groups of clinicalbasic healing rate(P<0.05),the difference was statistically significant.Can be considered a week after the end of treatment,the cure rate in the experimental group than the control group.Three months of follow-up,two subjects were falling(see Table 11),the statistical test(P>0.05),no statistically significant; three months follow-upcontrol group cure rate(13%),the total efficiency(65.2%),the experimental group cure rate(79.2%),the total efficiency(95.8%),two groups of clinical cure rate and the total efficiency(P<0.01),there were significant differences,can be considered the long-term curative effect of the experimental group was significantly better than the control group.In the control group compared two groups of data sets in:after three months of follow-up treatment and one week after the clinicaltotal efficiency comparison(P<0.05),the difference was statistically significant,and in three months the total efficiency of the control group(65.2%) was significantly lower than that in a week after the end of treatment the total effective rate(92%),show that in the three months follow-up,tenderness point needle knife treatment of plantar fasciitis of the healing effect is less than a week after the end of treatment,thetreatment effect,and the effect seems to be decreased with time prolongation;However,in the two groups of data were compared in two groups of datafound that although the total efficiency comparison(P>0.05),the difference was not statistically significant,but the cure rate of the two groups of data(P<0.05),the difference was statistically significant,and inthree months after the experimental group cure rate(79.2%) higher rate of Zhou Quanyu after the end of treatment(52%),three months of follow-up,two needle loosening therapy in the treatment of plantar fasciitistreatment effect than a week after the end of treatment,treatment effect,and the effect seems to be increasing with time delay.These results show that:compared to traditional acupuncture therapy,acupuncture points relaxing the clinical effect of treatment group was more significant,and the long-term curative effect is better.ConclusionThe operation design of two points acupotome relaxing therapy for the treatment of plantar fasciitis, is based on the anatomy of plantar fascia and Acupotomology Basic Theory(ABT)- Human Bowstring-mechanics Anatomical System(HBAS) and Acpotomy Operation Theory,which is a safe and effective treatment. |
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