臺灣博碩士論文加值系統

足底筋膜炎為物理治療中常見的疾病，採用肌內效貼紮治療是目前在物理治療臨床上新的治療方法，但其療效仍缺乏臨床實証，因此本研究目的為：比較物理治療加入肌內效貼紮與僅使用物理治療，兩種治療模式的療效。
研究方法：將12名足底筋膜炎患者隨機分配成兩組，實驗組6人有7個患足樣本，接受物理治療及介入肌內效貼紮；對照組6人有8個患足樣本，僅接受物理治療。兩組年齡、BMI值、已經疼痛時間及每日站立時間皆無統計上的差異（P>0.05）。
肌內效貼紮的治療方式，依據協助保護軟組織、及降低肌肉張力理念，貼覆於足底筋膜及腓腸肌外側皮膚上，每日連續治療持續一週後，比較兩組治療前後的治療差異及效果，包括超音波的足底筋膜影像（包含筋膜厚度及發炎反應）、足壓圖、及疼痛量表的評估。
結果：超音波影像評估中，在跟骨前0.5公分的足底筋膜厚度上，實驗組厚度平均值減少0.081公分；對照組厚度平均值減少0.051公分，兩組治療前後厚度改變並無顯著差異（P>0.05），但於足跟頂端的足底筋膜厚度實驗組厚度平均值減少0.063公分；對照組厚度平均值減少0.014公分，兩組改變有顯著差異（P<0.05）。以超音波觀察足底筋膜發炎(低迴音區)變化，兩組於治療前後並無顯著差異（P>0.05）。
以足壓圖評估足底分區的壓力變化，比較兩組治療前後的改變並無顯著差異（P>0.05）。
以疼痛量表評估，實驗組的足底筋膜炎疼痛感覺陳述分數平均值減少5.14分，對照組減少2.75分，兩組無顯著差異（P>0.05）。其中於足部功能指標分數之7項功能動作，除第3項(一整天後足底是否會痛，是幾分?) 外，實驗組減緩的疼痛分數較對照組達顯著差異（P<0.05）。
結論：連續一週的物理治療，配合定量（貼布使用的長度及拉伸張力）的肌內效貼紮治療，相較於僅以物理治療，能較快緩解足底筋膜炎的疼痛，但足底筋膜組織的厚度、發炎變化及足壓圖的改變，本研究中無法觀察到顯著差異。

Plantar fasciitis is common disease in physical therapy. Kinesiotaping is a new method of clinical treatment, but the treatment result still lacks the clinical proof. Therefore the purpose of this study was to compare curative effect between the physical therapy with Kinesiotaping and only the physical therapy.
Method：Twelve subjects matched two groups in random distribution. The experimental group six people had seven foot samples, accepted in the physical therapy and Kinesiotaping treatment. The comparison group six people had eight foot samples, only accepted the physical therapy. There was no statistic difference between two groups of ages, the BMI values, already the ache time and the standing time every day (P>0.05).
Kinesiotaping that based on assists to protect the soft tissue and to reduce the muscle tension pastes over plantar fascia and gastrocnemius. The curative effects were compared between two group by ultrasonography (appraised plantar fasscia thickness and organization change), the foot pressure, and the pain scale after continuous a week treatment.
Result：The mean of thickness in front 0.5 cm of calcaneus reduced 0.081 cm in the experimental group and reduced 0.051 cm in the comparison group by ultrasonography. There was no statistic significance noted on the result of thickness in front 0.5 cm of calcaneus. (P>0.05)The mean of thickness on calcaneus reduced 0.063 cm in the experimental group but reduced 0.014 cm in the comparison group by ultrasonography. There was statistic significance noted on the result of thickness on calcaneus. (P<0.05) There was no statistic significance change on inflammation reduce（hypoechoic）of plantar fasciitis. (P>0.05)
In the foot pressure change, there was no statistic significance noted on the result of the pressure area variation (P>0.05).
In the pain scale, the mean of grade reduced 5.14 in the experimental group and reduced 2.75 in the comparison group by McGill Melnack pain questionnaire. There was no statistic significance noted on the grade difference of pain questionnaire . (P>0.05) There were statistic significance noted on the grade difference of Foot function index (P>0.05) except subscale 3（At the end of the day？）.
Conclusion：Continuously a week-long physical therapy with quantum of Kinesiotape can alleviate the pain of plantar fasciitis faster than only physical therapy. But the organization's thickness and inflammation change of plantar fascia, and the pressure area variation, in this research can not observe the difference of curative effect.

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