Clinical efficacy observation of rehabilitation therapy combined with computer-aided design and production of orthopedic insoles for flat feet with plantar fasciitis
Objective To explore the effect of rehabilitation therapy combined with computer-aided design and computer-aided manufacture(CAD/CAM)orthopedic insole for patients with flat foot complicated with plantar fasciitis.Methods 90 patients with plantar fasciitis accompanied by flat feet were selected.The patients were randomly divided into a rehabilitation group,an insole group and a combined treatment group by drawing lots,30 in each group.The rehabilitation group was given rehabilitation treatment.The insole group was given orthopedic insole.The combined treatment group was given rehabilitation treatment and orthopedic insole.The clinical effect was compared among the three groups.Results There was no significant difference in VAS score and walking time among the three groups before treatment(P＞0.05).The VAS scores of the three groups were significantly decreased after 1 week of treatment compared with before treatment(P＜0.05).The VAS score was significantly different between12 weeks of treatment and1 week of treatment(P＜0.05).The walking time of the three groups was significantly longer than before 1 week of treatment(P＜0.05).There was a significant difference in walking time between 12-week treatment and 1-week treatment(P＜0.05).Comparison of VAS between groups showed that insole group and combined treatment group were lower than the rehabilitation group(P＜0.05),but there was no significant difference between the insole group and the combined treatment group(P＞0.05).There was no statistically significant difference in walking time between the insole group and the rehabilitation group(P＞0.05),but there was statistically significant difference between the combined treatment group and the rehabilitation group(P＜0.05).The effective rate of the combined treatment group and the insole group was higher than that of the rehabilitation group(P＜0.05),but there was no statistically significant difference between the combined treatment group and the insole group(P＞0.05).Conclusions Insole is effective in the treatment of flat foot complicated with plantar fasciitis.However,the combined treatment is more effective and can be used for clinical promotion.
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