Therapeutic effect of rehabilitation therapy combined with computer-aided design and computer-aided manufacture of orthopedic insoles on deputy scaphoid inflammation_West China Medical Journal

Authors：

 LAI Huabing , ZHAO Weiwei , LI Mei , SHANG Alei , LI Mingzhu

Rehabilitation Department, Sichuan Province Orthopedic Hospital, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LAI Huabing, Email: 272044725@qq.com

Keywords：

Orthopedic insoles; deputy scaphoid inflammation; computer-aided design and computer-aided manufacture

DOI：

10.7507/1002-0179.202209029

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the therapeutic effect of rehabilitation therapy combined with computer-aided design and computer-aided manufacture (CAD/CAM) of orthopedic insoles on deputy scaphoid inflammation. Methods We selected the patients with deputy scaphoid inflammation who had treated in Sichuan Province Orthopedic Hospital between July 2018 and February 2020. The patients were randomly divided into control group and experimental group by drawing lots. The control group received rehabilitation therapy, while the experimental group received rehabilitation therapy combined with CAD/CAM orthopedic insoles. The clinical efficacy was tested at the 5th and 12th weeks after treatment, and the foot pain was assessed by Visual Analogue Scoring (VAS), and the foot function was assessed by the American Orthopaedic Foot and Ankle Association (AOFAS) scale. Results A total of 78 patients were included, and 3 patients dropped out. There was no significant difference in sex, age, weight or course of disease between the two groups (P>0.05). Before treatment, there was no statistically significant difference in VAS score (t=0.329, P=0.743) or AOFAS score (t=0.431, P=0.668) between the two groups. At the 5th and 12th weeks after treatment, the VAS score of the experimental group was lower than that of the control group (t=4.517, 5.299; P<0.001), and the AOFAS score was higher than that of the control group (t=6.239, 5.779; P<0.001). Over time, the VAS score of the two groups decreased (P<0.05), while the AOFAS score increased (P<0.05). Conclusion Rehabilitation therapy combined with CAD/CAM of orthopedic insoles have better curative effect than traditional rehabilitation therapy for deputy scaphoid inflammation.

Citation： LAI Huabing, ZHAO Weiwei, LI Mei, SHANG Alei, LI Mingzhu. Therapeutic effect of rehabilitation therapy combined with computer-aided design and computer-aided manufacture of orthopedic insoles on deputy scaphoid inflammation. West China Medical Journal, 2023, 38(4): 530-535. doi: 10.7507/1002-0179.202209029 Copy

1.	张存, 俞光荣. 痛性足副舟骨诊断和治疗进展. 国际骨科学杂志, 2011, 33(6): 360-363.
2.	曲绵域, 于长隆. 实用运动医学. 北京: 北京大学医学出版社, 2003: 500-510.
3.	曹洪辉, 张传志, 卢卫忠, 等. 重庆地区副舟骨和副舟骨源性疼痛与平足症患病率及多因素相关分析. 生物骨科材料与临床研究, 2014, 11(5): 29-33.
4.	庄杰, 吴仕龙, 王国平. 足副舟骨撞击综合征的临床及影像学分析. 现代实用医学, 2013, 25(6): 625-626, 721.
5.	黄映宏, 吴桂丽, 黄楚绵, 等. 副舟骨痛综合征的临床及 X 线诊断. 中国现代医生, 2008, 46(32): 141, 145.
6.	刘巍, 吴会东, 敖丽娟. 矫形鞋垫治疗足底筋膜炎的机制及临床研究进展. 中国康复, 2018, 33(2): 166-169.
7.	方征宇, 张勇. 体外冲击波联合矫形鞋垫治疗足底筋膜炎疗效观察. 山东医药, 2015, 55(1): 93-94.
8.	王江山, 何明伟, 倪家骧. 体外冲击波疼痛治疗的进展. 中国康复医学杂志, 2011, 26(8): 788-791.
9.	吴焱, 杨东旭. 体外冲击波治疗软组织慢性疼痛的临床观察. 临床医药实践, 2014, 23(4): 280-281.
10.	Levrio J. Podiatric medicine: a current assessment. J Am Podiatr Med Assoc, 2009, 99(1): 65-72.
11.	曲新涛, 于秀淳, 付志厚, 等. 军人Ⅱ型痛性足副舟骨的保守与手术治疗分析. 西北国防医学杂志, 2016, 37(1): 19-21.
12.	张德祥, 李跃辉, 钟晓, 等. 改良 Kidner 手术联合 HyProCure 治疗副舟骨源性平足症疗效观察. 实用骨科杂志, 2018, 24(6): 505-509.
13.	邓银栓, 高秋明, 甄平, 等. 副舟骨源性平足症的手术治疗策略. 中国骨伤, 2015, 28(2): 188-194.
14.	池雷霆, 李程, 张东, 等. 单纯副舟骨切除术治疗足副舟骨疼痛综合征. 中国骨伤, 2009, 22(12): 933-934.
15.	Kudo P, Dainty K, Clarfield M, et al. Randomized, placebo-controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracoporeal shockwave therapy (ESWT) device: a North American confirmatory study. J Orthop Res, 2006, 24(2): 115-123.
16.	Scheuer R, Friedrich M, Hahne J, et al. Approaches to optimize focused extracorporeal shockwave therapy (ESWT) based on an observational study of 363 feet with recalcitrant plantar fasciitis. Int J Surg, 2016, 27: 1-7.
17.	曹萍, 吴小高. 3D 打印技术在矫形鞋垫中的应用进展. 中国康复理论与实践, 2015, 21(7): 753-756.
18.	张茜. 女性穿着不同高度鞋平衡能力的差异性研究. 当代体育科技, 2015, 5(21): 17, 19.
19.	汪波. CAD/CAM 矫形鞋垫制作技术//中国康复医学会, 中国康复医学会康复治疗专业委员会. 传播康复新技术, 推广治疗新理念—中国康复医学会第九届全国康复治疗学术年会论文集, 2012: 2.
20.	张旻, 陈博, 江澜, 等. 两种不同矫形器对早期内侧间室膝关节骨性关节炎步态的影响. 中国康复医学杂志, 2014, 29(1): 26-30, 46.
21.	胡智宏, 叶倩, 孔叶平. 矫形鞋垫的作用机制及临床研究进展. 中国康复, 2016, 31(3): 229-231.
22.	Yung-Hui L, Wei-Hsien H. Effects of shoe inserts and heel height on foot pressure, impact force, and perceived comfort during walking. Appl Ergon, 2005, 36(3): 355-362.
23.	Cheung JT, Zhang M. A 3-dimensional finite element model of the human foot and ankle for insole design. Arch Phys Med Rehabil, 2005, 86(2): 353-358.
24.	Owings TM, Woerner JL, Frampton JD, et al. Custom therapeutic insoles based on both foot shape and plantar pressure measurement provide enhanced pressure relief. Diabetes Care, 2008, 31(5): 839-844.
25.	Chen WP, Ju CW, Tang FT. Effects of total contact insoles on the plantar stress redistribution: a fifinite element analysis. Clin Biomech (Bristol, Avon), 2003, 18(6): S17-S24.
26.	Goske S, Erdemir A, Petre M, et al. Reduction of plantar heel pressures: insole design using finite element analysis. J Biomech, 2006, 39(13): 2363-2370.
27.	Hsu YC, Gung YW, Shih SL, et al. Using an optimization approach to design an insole for lowering plantar fascia stress-a finite element study. Ann Biomed Eng, 2008, 36(8): 1345-1352.
28.	Mueller MJ, Lott DJ, Hastings MK, et al. Efficacy and mechanism of orthotic devices to unload metatarsal heads in people with diabetes and a history of plantar ulcers. Phys Ther, 2006, 86(6): 833-842.
29.	乔德才, 张蕴琨, 邓树勋, 等. 运动人体科学研究进展与应用. 北京: 人民体育出版社, 2008.
30.	喻伟才, 李鑫, 冉美玲, 等. 鞋垫腰窝高度对足底压力舒适性的影响研究. 中国皮革, 2012, 41(16): 119-121.

1. 张存, 俞光荣. 痛性足副舟骨诊断和治疗进展. 国际骨科学杂志, 2011, 33(6): 360-363.
2. 曲绵域, 于长隆. 实用运动医学. 北京: 北京大学医学出版社, 2003: 500-510.
3. 曹洪辉, 张传志, 卢卫忠, 等. 重庆地区副舟骨和副舟骨源性疼痛与平足症患病率及多因素相关分析. 生物骨科材料与临床研究, 2014, 11(5): 29-33.
4. 庄杰, 吴仕龙, 王国平. 足副舟骨撞击综合征的临床及影像学分析. 现代实用医学, 2013, 25(6): 625-626, 721.
5. 黄映宏, 吴桂丽, 黄楚绵, 等. 副舟骨痛综合征的临床及 X 线诊断. 中国现代医生, 2008, 46(32): 141, 145.
6. 刘巍, 吴会东, 敖丽娟. 矫形鞋垫治疗足底筋膜炎的机制及临床研究进展. 中国康复, 2018, 33(2): 166-169.
7. 方征宇, 张勇. 体外冲击波联合矫形鞋垫治疗足底筋膜炎疗效观察. 山东医药, 2015, 55(1): 93-94.
8. 王江山, 何明伟, 倪家骧. 体外冲击波疼痛治疗的进展. 中国康复医学杂志, 2011, 26(8): 788-791.
9. 吴焱, 杨东旭. 体外冲击波治疗软组织慢性疼痛的临床观察. 临床医药实践, 2014, 23(4): 280-281.
10. Levrio J. Podiatric medicine: a current assessment. J Am Podiatr Med Assoc, 2009, 99(1): 65-72.
11. 曲新涛, 于秀淳, 付志厚, 等. 军人Ⅱ型痛性足副舟骨的保守与手术治疗分析. 西北国防医学杂志, 2016, 37(1): 19-21.
12. 张德祥, 李跃辉, 钟晓, 等. 改良 Kidner 手术联合 HyProCure 治疗副舟骨源性平足症疗效观察. 实用骨科杂志, 2018, 24(6): 505-509.
13. 邓银栓, 高秋明, 甄平, 等. 副舟骨源性平足症的手术治疗策略. 中国骨伤, 2015, 28(2): 188-194.
14. 池雷霆, 李程, 张东, 等. 单纯副舟骨切除术治疗足副舟骨疼痛综合征. 中国骨伤, 2009, 22(12): 933-934.
15. Kudo P, Dainty K, Clarfield M, et al. Randomized, placebo-controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracoporeal shockwave therapy (ESWT) device: a North American confirmatory study. J Orthop Res, 2006, 24(2): 115-123.
16. Scheuer R, Friedrich M, Hahne J, et al. Approaches to optimize focused extracorporeal shockwave therapy (ESWT) based on an observational study of 363 feet with recalcitrant plantar fasciitis. Int J Surg, 2016, 27: 1-7.
17. 曹萍, 吴小高. 3D 打印技术在矫形鞋垫中的应用进展. 中国康复理论与实践, 2015, 21(7): 753-756.
18. 张茜. 女性穿着不同高度鞋平衡能力的差异性研究. 当代体育科技, 2015, 5(21): 17, 19.
19. 汪波. CAD/CAM 矫形鞋垫制作技术//中国康复医学会, 中国康复医学会康复治疗专业委员会. 传播康复新技术, 推广治疗新理念—中国康复医学会第九届全国康复治疗学术年会论文集, 2012: 2.
20. 张旻, 陈博, 江澜, 等. 两种不同矫形器对早期内侧间室膝关节骨性关节炎步态的影响. 中国康复医学杂志, 2014, 29(1): 26-30, 46.
21. 胡智宏, 叶倩, 孔叶平. 矫形鞋垫的作用机制及临床研究进展. 中国康复, 2016, 31(3): 229-231.
22. Yung-Hui L, Wei-Hsien H. Effects of shoe inserts and heel height on foot pressure, impact force, and perceived comfort during walking. Appl Ergon, 2005, 36(3): 355-362.
23. Cheung JT, Zhang M. A 3-dimensional finite element model of the human foot and ankle for insole design. Arch Phys Med Rehabil, 2005, 86(2): 353-358.
24. Owings TM, Woerner JL, Frampton JD, et al. Custom therapeutic insoles based on both foot shape and plantar pressure measurement provide enhanced pressure relief. Diabetes Care, 2008, 31(5): 839-844.
25. Chen WP, Ju CW, Tang FT. Effects of total contact insoles on the plantar stress redistribution: a fifinite element analysis. Clin Biomech (Bristol, Avon), 2003, 18(6): S17-S24.
26. Goske S, Erdemir A, Petre M, et al. Reduction of plantar heel pressures: insole design using finite element analysis. J Biomech, 2006, 39(13): 2363-2370.
27. Hsu YC, Gung YW, Shih SL, et al. Using an optimization approach to design an insole for lowering plantar fascia stress-a finite element study. Ann Biomed Eng, 2008, 36(8): 1345-1352.
28. Mueller MJ, Lott DJ, Hastings MK, et al. Efficacy and mechanism of orthotic devices to unload metatarsal heads in people with diabetes and a history of plantar ulcers. Phys Ther, 2006, 86(6): 833-842.
29. 乔德才, 张蕴琨, 邓树勋, 等. 运动人体科学研究进展与应用. 北京: 人民体育出版社, 2008.
30. 喻伟才, 李鑫, 冉美玲, 等. 鞋垫腰窝高度对足底压力舒适性的影响研究. 中国皮革, 2012, 41(16): 119-121.

West China Medical Journal

Therapeutic effect of rehabilitation therapy combined with computer-aided design and computer-aided manufacture of orthopedic insoles on deputy scaphoid inflammation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content