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：

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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

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6.	劉巍, 吳會東, 敖麗娟. 矯形鞋墊治療足底筋膜炎的機制及臨床研究進展. 中國康復, 2018, 33(2): 166-169.
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11.	曲新濤, 于秀淳, 付志厚, 等. 軍人Ⅱ型痛性足副舟骨的保守與手術治療分析. 西北國防醫學雜志, 2016, 37(1): 19-21.
12.	張德祥, 李躍輝, 鐘曉, 等. 改良 Kidner 手術聯合 HyProCure 治療副舟骨源性平足癥療效觀察. 實用骨科雜志, 2018, 24(6): 505-509.
13.	鄧銀栓, 高秋明, 甄平, 等. 副舟骨源性平足癥的手術治療策略. 中國骨傷, 2015, 28(2): 188-194.
14.	池雷霆, 李程, 張東, 等. 單純副舟骨切除術治療足副舟骨疼痛綜合征. 中國骨傷, 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.
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17.	曹萍, 吳小高. 3D 打印技術在矯形鞋墊中的應用進展. 中國康復理論與實踐, 2015, 21(7): 753-756.
18.	張茜. 女性穿著不同高度鞋平衡能力的差異性研究. 當代體育科技, 2015, 5(21): 17, 19.
19.	汪波. CAD/CAM 矯形鞋墊制作技術//中國康復醫學會, 中國康復醫學會康復治療專業委員會. 傳播康復新技術, 推廣治療新理念—中國康復醫學會第九屆全國康復治療學術年會論文集, 2012: 2.
20.	張旻, 陳博, 江瀾, 等. 兩種不同矯形器對早期內側間室膝關節骨性關節炎步態的影響. 中國康復醫學雜志, 2014, 29(1): 26-30, 46.
21.	胡智宏, 葉倩, 孔葉平. 矯形鞋墊的作用機制及臨床研究進展. 中國康復, 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.	喬德才, 張蘊琨, 鄧樹勛, 等. 運動人體科學研究進展與應用. 北京: 人民體育出版社, 2008.
30.	喻偉才, 李鑫, 冉美玲, 等. 鞋墊腰窩高度對足底壓力舒適性的影響研究. 中國皮革, 2012, 41(16): 119-121.

1. 張存, 俞光榮. 痛性足副舟骨診斷和治療進展. 國際骨科學雜志, 2011, 33(6): 360-363.
2. 曲綿域, 于長隆. 實用運動醫學. 北京: 北京大學醫學出版社, 2003: 500-510.
3. 曹洪輝, 張傳志, 盧衛忠, 等. 重慶地區副舟骨和副舟骨源性疼痛與平足癥患病率及多因素相關分析. 生物骨科材料與臨床研究, 2014, 11(5): 29-33.
4. 莊杰, 吳仕龍, 王國平. 足副舟骨撞擊綜合征的臨床及影像學分析. 現代實用醫學, 2013, 25(6): 625-626, 721.
5. 黃映宏, 吳桂麗, 黃楚綿, 等. 副舟骨痛綜合征的臨床及 X 線診斷. 中國現代醫生, 2008, 46(32): 141, 145.
6. 劉巍, 吳會東, 敖麗娟. 矯形鞋墊治療足底筋膜炎的機制及臨床研究進展. 中國康復, 2018, 33(2): 166-169.
7. 方征宇, 張勇. 體外沖擊波聯合矯形鞋墊治療足底筋膜炎療效觀察. 山東醫藥, 2015, 55(1): 93-94.
8. 王江山, 何明偉, 倪家驤. 體外沖擊波疼痛治療的進展. 中國康復醫學雜志, 2011, 26(8): 788-791.
9. 吳焱, 楊東旭. 體外沖擊波治療軟組織慢性疼痛的臨床觀察. 臨床醫藥實踐, 2014, 23(4): 280-281.
10. Levrio J. Podiatric medicine: a current assessment. J Am Podiatr Med Assoc, 2009, 99(1): 65-72.
11. 曲新濤, 于秀淳, 付志厚, 等. 軍人Ⅱ型痛性足副舟骨的保守與手術治療分析. 西北國防醫學雜志, 2016, 37(1): 19-21.
12. 張德祥, 李躍輝, 鐘曉, 等. 改良 Kidner 手術聯合 HyProCure 治療副舟骨源性平足癥療效觀察. 實用骨科雜志, 2018, 24(6): 505-509.
13. 鄧銀栓, 高秋明, 甄平, 等. 副舟骨源性平足癥的手術治療策略. 中國骨傷, 2015, 28(2): 188-194.
14. 池雷霆, 李程, 張東, 等. 單純副舟骨切除術治療足副舟骨疼痛綜合征. 中國骨傷, 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, 吳小高. 3D 打印技術在矯形鞋墊中的應用進展. 中國康復理論與實踐, 2015, 21(7): 753-756.
18. 張茜. 女性穿著不同高度鞋平衡能力的差異性研究. 當代體育科技, 2015, 5(21): 17, 19.
19. 汪波. CAD/CAM 矯形鞋墊制作技術//中國康復醫學會, 中國康復醫學會康復治療專業委員會. 傳播康復新技術, 推廣治療新理念—中國康復醫學會第九屆全國康復治療學術年會論文集, 2012: 2.
20. 張旻, 陳博, 江瀾, 等. 兩種不同矯形器對早期內側間室膝關節骨性關節炎步態的影響. 中國康復醫學雜志, 2014, 29(1): 26-30, 46.
21. 胡智宏, 葉倩, 孔葉平. 矯形鞋墊的作用機制及臨床研究進展. 中國康復, 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. 喬德才, 張蘊琨, 鄧樹勛, 等. 運動人體科學研究進展與應用. 北京: 人民體育出版社, 2008.
30. 喻偉才, 李鑫, 冉美玲, 等. 鞋墊腰窩高度對足底壓力舒適性的影響研究. 中國皮革, 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

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