smjournalСпортивная медицина: наука и практикаSports medicine: research and practice2223-25242587-9014NEICON10.47529/2223-2524.2023.2.1smjournal-506Research ArticleРЕАБИЛИТАЦИЯREHABILITATIONПрименение медицинской виброплатформы в лечении пациентов с плантарным фасциитомThe use of a medical vibration platform in the treatment of patients with plantar fasciitisДжадаевС. И.DzhadayevS. I.

Джадаев Сергей Игоревич, врач — травматолог-ортопед 

141400, Россия, Химки, Куркинское шоссе, 11

Sergey I. Dzhadayev, traumatologist-orthopedist

11 Kurkinskoye highway, Khimki, 141400, Russia

seregin_yaschik@mail.ruДжадаеваА. В.DzhadayevaA. V.

Джадаева Анна Вячеславовна, врач-дерматовенеролог

124575, Россия, Зеленоград, к. 910

Anna V. Dzhadayeva, dermatovenereologist

bld. 910 Zelenograd, 124575, Russia

ИвановВ. В.IvanovV. V.

Иванов Виктор Вячеславович, к.м.н., доцент кафедры травматологии, ортопедии и экстремальной хирургии им. академика РАН А.Ф. Краснова

443079, Россия, Самара, пр. Карла Маркса, 165б 

Viktor V. Ivanov, Ph.D. (Medicine), Associate Professor of the Department of Traumatology, Orthopedics and Extreme Surgery named after Academician of the Russian Academy of Sciences A.F. Krasnov

165B Karla Marksa str., Samara, 443079, Russia

Viktor_travm@bk.ruКоврижныхМ. В.KovrizhnyhM. V.

Коврижных Максим Владимирович, к.м.н., заведующий отделением неотложной травматологии и ортопедии

119180, Россия, Москва, ул. Малая Якиманка, д. 22, стр. 1

Maxim V. Kovrizhnyh, Ph.D. (Medicine), Head of the Department of Emergency Traumatology and Orthopedics

22 bld. 1, Malaya Yakimanka str., Moscow, 119180, Russia

maximuskovr@mail.ruАлиевД. Т.AlievD. T.

Алиев Даниил Теймурович, студент

119991, Россия, Москва, ул. Трубецкая, д. 8

Daniil T. Aliev, Student

8, Trubetskaya str., Moscow, 119991, Russia

АпрышкоО. Э.AprishkoO. E.

Апрышко Ольга Эдуардовна, студент

119991, Россия, Москва, ул. Трубецкая, д. 8

Olga E. Aprishko, Student

8, Trubetskaya str., Moscow, 119991

ГАУЗ Московской области «Химкинская областная больница»РоссияKhimki Regional HospitalRussian FederationФилиал «Зеленоградский» ГБУЗ «Московский научно-практический центр дерматовенерологии и косметологии Департамента здравоохранения города Москвы»РоссияMoscow Center for Dermatovenereology and Cosmetology, Zelenogradsky BranchRussian FederationФГБОУ ВО «Самарский государственный медицинский университет» Минздрава РоссииРоссияSamara State Medical UniversityRussian FederationГБУЗ «Городская поликлиника № 68 Департамента здравоохранения города Москвы»РоссияCity Polyclinic № 68Russian FederationФГАОУ ВО "Первый МГМУ им. И. М. Сеченова" Минздрава РоссииРоссияSechenov First Moscow State Medical University (Sechenov University)Russian Federation2023170720231325561Copyright © Джадаев С.И., Джадаева А.В., Иванов В.В., Коврижных М.В., Алиев Д.Т., Апрышко О.Э., 20232023Джадаев С.И., Джадаева А.В., Иванов В.В., Коврижных М.В., Алиев Д.Т., Апрышко О.Э.Dzhadayev S.I., Dzhadayeva A.V., Ivanov V.V., Kovrizhnyh M.V., Aliev D.T., Aprishko O.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.smjournal.ru/jour/article/view/506Цель исследования

Цель исследования: оценить влияние применения медицинской виброплатформы на выраженность боли, качество жизни, функциональные и анатомические характеристики стопы и голеностопного сустава у пациентов с плантарным фасциитом.

Материалы и методы

Материалы и методы: в исследовании принял участие 91 пациент с плантарным фасциитом, среди них 73 (80,2 %) женщины, 18 (19,8 %) мужчин. Пациенты были разделены на две группы: основную группу составили 43 пациента, контрольную — 48 пациентов. В основной группе проводили стандартное лечение, включавшее ударно-волновую терапию, кинезиотейпирование, стандартную лечебную физкультуру в первую неделю и лечебную физкультуру на медицинской виброплатформе на второй и третьей неделе, в контрольной группе лечебную физкультуру на второй и третьей неделе проводили в положении пациента стоя на полу. Для оценки динамики лечения проводили анкетирование при помощи ВАШ, шкалы AOFAS и опросника SF-36. Инструментальные методы обследования включали оценку подологического индекса Фридланда, Y-баланс тест. Все параметры оценивали до лечения, после лечения и через три месяца после лечения.

Результаты

Результаты: применение лечебной физкультуры на медицинской виброплатформе в комплексном лечении пациентов с плантарным фасциитом по сравнению с лечебной физкультурой на полу позволило статистически значимо снизить уровень боли после лечения (р < 0,05), увеличить стабильность стоп и голеностопного сустава (р < 0,05), а в отдаленном периоде позволило значимо снизить уровень боли (р < 0,05), повысить качество жизни (р < 0,05), увеличить стабильность стопы и голеностопного сустава (р < 0,05).

Выводы

Выводы: применение лечебной физкультуры на медицинской виброплатформе способствует снижению уровня боли после лечения и через три месяца после лечения, улучшению качества жизни в отсроченной перспективе, а также увеличению стабильности стоп.

Aim

Aim: to evaluate the effect of using a medical vibration platform on the severity of pain, quality of life, functional and anatomical characteristics of the foot and ankle in patients with plantar fasciitis.

Materials and methods

Materials and methods: the study involved 91 patients with plantar fasciitis, among them 73 (80.2 %) women, 18 (19.8 %) men. The patients were divided into two groups: the main group consisted of 43 patients, the control group — 48 patients. In the main group, standard treatment was performed, including shock wave therapy, kinesio taping, standard exercises in the first week and exercises on a medical vibration platform in the second and third weeks, in the control group, exercises in the second and third weeks were performed with the patient standing on the floor. To assess the dynamics of treatment, a questionnaire was conducted using the VAS, the AOFAS scale, and the SF-36 questionnaire. Instrumental methods of examination included the evaluation of Friedland’s podological index, Y-balance test. All parameters were assessed before treatment, after treatment, and 3 months after treatment.

Results

Results: the use of exercise therapy on a medical vibration platform in the complex treatment of patients with plantar fasciitis, compared with exercise therapy on the floor, made it possible to statistically significantly reduce the level of pain after treatment (p < 0.05), increase the stability of the feet and ankle joint (p < 0.05 ), and in the long-term period allowed to significantly reduce the level of pain (p <0.05), improve the quality of life (p < 0.05), increase the stability of the foot and ankle joint (p < 0.05).

Conclusion

Conclusion: the use of physiotherapy exercises on a medical vibroplatform helps to reduce the level of pain after treatment and after 3 months after treatment, improve the quality of life in the long term, as well as increase the stability of the feet.

плантарный фасциитпяточная шпорапяточная больplantar fasciitisheel spurheel painReferencesAlam M.M., Khan A.A., Farooq M. Effect of whole-body vibration on neuromuscular performance: A literature review. Work. 2018;59(4):571–583. https://doi.org/10.3233/wor-182699Alam M.M., Khan A.A., Farooq M. Effect of whole-body vibration on neuromuscular performance: A literature review. Work. 2018;59(4):571–583. https://doi.org/10.3233/wor-182699Bidonde J., Busch A.J., van der Spuy I., Tupper S., Kim S.Y., Boden C. Whole body vibration exercise training for fibromyalgia. Cochrane Database Syst. Rev. 2017;9(9):CD011755. https://doi.org/10.1002/14651858.CD011755.pub2Bidonde J., Busch A.J., van der Spuy I., Tupper S., Kim S.Y., Boden C. Whole body vibration exercise training for fibromyalgia. Cochrane Database Syst. Rev. 2017;9(9):CD011755. https://doi.org/10.1002/14651858.CD011755.pub2Bruyere O., Wuidart M-A., Di Palma E., Gourlay M., Ethgen O., Richy F., Reginster J.-Y. Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Arch. Phys. Med. Rehabil. 2005;86(2):303–307. https://doi.org/10.1016/j.apmr.2004.05.019Bruyere O., Wuidart M-A., Di Palma E., Gourlay M., Ethgen O., Richy F., Reginster J.-Y. Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Arch. Phys. Med. Rehabil. 2005;86(2):303–307. https://doi.org/10.1016/j.apmr.2004.05.019Buehler R., Simpkins C., Yang F. Effects of vibration training on quality of life in older adults: a preliminary systematic review and meta-analysis. Qual. Life Res. 2022;31(11):3109–3122. https://doi.org/10.1007/s11136-022-03135-wBuehler R., Simpkins C., Yang F. Effects of vibration training on quality of life in older adults: a preliminary systematic review and meta-analysis. Qual. Life Res. 2022;31(11):3109–3122. https://doi.org/10.1007/s11136-022-03135-wFurness T.P., Maschette W.E. Influence of whole body vibration platform frequency on neuromuscular performance of community-dwelling older adults. J. Strength Cond. Res. 2009;23(5):1508–1513. https://doi.org/10.1519/jsc.0b013e3181a4e8f9Furness T.P., Maschette W.E. Influence of whole body vibration platform frequency on neuromuscular performance of community-dwelling older adults. J. Strength Cond. Res. 2009;23(5):1508–1513. https://doi.org/10.1519/jsc.0b013e3181a4e8f9Kim J.S., Hwang U.J., Choi M.Y., Kong D.H., Chung K.S., Ha J.K., Kwon O.Y. Correlation Between Y-Balance Test and Balance, Functional Performance, and Outcome Measures in Patients Following ACL Reconstruction. Int. J. Sports Phys. Ther. 2022;7(2):193–200. https://doi.org/10.26603/001c.31873Kim J.S., Hwang U.J., Choi M.Y., Kong D.H., Chung K.S., Ha J.K., Kwon O.Y. Correlation Between Y-Balance Test and Balance, Functional Performance, and Outcome Measures in Patients Following ACL Reconstruction. Int. J. Sports Phys. Ther. 2022;7(2):193–200. https://doi.org/10.26603/001c.31873López-López D., Pérez-Ríos M., Ruano-Ravina A., Losa-Iglesias M.E., Becerro-de-Bengoa-Vallejo R., Romero-Morales C., et al. Impact of quality of life related to foot problems: A case-control study. Sci. Rep. 2021;11(1):14515. https://doi.org/10.1038/s41598-021-93902-5López-López D., Pérez-Ríos M., Ruano-Ravina A., Losa-Iglesias M.E., Becerro-de-Bengoa-Vallejo R., Romero-Morales C., et al. Impact of quality of life related to foot problems: A case-control study. Sci. Rep. 2021;11(1):14515. https://doi.org/10.1038/s41598-021-93902-5Romero-Moraleda B., Gonzalez-Garcia J., Cuellar-Rayo A., Balsalobre-Fernández C., Muñoz-García D., Morencos E. Effects of Vibration and Non-Vibration Foam Rolling on Recovery after Exercise with Induced Muscle Damage. J. Sports Sci. Med. 2019;18(1):172–180.Romero-Moraleda B., Gonzalez-Garcia J., Cuellar-Rayo A., Balsalobre-Fernández C., Muñoz-García D., Morencos E. Effects of Vibration and Non-Vibration Foam Rolling on Recovery after Exercise with Induced Muscle Damage. J. Sports Sci. Med. 2019;18(1):172–180.Siriphorn A., Eksakulkla S. Calf stretching and plantar fascia-specific stretching for plantar fasciitis: A systematic review and meta-analysis. J. Bodyw. Mov. Ther. 2020;24(4):222–232. https://doi.org/10.1016/j.jbmt.2020.06.013Siriphorn A., Eksakulkla S. Calf stretching and plantar fascia-specific stretching for plantar fasciitis: A systematic review and meta-analysis. J. Bodyw. Mov. Ther. 2020;24(4):222–232. https://doi.org/10.1016/j.jbmt.2020.06.013Tohidast S.A., Bagheri R., Safavi-Farokhi Z., Hashemian M.K., Delkhosh C.T. The Effects of Acute and Long-Term Whole-Body Vibration Training on the Postural Control During Cognitive Task in Patients With Chronic Ankle Instability. J. Sport Rehabil. 2021;30(8):1121–1128. https://doi.org/10.1123/jsr.2021-0034Tohidast S.A., Bagheri R., Safavi-Farokhi Z., Hashemian M.K., Delkhosh C.T. The Effects of Acute and Long-Term Whole-Body Vibration Training on the Postural Control During Cognitive Task in Patients With Chronic Ankle Instability. J. Sport Rehabil. 2021;30(8):1121–1128. https://doi.org/10.1123/jsr.2021-0034Wang Z., Zhang X., Sun M. The application of whole-body vibration training in knee osteoarthritis. Joint Bone Spine. 2022;89(2):105276. https://doi.org/10.1016/j.jbspin.2021.105276Wang Z., Zhang X., Sun M. The application of whole-body vibration training in knee osteoarthritis. Joint Bone Spine. 2022;89(2):105276. https://doi.org/10.1016/j.jbspin.2021.105276Young S., Wallmann H.W., Quiambao K.L., Grimes B.M. The Effects of Whole Body Vibration on the Limits of Stability in Adults With Subacute Ankle Injury. Int. J. Sports Phys Ther. 2021;16(3):749–755. https://doi.org/10.26603/001c.24250Young S., Wallmann H.W., Quiambao K.L., Grimes B.M. The Effects of Whole Body Vibration on the Limits of Stability in Adults With Subacute Ankle Injury. Int. J. Sports Phys Ther. 2021;16(3):749–755. https://doi.org/10.26603/001c.24250Zhang J., Wang R., Zheng Y., Xu J., Wu Y., Wang X. Effect of Whole-Body Vibration Training on Muscle Activation for Individuals with Knee Osteoarthritis. Biomed. Res. Int. 2021;2021:6671390. https://doi.org/10.1155/2021/6671390Zhang J., Wang R., Zheng Y., Xu J., Wu Y., Wang X. Effect of Whole-Body Vibration Training on Muscle Activation for Individuals with Knee Osteoarthritis. Biomed. Res. Int. 2021;2021:6671390. https://doi.org/10.1155/2021/6671390Zhang M., Wei J., Wu X.Effects of whole-body vibration training on lower limb motor function and neural plasticity in patients with stroke: protocol for a randomised controlled clinical trial. BMJ Open. 2022;12(6):e060796. https://doi.org/10.1136/bmjopen-2022-060796Zhang M., Wei J., Wu X.Effects of whole-body vibration training on lower limb motor function and neural plasticity in patients with stroke: protocol for a randomised controlled clinical trial. BMJ Open. 2022;12(6):e060796. https://doi.org/10.1136/bmjopen-2022-060796Sierra-Guzmán R., Jiménez J., Ramírez C., Esteban P., Abián-Vicén J. Effects of synchronous whole body vibration training on a soft, unstable surface in athletes with chronic ankle instability. Int. J. Sports Med. 2017;38(06):447–455. https://doi.org/10.1055/s-0043-102571Sierra-Guzmán R., Jiménez J., Ramírez C., Esteban P., Abián-Vicén J. Effects of synchronous whole body vibration training on a soft, unstable surface in athletes with chronic ankle instability. Int. J. Sports Med. 2017;38(06):447–455. https://doi.org/10.1055/s-0043-102571Stania M., Krol P., Sobota G., Polak A., Bacik B., Juras G. The effect of the training with the different combinations of frequency and peak-to-peak vibration displacement of whole-body vibration on the strength of knee flexors and extensors. Biol. Sport. 2017:34(2):127–136. https://doi.org/10.5114/biolsport.2017.64586Stania M., Krol P., Sobota G., Polak A., Bacik B., Juras G. The effect of the training with the different combinations of frequency and peak-to-peak vibration displacement of whole-body vibration on the strength of knee flexors and extensors. Biol. Sport. 2017:34(2):127–136. https://doi.org/10.5114/biolsport.2017.64586

The authors declare that there are no conflicts of interest present.