extracorporeal shock wave therapy in patients with plantar fasciitis. a randomized, placebo-controlled trial

نویسندگان

babak vahdatpour department of physical medicine and rehabilitation, isfahan university of medical sciences, isfahan, iran

sepideh sajadieh department of physical medicine and rehabilitation, isfahan university of medical sciences, isfahan, iran

vahid bateni department of radiology, school of medicine, isfahan university of medical sciences, isfahan, iran

mehdi karami department of radiology, school of medicine, isfahan university of medical sciences, isfahan, iran

چکیده

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 background and aim: results of previous studies have been conflicting on the efficacy of extracorporeal shock wave therapy (eswt) in the treatment of plantar fasciitis. we evaluated the effects of eswt on plantar fasciitis in terms of ultrasonographic and subjective evaluations. materials and methods: in this randomized placebo-controlled trial, patients with plantar fasciitis were assigned to receive eswt (4000 shock waves/session of 0.2 mj/mm2) in 3 sessions at weekly intervals) or sham therapy ( n = 20 in each group). outcomes were documented by the ultrasonographic appearance of the aponeurosis and by patients’ pain scores, performed at baseline and 12 weeks after completion of the therapy. results: the two groups were similar in baseline characteristics. over the study period, plantar fascia thickness significantly reduced in the eswt group (4.1 ± 1.3 to 3.6 ± 1.2 mm, p < 0.001), but slightly increased in the sham group (4.1 ± 0.8 to 4.5 ± 0.9 mm, p = 0.03). both groups showed significant pain improvement over the course of the study ( p < 0.001) , though pain scores were significantly more reduced in the eswt than the sham group (-4.2 ± 2.9 vs. -2.7 ± 1.8, p = 0.049) . conclusions: eswt contributes to healing and pain reduction in plantar fasciitis and ultrasound imaging is able to depict the morphologic changes related to plantar fasciitis as a result of this therapy.

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منابع مشابه

Extracorporeal shock wave therapy in patients with plantar fasciitis. A randomized, placebo-controlled trial with ultrasonographic and subjective outcome assessments

BACKGROUND AND AIM Results of previous studies have been conflicting on the efficacy of extracorporeal shock wave therapy (ESWT) in the treatment of plantar fasciitis. We evaluated the effects of ESWT on plantar fasciitis in terms of ultrasonographic and subjective evaluations. MATERIALS AND METHODS In this randomized placebo-controlled trial, patients with plantar fasciitis were assigned to ...

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Ultrasound-guided extracorporeal shock wave therapy for plantar fasciitis: a randomized controlled trial.

CONTEXT Extracorporeal shock wave therapy (ESWT) is increasingly used for plantar fasciitis, but limited evidence supports its use. OBJECTIVE To determine whether ultrasound-guided ESWT reduces pain and improves function in patients with plantar fasciitis. DESIGN Double-blind, randomized, placebo-controlled trial conducted between April 1999 and June 2001. SETTING Participants were recrui...

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Extracorporeal shock wave therapy for plantar fasciitis: randomised controlled multicentre trial.

OBJECTIVE To determine the effectiveness of extracorporeal shock wave therapy compared with placebo in the treatment of chronic plantar fasciitis. DESIGN Randomised, blinded, multicentre trial with parallel group design. SETTING Nine hospitals and one outpatient clinic in Germany. PARTICIPANTS 272 patients with chronic plantar fasciitis recalcitrant to conservative therapy for at least si...

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Extracorporeal shock wave therapy for treatment of plantar fasciitis.

OBJECTIVE To explore the effect of extracorporeal shock wave therapy in patients with chronic plantar faciitis. METHODS The prospective study was conducted at Department of Orhopaedic, Regional Hospital, Limerick, Ireland from January to December 2004 and comprised 70 heels in 62 patients with chronic plantar fasciitis in whom conventional conservative treatment consisting of non-steroidal an...

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Extracorporeal shock wave therapy no better than placebo in the treatment of plantar fasciitis.

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comparison between real and placebo extracorporeal shock-wave therapy for the treatment of chronic plantar fasciitis pain in the males

letter to the editor

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عنوان ژورنال:

journal of research in medical sciences

جلد ۱۷، شماره ۹، صفحات ۰-۰

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