Comparison of the Short-Term Effect between Iontophoresis and Radial Extracorporeal Shockwave Therapy in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial.
| Autor: | Pabón-Carrasco, Manuel, Coheña-Jiménez, Manuel, Pérez-Belloso, Ana Juana, Algaba-del-Castillo, José, Cáceres-Matos, Rocío, Castro-Méndez, Aurora |
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| Předmět: |
PLANTAR fasciitis treatment
T-test (Statistics) DATA analysis STATISTICAL sampling ULTRASONICS VISUAL analog scale QUESTIONNAIRES TREATMENT effectiveness DESCRIPTIVE statistics MANN Whitney U Test CHI-squared test IONTOPHORESIS FASCIAE (Anatomy) RESEARCH methodology ANALYSIS of variance STATISTICS ULTRASONIC therapy COMPARATIVE studies CONFIDENCE intervals DATA analysis software LIDOCAINE DEXAMETHASONE |
| Zdroj: | Healthcare (2227-9032); Jun2024, Vol. 12 Issue 12, p1223, 15p |
| Abstrakt: | Conservative treatments for plantar fasciitis have different levels of effectiveness, so it is necessary to personalize the therapeutic modality that improves the patients' symptoms. Methods: A double-blinded randomized clinical trial was designed to evaluate the short-term efficacy of a physical treatment in chronic plantar fasciitis, namely iontophoresis, compared with radial shockwave therapy. Heel pain, health status using the EuroQol-5D questionnaire, and fascia thickness measured with ultrasound were evaluated. In total, 127 patients were randomly selected for group A and treated with iontophoresis therapy (lidocaine 0.4% and dexamethasone 0.5%), or for group B, in which they were treated with radial shockwave therapy (EWST). Measurements were taken at baseline and at follow-up during the 5 weeks of the study. Results: Statistically significant differences were observed to the shockwave therapy group in respect to the final fascia thickness, and the VAS scale (p = 0.001). The differences between groups A and B showed that the shockwave group follow-up after 3 weeks experienced complete pain remission (1.0 ± 0.9; 95%CI 0.8–1.2) and after the 6-week follow-up, complete pain remission of plantar fasciitis was observed for both therapies. Patients had a better perception of the use of EWST at the end of the treatment, although in both groups it was satisfactory (p = 0.001). Conclusions: The results of this study showed a shorter-term effectiveness of shockwave treatment compared with the use of iontophoresis. However, both techniques were effective in satisfactorily reducing pain in this short period. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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