Stoßwellentherapie bei therapieresistenter Plantarfasziitis mit Fersensporn: eine prospektiv randomisiert plazebokontrollierte Doppelblindstudie
| Autor: | W Hopfenmüller, T Abt, H Mellerowicz |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
Heel business.industry Plantar fasciitis Placebo medicine.disease OssaTron law.invention Surgery Clinical trial medicine.anatomical_structure Randomized controlled trial law medicine Orthopedics and Sports Medicine medicine.symptom Prospective cohort study business Fasciitis |
| Zdroj: | Zeitschrift für Orthopädie und ihre Grenzgebiete. 140:548-554 |
| ISSN: | 1438-941X 0044-3220 |
| DOI: | 10.1055/s-2002-34001 |
| Popis: | Aim Efficacy of low-energy shock wave therapy for recalcitrant plantar fasciitis. Method 32 patients were randomly assigned into real and placebo ESWT groups, treatment comprised 1000 impulses of 0,08 mJ/mm 2 at 14 kV (OssaTron OSA 120, HMT AG, Switzerland) in 12 cases repeated after six weeks or placebo (energy-absorbing foil). Follow-up evaluation (19, 32 and 48 wks.) included specific questionnaire, clinical-functional examination and measurement of plantar pressure while walking (Emed AT-4. pedograph, Novel GmbH, Munich). Examiner and patients were blinded. Results 88 % of the treatment group were pain free or had good results. None of the placebo group were pain free, 33.3 % had good results (Roles and Maudsley Score). The treatment group showed significantly better outcome for morning and resting pain, pressure stamp-tolerance and walking ability. Pedography did not show a clear correlation between pain relief and load pattern. Conclusion The results of this study corroborate the value of ESWT for recalcitrant plantar fascitis. As a non invasive technique with low side effects, it can complement the row of conservative treatments. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|