Extracorporeal shockwave therapy in the management of plantar fasciitis: A randomized controlled trial
Autor: | Fatma Uygur, Halil Ekrem Akkurt, Shikha Saxena, Eda Cinar |
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Rok vydání: | 2019 |
Předmět: |
Extracorporeal Shockwave Therapy
Male medicine.medical_specialty Orthotic Devices medicine.medical_treatment Plantar fasciitis law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Medicine Humans Orthopedics and Sports Medicine Functional ability Podiatry 030203 arthritis & rheumatology Intention-to-treat analysis business.industry Repeated measures design 030229 sport sciences Recovery of Function Middle Aged Combined Modality Therapy Exercise Therapy Preferred walking speed medicine.anatomical_structure Fasciitis Plantar Extracorporeal shockwave therapy Physical therapy Female medicine.symptom Ankle business |
Zdroj: | Foot (Edinburgh, Scotland). 44 |
ISSN: | 1532-2963 |
Popis: | Background This study aimed at estimating the extent to which a combination therapy of extracorporeal shockwave therapy (ESWT) with usual care (exercise and orthotic support) improve functional ability in the patient with plantar fasciitis when compared to usual care alone. Methods Participants with plantar fasciitis were randomly allocated into two groups: ESWT (n = 23), and control (n = 21). All participants received home exercise program with orthotic support. In addition, ESWT group received 2000 shock waves with 0.02 mJ/mm2 for three sessions. Functional outcomes were measured by function subscale of American orthopedic foot and ankle society (AOFAS-F) score and 12 minutes walking test including walking speed, cadence. The scores were recorded at baseline, third week and third month after the treatment. Analysis was performed using repeated measures ANOVA, and an intention to treat approach using multiple imputations. Results Results showed that there was a significant improvement in AOFAS-F total score and walking speed over three months in both groups (p 0.05). However, groups performed differently in cadence where there was an increase in cadence in ESWT group whereas a decline in control at the third month (p = 0.07). Conclusion The results revealed that ESWT did not have an additive benefit over usual care to improve foot function and walking performance in patient with plantar fasciitis over three months post-treatment. |
Databáze: | OpenAIRE |
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