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Evaluation of the Effectiveness of Extracorporeal Shock Wave Therapy for the Treatment of Plantar Fasciitis

Year 2020, Volume: 4 Issue: 1, 1 - 5, 23.04.2020
https://doi.org/10.46332/aemj.580622

Abstract

Purpose: The aim of this study is to determine the effectiveness of extracorporeal shock wave therapy (ESWT) in plantar fasciitis.
Materials and Methods: This study included 42 female and 14 male patients who were admitted to our hospital between 01.09.2018-30.12.2018 and diagnosed as chronic plantar fasciitis. The demographic findings of the patients were recorded. Five sessions of ESWT were performed at three-day intervals. The symptom levels of the patients were determined using the Visual Analogue Scale (0-10); Pain, activity and disability levels were questioned using Foot Functional Index (FAI). Evaluations were repeated before and after treatment.
Results: Symptom level of the patients included in the study; There was a statistically significant improvement in pain, activity and disability scores after treatment (all p <0.05). In addition, there was a significant correlation between body mass index and pretreatment activity score (r = -0.299, p <0.05), but no correlation with pain and disability score (r = -0,121, p = 0> 0.05), ( r = 0.03, p> 0.05).
Conclusion: ESWT is symptomatic and functionally effective in the treatment of plantar fasciitis. ESWT, which is a non-invasive treatment method, can be used in patients who do not benefit from conservative treatment for plantar fasciitis. 

References

  • 1. Othman AM, Ragab EM. Endoscopic plantar fasciotomy versus extracorporeal shock wave therapy for treatment of chronic plantar fasciitis. Arch Orthop Trauma Surg. 2010;130(11):1343-1347.
  • 2. Savaş S. Periartiküler Kaynaklı Ayak ve Ayak Bileği Ağrıları. Türk Fiz Tıp Rehab Derg. 2009;55(1):35-40.
  • 3. Seligman DA, Dawson DR. Customized heel pads and soft orthotics to treat heel pain and plantar fasciitis. Arch Phys Med Rehabil. 2003; 84(10):1564-1567.
  • 4. Chang KV, Chen SY, Chen WS, Tu YK, Chien KL. Comparative effectiveness of focused shock wave therapy of different intensity levels and radial shock wave therapy for treating plantar fasciitis: a systematic review and network meta-analysis. Arch Phys Med Rehabil. 2012;93(7):1259-1268.
  • 5. Kudo P, Dainty K, Clarfield M, Coughlin L, Lavoie P, Lebrun C. Randomized, placebo-controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracoporeal shockwave therapy (ESWT) device: a North American confirmatory study. J Orthop Res. 2006;24(2):115-123.
  • 6. Apaydın AH. Spor hekimliğinde ESWT uygulamalari. Spor Hekimliği Dergisi. 2015;50(2):65-76.
  • 7. Buchbinder R, Ptasznik R, Gordon J, Buchanan J, Prabaharan V, Forbes A. Ultrasound-guided extracorporeal shock wave therapy for plantar fasciitis: a randomized controlled trial. JAMA 2002;288(11):1364-1372.
  • 8. Dizon JNC, Gonzalez-Suarez C, Zamora MTG, Gambito ED. Effectiveness of extracorporeal shock wave therapy in chronic plantar fasciitis: a meta-analysis. American journal of physical medicine & rehabilitation. 2013;92(7):606-620.
  • 9. Buch M, Knorr U, Fleming L et al. Extracorporeal shockwave therapy in symptomatic heel spurs. An overview. Orthopade. 2002;31(7):637-644.
  • 10. Ogden JA, Alvarez R, Levitt R, Cross GL, Marlow M. Shock wave therapy for chronic proximal plantar fasciitis. Clin Orthop Relat Res. 2001;387:47-59.
  • 11. Haake M, Buch M, Schoellner C, Goebel F, Vogel M, Mueller I. Extracorporeal shock wave therapy for plantar fasciitis: randomised controlled multicentre trial. BMJ 2003;327(7406):75.
  • 12. Bannuru RR, Flavin NE, Vaysbrot E, Harvey W, McAlindon T. High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review. Ann Intern Med. 2014;160(8):542-549.
  • 13. Lian OB, Engebretsen L, Bahr R. Prevalence of jumper’s knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med. 2005;33(4):561-567.
  • 14. Ölmez N, Memiş A. Lateral Epikondilit Tedavisinde Kanıta Dayalı Veriler Türkiye Klinikleri J Med Sci. 2010;30(1):303-311.
  • 15. Bağcıer F, Yılmaz N. The Impact of Extracorporeal Shock Wave Therapy and Dry Needling Combination on the Pain, Grip Strength and Functionality in Patients Diagnosed with Lateral Epicondylitis. Turk J Osteoporos. 2019;25(2):65-71.
  • 16. Yin MC, Ye J, Yao M, Cui XJ, Xia Y. Is extracorporeal shock wave therapy clinical efficacy for relief of chronic, recalcitrant plantar fasciitis? A systematic review and meta-analysis of randomized placebo or active-treatment controlled trials. Arch Phys Med Rehabil. 2014;95(8):1583-1593.
  • 17. Yalıman A, Şen Eİ, Eskiyurt N, Budiman-mak E. Ayak Fonksiyon İndeksi’nin Plantar Fasiitli Hastalarda Türkçe’ye Çeviri ve Adaptasyonu. Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi. 2014;60(3):212-222.
  • 18. Ordahan B, Türkoğlu G, Karahan Ay, Akkurt HE. Extracorporeal shockwave therapy versus kinesiology taping in the management of plantar fasciitis: a randomized clinical trial. Archives of rheumatology. 2017;32(3):227-233.
  • 19. Babatunde OO, Legha A, Littlewood C, et al. Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis. Br J Sports Med. 2019;53(3):182-194.
  • 20. MarksW, Jackiewicz A, Witkowski Z, et al. Extracorporeal shock-wave therapy (ESWT) with a new-generation pneumatic device in the treatment of heel pain A double blind randomised controlled trial. Acta Orthop Belg. 2008;74(1):98–101.
  • 21. Sanmak ÖDY, Külcü DG, Mesci N, Altunok EÇ. Comparison of effects of low-level laser therapy and extracorporeal shock wave therapy in plantar fasciitis treatment: A randomized, prospective, single-blind clinical study. Turkish Journal of Physical Medicine and Rehabilitation. 2019;65(2):184.
  • 22. Akınoğlu B, Köse N. A comparison of the acute effects of radial extracorporeal shockwave therapy, ultrasound therapy, and exercise therapy in plantar fasciitis. Journal of exercise rehabilitation. 2018;14(2):306.
  • 23. Özdemir H, Özdemir A, Bilbaşar H, Akyıldız F. Topuk ağrısında non-invaziv konservatif tedavi sonuşları ve epin kalkaneinin topuk ağrısındaki rolü. J Arthroplasty & Arthroscop Surg. 2002;13(4):247-255.
  • 24. Tuna S. Plantar fasiitli hastalarda ekstrakorporeal şok dalga tedavisinin etkinliği ve epin boyu ile ilişkisi. Dicle Tıp Dergisi. 2014;41(2):337-340.

Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi

Year 2020, Volume: 4 Issue: 1, 1 - 5, 23.04.2020
https://doi.org/10.46332/aemj.580622

Abstract


Amaç: Kronik plantar fasiit tedavisinde ekstrakorporeal şok dalga tedavisinin (ESWT) etkinliğinin belirlemektir.

Araçlar ve Yöntem: Bu çalışmaya hastanemize 01.09.2018-30.12.2018 tarihleri arasında 6 aydan uzun süreli ayak tabanı ağrısı yakınması ile başvuran, kronik plantar fasiit tanısı alan, 18 yaş üstü 42 kadın ve 14 erkek hasta dahil edildi. Hastaların demografik bulguları kaydedildi. Hastalara üç gün ara ile beş seans ESWT uygulandı. Hastaların semptom düzeyleri Vizüel Analog Skala (0-10) ile; ağrı, aktivite ve yetersizlik düzeyleri ise Ayak Fonksiyonel İndeksi kullanılarak sorgulandı. Değerlendirmeler tedavi öncesi ve tedavi sonrası yapıldı.

Bulgular: Hastaların semptom düzeyi; ağrı, aktivite ve yetersizlik skorlarında tedavi sonrasında istatistiksel olarak anlamlı olarak düzelme saptandı (tüm p<0,05). Ayrıca beden kitle indeksi ile tedavi öncesi aktivite skoru arasında anlamlı korelasyon tespit edilirken (r=-0,299; p<0,05), ağrı ve yetersizlik skoru ile korelasyon saptanmadı (r=-0,121; p=0>0,05),(r= 0,03; p>0,05).

Sonuç: Plantar fasiit tedavisinde ESWT semptomatik ve fonksiyonel olarak etkilidir. Non invazif bir tedavi yöntemi olan ESWT, plantar fasiit tedavisinde konservatif tedaviden fayda görmeyen hastalarda kullanılabilir. 

References

  • 1. Othman AM, Ragab EM. Endoscopic plantar fasciotomy versus extracorporeal shock wave therapy for treatment of chronic plantar fasciitis. Arch Orthop Trauma Surg. 2010;130(11):1343-1347.
  • 2. Savaş S. Periartiküler Kaynaklı Ayak ve Ayak Bileği Ağrıları. Türk Fiz Tıp Rehab Derg. 2009;55(1):35-40.
  • 3. Seligman DA, Dawson DR. Customized heel pads and soft orthotics to treat heel pain and plantar fasciitis. Arch Phys Med Rehabil. 2003; 84(10):1564-1567.
  • 4. Chang KV, Chen SY, Chen WS, Tu YK, Chien KL. Comparative effectiveness of focused shock wave therapy of different intensity levels and radial shock wave therapy for treating plantar fasciitis: a systematic review and network meta-analysis. Arch Phys Med Rehabil. 2012;93(7):1259-1268.
  • 5. Kudo P, Dainty K, Clarfield M, Coughlin L, Lavoie P, Lebrun C. Randomized, placebo-controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracoporeal shockwave therapy (ESWT) device: a North American confirmatory study. J Orthop Res. 2006;24(2):115-123.
  • 6. Apaydın AH. Spor hekimliğinde ESWT uygulamalari. Spor Hekimliği Dergisi. 2015;50(2):65-76.
  • 7. Buchbinder R, Ptasznik R, Gordon J, Buchanan J, Prabaharan V, Forbes A. Ultrasound-guided extracorporeal shock wave therapy for plantar fasciitis: a randomized controlled trial. JAMA 2002;288(11):1364-1372.
  • 8. Dizon JNC, Gonzalez-Suarez C, Zamora MTG, Gambito ED. Effectiveness of extracorporeal shock wave therapy in chronic plantar fasciitis: a meta-analysis. American journal of physical medicine & rehabilitation. 2013;92(7):606-620.
  • 9. Buch M, Knorr U, Fleming L et al. Extracorporeal shockwave therapy in symptomatic heel spurs. An overview. Orthopade. 2002;31(7):637-644.
  • 10. Ogden JA, Alvarez R, Levitt R, Cross GL, Marlow M. Shock wave therapy for chronic proximal plantar fasciitis. Clin Orthop Relat Res. 2001;387:47-59.
  • 11. Haake M, Buch M, Schoellner C, Goebel F, Vogel M, Mueller I. Extracorporeal shock wave therapy for plantar fasciitis: randomised controlled multicentre trial. BMJ 2003;327(7406):75.
  • 12. Bannuru RR, Flavin NE, Vaysbrot E, Harvey W, McAlindon T. High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review. Ann Intern Med. 2014;160(8):542-549.
  • 13. Lian OB, Engebretsen L, Bahr R. Prevalence of jumper’s knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med. 2005;33(4):561-567.
  • 14. Ölmez N, Memiş A. Lateral Epikondilit Tedavisinde Kanıta Dayalı Veriler Türkiye Klinikleri J Med Sci. 2010;30(1):303-311.
  • 15. Bağcıer F, Yılmaz N. The Impact of Extracorporeal Shock Wave Therapy and Dry Needling Combination on the Pain, Grip Strength and Functionality in Patients Diagnosed with Lateral Epicondylitis. Turk J Osteoporos. 2019;25(2):65-71.
  • 16. Yin MC, Ye J, Yao M, Cui XJ, Xia Y. Is extracorporeal shock wave therapy clinical efficacy for relief of chronic, recalcitrant plantar fasciitis? A systematic review and meta-analysis of randomized placebo or active-treatment controlled trials. Arch Phys Med Rehabil. 2014;95(8):1583-1593.
  • 17. Yalıman A, Şen Eİ, Eskiyurt N, Budiman-mak E. Ayak Fonksiyon İndeksi’nin Plantar Fasiitli Hastalarda Türkçe’ye Çeviri ve Adaptasyonu. Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi. 2014;60(3):212-222.
  • 18. Ordahan B, Türkoğlu G, Karahan Ay, Akkurt HE. Extracorporeal shockwave therapy versus kinesiology taping in the management of plantar fasciitis: a randomized clinical trial. Archives of rheumatology. 2017;32(3):227-233.
  • 19. Babatunde OO, Legha A, Littlewood C, et al. Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis. Br J Sports Med. 2019;53(3):182-194.
  • 20. MarksW, Jackiewicz A, Witkowski Z, et al. Extracorporeal shock-wave therapy (ESWT) with a new-generation pneumatic device in the treatment of heel pain A double blind randomised controlled trial. Acta Orthop Belg. 2008;74(1):98–101.
  • 21. Sanmak ÖDY, Külcü DG, Mesci N, Altunok EÇ. Comparison of effects of low-level laser therapy and extracorporeal shock wave therapy in plantar fasciitis treatment: A randomized, prospective, single-blind clinical study. Turkish Journal of Physical Medicine and Rehabilitation. 2019;65(2):184.
  • 22. Akınoğlu B, Köse N. A comparison of the acute effects of radial extracorporeal shockwave therapy, ultrasound therapy, and exercise therapy in plantar fasciitis. Journal of exercise rehabilitation. 2018;14(2):306.
  • 23. Özdemir H, Özdemir A, Bilbaşar H, Akyıldız F. Topuk ağrısında non-invaziv konservatif tedavi sonuşları ve epin kalkaneinin topuk ağrısındaki rolü. J Arthroplasty & Arthroscop Surg. 2002;13(4):247-255.
  • 24. Tuna S. Plantar fasiitli hastalarda ekstrakorporeal şok dalga tedavisinin etkinliği ve epin boyu ile ilişkisi. Dicle Tıp Dergisi. 2014;41(2):337-340.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Original Articles
Authors

Senem Şaş 0000-0002-5616-5723

Fatmanur Aybala Koçak 0000-0002-2224-3324

Publication Date April 23, 2020
Published in Issue Year 2020 Volume: 4 Issue: 1

Cite

APA Şaş, S., & Koçak, F. A. (2020). Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi. Ahi Evran Medical Journal, 4(1), 1-5. https://doi.org/10.46332/aemj.580622
AMA Şaş S, Koçak FA. Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi. Ahi Evran Med J. April 2020;4(1):1-5. doi:10.46332/aemj.580622
Chicago Şaş, Senem, and Fatmanur Aybala Koçak. “Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi”. Ahi Evran Medical Journal 4, no. 1 (April 2020): 1-5. https://doi.org/10.46332/aemj.580622.
EndNote Şaş S, Koçak FA (April 1, 2020) Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi. Ahi Evran Medical Journal 4 1 1–5.
IEEE S. Şaş and F. A. Koçak, “Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi”, Ahi Evran Med J, vol. 4, no. 1, pp. 1–5, 2020, doi: 10.46332/aemj.580622.
ISNAD Şaş, Senem - Koçak, Fatmanur Aybala. “Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi”. Ahi Evran Medical Journal 4/1 (April 2020), 1-5. https://doi.org/10.46332/aemj.580622.
JAMA Şaş S, Koçak FA. Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi. Ahi Evran Med J. 2020;4:1–5.
MLA Şaş, Senem and Fatmanur Aybala Koçak. “Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi”. Ahi Evran Medical Journal, vol. 4, no. 1, 2020, pp. 1-5, doi:10.46332/aemj.580622.
Vancouver Şaş S, Koçak FA. Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi. Ahi Evran Med J. 2020;4(1):1-5.

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