Extracorporeal shock wave therapy shows comparative results with other modalities for the management of plantar fasciitis: A systematic review and meta-analysis.
Wei Shao Tung, Mohammad Daher, Oscar Covarrubias, Agustin Herber, Arianna L Gianakos
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引用次数: 0
Abstract
Background: Plantar fasciitis (PF) is one of the most common causes of heel pain. With its treatment being mainly conservative, a lot of controversy surrounds the choice of the best conservative management for this entity. The purpose of this meta-analysis was to compare the effectiveness of extracorporeal shock wave therapy (ESWT) to other conservative treatment options for the management of plantar fasciitis PF.
Methods: PubMed, Cochrane, and Google Scholar (Pages 1-20) were searched systematically for randomized control trials (RCTs) published after 2013 comparing ESWT to other treatment modalities. ESWT was compared against six other treatment modalities and a placebo.
Results: Fifteen studies involving 1123 patients were included in the meta-analysis. ESWT was found to perform significantly better than placebo (SMD: 7.53, CI: [5.84, 9.22]; p < 0.00001) for VAS pain score, and CSI for FFI (SMD: 1.07, CI: [0.08, 2.07], p = 0.03). PRP outperformed ESWT for post-intervention VAS scores (SMD: -1.05; CI: [-1.53, -0.57]; p < 0.0001) and FFI (SMD: -0.84; CI: [-1.38, -0.30]; p = 0.002), while custom orthotics improved FFI significantly over ESWT (SMD: -0.74; CI: [-1.19, -0.28; p = 0.001]. No other significant differences were found between ESWT and other treatment modalities for the three metrics included in this study.
Conclusion: ESWT has been proven to be a successful treatment for PF. However, PRP showed a statistically and clinically significant greater improvement in pain and FFI than ESWT. However, compared to ESWT, PRP is still a more technically challenging procedure.
期刊介绍：
Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society.
The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.
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