Ultrasonographic and pedobarographic evaluation of the effectiveness of extracorporeal shock wave therapy in patients with plantar fasciitis.

IF 1.4 4区医学 Q3 ORTHOPEDICS Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-01-01 Epub Date: 2025-01-09 DOI:10.1177/10538127241291665

Gokhan Alkan, Muhammet Sahin Elbasti, Gurkan Akgol, Arif Gulkesen, Hasan Ulusoy

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Abstract

Background: Prior studies showing the effectiveness of extracorporeal shock wave therapy (ESWT) in patients with plantar fasciitis are mostly based on patient-reported measurements.

Objective: The aim of this study was to demonstrate the effectiveness of ESWT with ultrasonographic and pedobarographic measurements.

Methods: A total of 50 patients were included in the study. All patients were evaluated before and six weeks after ESWT treatment. Pain was evaluated with the Visual Analogue Scale (VAS), functional status with Foot Function Index (FFI), and quality of life with Short Form-36 (SF-36). Plantar pressure measurements were made with a pedobarography device, and plantar fascia thickness was measured with ultrasonography.

Results: After treatment, VAS-Pain decreased significantly. There was a statistically significant improvement in FFI scores after treatment. Similarly, a statistically significant improvement was seen in SF-36 scores. There was a significant decrease in ultrasonographic measurements of the plantar fascia thickness in the origo and midsection regions. There was a statistically significant decrease only in medial heel pressure measurements.

Conclusion: The results of this study showed that ESWT provides symptomatic and functional improvements in patients with plantar fasciitis as well as ultrasonographic plantar fascia thickness and pedobarographic medial heel pressure measurements.

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超声和足镜评价体外冲击波治疗足底筋膜炎的疗效。

背景：先前的研究显示体外冲击波治疗（ESWT）对足底筋膜炎患者的有效性，这些研究大多基于患者报告的测量结果。目的：本研究的目的是通过超声和足压测量来证明ESWT的有效性。方法：共纳入50例患者。所有患者在ESWT治疗前和治疗后6周进行评估。用视觉模拟量表（VAS）评估疼痛，用足功能指数（FFI）评估功能状态，用SF-36评估生活质量。用足造影仪测量足底压力，用超声测量足底筋膜厚度。结果：治疗后VAS-Pain明显减轻。治疗后FFI评分有统计学意义的改善。同样，SF-36评分也有统计学上的显著改善。超声测量足底筋膜厚度在起始和中段有明显的减少。只有内侧跟压测量有统计学意义的降低。结论：本研究结果表明，ESWT可改善足底筋膜炎患者的症状和功能，并可改善超声足底筋膜厚度和足镜内侧跟压测量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.