Extracorporeal Shockwave Therapy versus Low-Level Laser Therapy in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial.

IF 0.5 4区医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-07-01 DOI:10.7547/22-095

Eren Timurtaş, Eda Çinar, Halit Selçuk, Ender Ersin Avci, Suat Batar, İlkşan Demirbüken, Mine Gülden Polat

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Abstract

Background: Plantar fasciitis is predominantly treated conservatively through modalities such as extracorporeal shockwave therapy (ESWT) and low-level laser therapy (LLLT), yet the short-term effect of these modalities on pain and function is still ambiguous. We compared the short-term effectiveness of ESWT and LLLT on pain and function in patients with plantar fasciitis.

Methods: Participants (n = 47) were randomly assigned to the ESWT group (n = 27) or the LLLT group (n = 20). Participants received ESWT (once a week) and LLLT (three times a week) for 3 weeks. The Foot Function Index, including the pain, disability, and activity limitation subscales, was administered at baseline and after treatment. A reduction of 1 point in total scores was considered a minimum clinically important difference. Repeated-measures analysis of variance was used to analyze the changes in outcomes and compare groups.

Results: There were significant main effects of time, and significant interaction effects between group and time on pain (P < .001), disability (P < .001), and activity limitation (P < .05). The main effect of group was not significant for all of the subscales (P = .811, P = .481, P = .865, respectively). The LLLT group showed significant declines in pain (P < .001), disability (P < .001), and activity limitation (P < .001), and there was no change in the ESWT group over time (P = .319, P = .711, P > .99, respectively). Consistently, 95% of participants in the LLLT group had a clinically important difference in the pain subscale versus 48% of the ESWT group.

Conclusions: Compared with ESWT, LLLT was found to be superior as an effective approach in the short-term management of plantar fasciitis.

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治疗足底筋膜炎的体外冲击波疗法与低水平激光疗法：随机对照试验

背景：足底筋膜炎（PF）主要通过体外冲击波疗法（ESWT）和低强度激光疗法（LLLT）等方式进行保守治疗，但这些方式对疼痛和功能的短期疗效仍不明确。本研究旨在比较 ESWT 和 LLLT 对 PF 患者疼痛和功能的短期疗效：将参与者（47 人）随机分为两组，ESWT 组（27 人）和 LLLT 组（20 人）。ESWT（每周一次）和 LLLT（每周三次）对参与者进行为期 3 周的治疗。足部功能指数（FFI）包括疼痛、残疾和活动受限子量表，分别在基线和治疗后进行测量。总分减少 1 分被视为最小临床重要差异。采用重复测量方差分析来分析结果的变化并对各组进行比较：结果：时间对疼痛有明显的主效应，组别和时间对疼痛有明显的交互效应：研究发现，LLLT 作为一种短期治疗 PF 的有效方法优于 ESWT。

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 the American Podiatric Medical Association 医学-整形外科

CiteScore

1.10

自引率

0.00%

发文量

128

审稿时长

6-12 weeks

期刊介绍： The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.