Dose-related effect of extracorporeal shock wave therapy for plantar fasciitis

To examine the dose-related effect of extracorporeal shock wave therapy (ESWT) for plantar fasciitis. Sixty patients with plantar fasciitis despite conservative treatment were enrolled. The patients were divided into a low-energy group (group L: n=30, 1,000 shocks/session, energy flux density [EFD]...

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Published inAnnals of rehabilitation medicine Vol. 37; no. 3; pp. 379 - 388
Main Authors Lee, Su-Jin, Kang, Jung-Ho, Kim, Ja-Young, Kim, Jin-Hong, Yoon, Seo-Ra, Jung, Kwang-Ik
Format Journal Article
LanguageEnglish
Published Korea (South) Korean Academy of Rehabilitation Medicine 01.06.2013
대한재활의학회
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Abstract To examine the dose-related effect of extracorporeal shock wave therapy (ESWT) for plantar fasciitis. Sixty patients with plantar fasciitis despite conservative treatment were enrolled. The patients were divided into a low-energy group (group L: n=30, 1,000 shocks/session, energy flux density [EFD] per shock 0.08 mJ/mm(2)) and a medium-energy group (group M: n=30, 1,000 shocks/session, EFD 0.16 mJ/mm(2)). The main outcome measures were visual analogue scale (VAS), Roles and Maudsley (RM) score, and thickness of plantar fascia (PF). To compare the effects between each group, follow-up was carried out 1 week after 3 and 6 sessions, and 1 and 3 months after ESWT. Significant VAS and RM score improvement, and PF thickness reduction were observed in both groups (p<0.01). After 3 sessions of ESWT, group M showed significant improvement in the VAS and RM score than group L, whereas after 3 additional sessions applied in group L, the main outcomes were no longer significantly different in both groups (p>0.05). Therapeutic effect might disclose a dose-related relationship; therefore, EFD and the times of the session are considerable factors when treating with ESWT.
AbstractList To examine the dose-related effect of extracorporeal shock wave therapy (ESWT) for plantar fasciitis. Sixty patients with plantar fasciitis despite conservative treatment were enrolled. The patients were divided into a low-energy group (group L: n=30, 1,000 shocks/session, energy flux density [EFD] per shock 0.08 mJ/mm(2)) and a medium-energy group (group M: n=30, 1,000 shocks/session, EFD 0.16 mJ/mm(2)). The main outcome measures were visual analogue scale (VAS), Roles and Maudsley (RM) score, and thickness of plantar fascia (PF). To compare the effects between each group, follow-up was carried out 1 week after 3 and 6 sessions, and 1 and 3 months after ESWT. Significant VAS and RM score improvement, and PF thickness reduction were observed in both groups (p<0.01). After 3 sessions of ESWT, group M showed significant improvement in the VAS and RM score than group L, whereas after 3 additional sessions applied in group L, the main outcomes were no longer significantly different in both groups (p>0.05). Therapeutic effect might disclose a dose-related relationship; therefore, EFD and the times of the session are considerable factors when treating with ESWT.
OBJECTIVETo examine the dose-related effect of extracorporeal shock wave therapy (ESWT) for plantar fasciitis. METHODSSixty patients with plantar fasciitis despite conservative treatment were enrolled. The patients were divided into a low-energy group (group L: n=30, 1,000 shocks/session, energy flux density [EFD] per shock 0.08 mJ/mm(2)) and a medium-energy group (group M: n=30, 1,000 shocks/session, EFD 0.16 mJ/mm(2)). The main outcome measures were visual analogue scale (VAS), Roles and Maudsley (RM) score, and thickness of plantar fascia (PF). To compare the effects between each group, follow-up was carried out 1 week after 3 and 6 sessions, and 1 and 3 months after ESWT. RESULTSSignificant VAS and RM score improvement, and PF thickness reduction were observed in both groups (p<0.01). After 3 sessions of ESWT, group M showed significant improvement in the VAS and RM score than group L, whereas after 3 additional sessions applied in group L, the main outcomes were no longer significantly different in both groups (p>0.05). CONCLUSIONTherapeutic effect might disclose a dose-related relationship; therefore, EFD and the times of the session are considerable factors when treating with ESWT.
Objective To examine the dose-related effect of extracorporeal shock wave therapy (ESWT) for plantar fasciitis. Methods Sixty patients with plantar fasciitis despite conservative treatment were enrolled. The patients were divided into a low-energy group (group L: n=30, 1,000 shocks/session, energy flux density [EFD] per shock 0.08 mJ/mm2) and a medium-energy group (group M: n=30, 1,000 shocks/session, EFD 0.16 mJ/mm2). The main outcome measures were visual analogue scale (VAS), Roles and Maudsley (RM) score, and thickness of plantar fascia (PF). To compare the effects between each group, follow-up was carried out 1 week after 3 and 6 sessions, and 1 and 3 months after ESWT. Results Significant VAS and RM score improvement, and PF thickness reduction were observed in both groups (p<0.01). After 3 sessions of ESWT, group M showed significant improvement in the VAS and RM score than group L, whereas after 3 additional sessions applied in group L, the main outcomes were no longer significantly different in both groups (p>0.05).Conclusion Therapeutic effect might disclose a dose-related relationship; therefore, EFD and the times of the session are considerable factors when treating with ESWT. KCI Citation Count: 1
Author Kim, Ja-Young
Kang, Jung-Ho
Yoon, Seo-Ra
Jung, Kwang-Ik
Kim, Jin-Hong
Lee, Su-Jin
AuthorAffiliation Department of Rehabilitation Medicine, Gwangju Veterans Hospital, Gwangju, Korea
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Keywords Extracorporeal shock wave therapy
Dose-related Effect
Plantar fasciitis
Language English
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Snippet To examine the dose-related effect of extracorporeal shock wave therapy (ESWT) for plantar fasciitis. Sixty patients with plantar fasciitis despite...
OBJECTIVETo examine the dose-related effect of extracorporeal shock wave therapy (ESWT) for plantar fasciitis. METHODSSixty patients with plantar fasciitis...
Objective To examine the dose-related effect of extracorporeal shock wave therapy (ESWT) for plantar fasciitis. Methods Sixty patients with plantar fasciitis...
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Title Dose-related effect of extracorporeal shock wave therapy for plantar fasciitis
URI https://www.ncbi.nlm.nih.gov/pubmed/23869336
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