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

Chang, Ke‐Vin; Chen, Ssu-Yuan; Chen, Wen-Shiang; Tu, Yu–Kang; Chien, Kuo–Liong

doi:10.1016/j.apmr.2012.02.023

Cited by 111 publications

(113 citation statements)

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“…Another potential reason is that the energy flux density administered in the study of Speed et al [20] was the lowest of all the studies included. In a recent meta-analysis, Chang et al [4] concluded that lower energy intensity shock waves are less effective.…”

Section: Discussionmentioning

confidence: 99%

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Extracorporeal Shock Wave Therapy Is Effective In Treating Chronic Plantar Fasciitis: A Meta-analysis of RCTs

Aqil

Siddiqui

Solan

et al. 2013

Clinical Orthopaedics &Amp; Related Research

111

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Background Plantar fasciitis is the most common cause of heel pain. It may remain symptomatic despite conservative treatment with orthoses and analgesia. There is conflicting evidence concerning the role of extracorporeal shock wave therapy (ESWT) in the management of this condition. Questions/purposes We investigated whether there was a significant difference in the change of (1) VAS scores and (2) Roles and Maudsley scores from baseline when treated with ESWT and placebo. Specifically we compared overall improvement from baseline composite VAS, reduction in overall VAS pain, success rate of improving overall VAS pain by 60%, success rate of improving VAS pain by 60% when taking first steps, doing daily activities, and during application of a pain pressure meter.Methods MEDLINE, Embase, and CINAHL databases were searched from January 1980 to January 2013 and a double extraction technique was used to obtain relevant studies. Studies had to be prospective randomized controlled trials on adults and must not have used local anesthesia as part of their treatment protocol. Studies must have specifically recruited patients who continued to be symptomatic despite a minimum of 3 months of conservative treatments. All papers were assessed regarding their methodologic quality and a meta-analysis performed. Seven prospective randomized controlled trials were included in this study. There were 369 patients included in the placebo group and 294 in the ESWT group. Results After ESWT, patients had better composite VAS scores (random effects model, standardized mean difference [SMD] = 0.38; 95% CI, 0.05, 0.72; z = 2.27). They also had a greater reduction in their absolute VAS scores compared with placebo (random effects model, SMD = 0.60; 95% CI, 0.34, 0.85; z = 4.64). Greater success of improving heel pain by 60% was observed after ESWT when taking first steps (random effects model, risk ratio [RR] = 1.30; 95% CI, 1.04, 1.62; z = 2.29) and during daily activities (random effects model, RR = 1.44; 95% CI, 1.13, 1.84; z = 2.96). Subjective measurement of pain using a pressure meter similarly favored ESWT (random effects model, RR = 1.37, 95% CI, 1.06, 1.78; z = 2.41). There was a significant difference in the change to

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Section: Discussionmentioning

confidence: 99%

“…Chang et al [4] reported some of the controversies in using this form of treatment and provided recommendations on the most effective strengths of shock waves. However there still is no consensus or meta-analyses clarifying which type of shock waves (radial or focused) are more effective.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal Shock Wave Therapy Is Effective In Treating Chronic Plantar Fasciitis: A Meta-analysis of RCTs

Aqil

Siddiqui

Solan

et al. 2013

Clinical Orthopaedics &Amp; Related Research

111

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“…[22][23][24][25][26] ESWT causes extreme excitement of the axon, destroys unmyelinated sensory fibers, improves symptoms by initiating an inflammatory response to the secretion of growth factors or nitrous oxide and revitalizes tissues by increasing angiogenesis. 3,9 Some researchers have reported that ESWT is effective in the treatment of PF in comparison to a control group. 25,26 However, other relevant studies have found no benefit to ESWT for PF.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Patients may present with heel pain with their first steps in the morning or after prolonged sitting, and sharp pain with palpation of the medial plantar calcaneal region. 3,4 Stretching the plantar fascia and weight-bearing on the heel activate symptoms. 4 Conservative therapy provides significant relief in approximately 90% of patients with PF.…”

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confidence: 99%

Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial

et al. 2017

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Objectives:This study aims to compare the efficacy of extracorporeal shockwave therapy (ESWT) and kinesiology taping in the treatment of plantar fasciitis. Patients and methods:The study included 80 patients diagnosed with plantar fasciitis. The patients were randomized into two groups as ESWT (9 males, 28 females; mean age 47.8±12.4 years; range 40 to 55 years) and kinesiology taping (KT, 7 males, 26 females; mean age 47.7±9.8 years; range 40 to 55 years) groups. Groups were similar regarding age, sex, and body mass index (all p>0.05). Three patients in ESWT group and seven patients in KT group were lost to follow-up. ESWT was applied once a week for five weeks, while KT was applied every five days for five weeks. Patients' pain and functional status were evaluated with visual analog scale, heel tenderness index, and foot and ankle outcome score before and after treatment. Results: At the study onset, there were no statistically significant differences between the two groups in their visual analog scale, heel tenderness index, and foot and ankle outcome scores. Five weeks later, both groups showed significant improvement in all parameters (p<0.05), but no significant differences were observed between the groups in the visual analog scale, heel tenderness index, and foot and ankle outcome score scores. Conclusion: Both ESWT and KT treatments improved pain levels and function and quality of life in individuals with plantar fasciitis. Neither method was superior in treating plantar fasciitis.

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“…Sabahları veya istirahat sonrası ilk adımda ortaya çıkan ağrı plantar fasiit için tipiktir [4,5]. Plantar fasyanın gerilmesi, topuk üzerine yük verme ve bastırma semptomları aktive eder [1,5].…”

Section: Introductionunclassified

Effeciency of extracorporeal shock wave therapy in patients with plantar fasciitis and the relationship with subcalcaneal spur length

Tuna¹

2014

Diclemedj

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Objective: ESWT is widely used in the treatment of plantar fascitis. In this study, we aimed to investigate the effect of ESWT on heel pain and symptoms in the short and medium term. We also compared the subcalcaneal spur length and the heel pain severity and examined the effect of the subcalcaneal spur length on the efficiency of ESWT therapy. Methods:The efficiency of ESWT applied to 59 heel of 48 patients compared retrospectively . We used Visual Analog Scale (VAS) and Wolgin scale to evaluate the treatment outcomes. We measure the subcalcaneal spurs length of the patients with foot x-ray . Correlation between the VAS scores and the length of subcalcaneal spur were also evaluated.Results: Improvement in VAS in the first week and 3 months after ESWT treatment was statistically significant. There was no correlation between subcalcaneal spur length and the severity of pain. The number of patients in the'' medium, bad'' group decreased while the number of patients in the '' good'' group incresed according to WDS after ESWT treatment. Conclusion:As a result of this study we concluded that ESWT is effective in the treatment of plantar fasciitis in the short and medium term.Key words: Heel Pain, Plantar fasciitis, Subcalcaneal spur length, ESWT, Evaluation Scale of Wolgin ÖZET Amaç: Extracorporeal shock wave therapy (ESWT) plantar fasiitisin tedavisinde yayın olarak kullanılan bir tedavi yöntemidir. Bu çalışmada, biz ESWT uygulamasının, topuk ağrısı ve semptomlar üzerine kısa ve orta dönem de etkinliği araştırmayı amaçladık. Ayrıca epin boyu ile topuk ağrısının şiddetini karşılaştırdık ve epin boyunun ESWT tedavisine etkisini inceledik.Yöntemler: Retrospektif olarak 48 hastanın, 59 topuğa uygulanmış ESWT tedavisinin etkinliği karşılaştırıldı. Tedavi sonuçlarını değerlendirmek için Visüel analog skala (VAS) ve Wolgin'in değerlendirme skalası (WDS) kullanıl-dı. Ayrıca ayak grafisi mevcut olan hastaların epin kalkanei boyları hesaplandı. Epin boyu ile VAS skorlarındaki düzeme arasındaki korelasyona bakıldı. Bulgular:Hastaların ESWT tedavisi sonrası 1. hafta ve 3. ay VAS skorlarında anlamlı düzelme saptanmıştır. Epin boyu ile ağrı şiddeti arasında bir ilişki saptanmamıştır. WDS skorlamasına göre de ESWT tedavisi sonrası ''iyi'' grubundaki hasta sayısı artış gösterirken ''orta, kötü'' grubundaki hasta sayılarında azalma olmuştur.Sonuç: Bu çalışma sonucunda, ESWT' nin, plantar fasiitisin tedavisinde kısa ve orta dönemde etkili olduğu sonucuna varılmıştır. Ayrıca epin boyunun, topuk ağrısına ve ESWT tedavisinin etkinliğine herhangi bir etkisinin olmadığı görülmüştür.Anahtar kelimeler: Topuk ağrısı, Plantar fasiit, Topuk dikeninin boyu, ESWT, Wolgin Değerlendirme Skalası. GİRİŞErişkinlerde sık karşılaşılan topuk ağrısının en sık nedeni, topuk dikeninin eşlik ettiği veya etmedigi plantar fasiitistir ve kadınlarda erkeklere oranla daha sık görülür [1,2]. Patogenezinde obezite ve aşırı kullanim gibi predispoze faktörlerin etkisi ile tekrarlayan gerginliklerden kaynaklanan mikrotravmalar ve inflamasyonun neden olduğu, p...

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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

Cited by 111 publications

References 38 publications

Extracorporeal Shock Wave Therapy Is Effective In Treating Chronic Plantar Fasciitis: A Meta-analysis of RCTs

Extracorporeal Shock Wave Therapy Is Effective In Treating Chronic Plantar Fasciitis: A Meta-analysis of RCTs

Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial

Effeciency of extracorporeal shock wave therapy in patients with plantar fasciitis and the relationship with subcalcaneal spur length

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