Comparison of effects of low-level laser therapy and extracorporeal shock wave therapy in plantar fasciitis treatment: A randomized, prospective, single-blind clinical study

Sanmak, Ömür Damla Yinilmez; Külcü, Duygu Geler; Altunok, Elif Çiğdem

doi:10.5606/tftrd.2019.3528

Cited by 18 publications

(11 citation statements)

References 21 publications

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“…Comparing LLLT to ESWT, we would expect different effect-time profiles for pain alleviation, as the effect of ESWT might be greater at later time-points. 81 Sanmak et al 73 applied LLLT in a circular motion on the insertion site of the plantar fascia for 60 s and along the fascia for another 60 s. They stated that they irradiated the tissue with 2 J/cm 2 , which according to our calculation (Watt*seconds) corresponds to a relatively low mean output power of 18 mW/cm 2 . Moving the laser probe during irradiation will yield a smaller laser dose per treated cm 2 , and larger movement will for instance reduce the energy delivered per treated cm 2 .…”

Section: Discussionmentioning

confidence: 87%

“…Sanmak et al 73 also used a laser within the red spectrum, but they applied a much smaller dose. Sanmak et al 73 compared LLLT with ESWT in plantar fasciitis and found no difference between the groups regarding pain immediately after treatment, but an insignificant better result for ESWT 4 weeks after completed treatment. Comparing LLLT to ESWT, we would expect different effect-time profiles for pain alleviation, as the effect of ESWT might be greater at later time-points.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of low-level laser therapy in patients with lower extremity tendinopathy or plantar fasciitis: systematic review and meta-analysis of randomised controlled trials

et al. 2022

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ObjectivesWe investigated the effectiveness of low-level laser therapy (LLLT) in lower extremity tendinopathy and plantar fasciitis on patient-reported pain and disability.DesignSystematic review and meta-analysis.Data sourcesEligible articles in any language were identified through PubMed, Embase and Physiotherapy Evidence Database (PEDro) on the 20 August 2020, references, citations and experts.Eligibility criteria for selection of studiesOnly randomised controlled trials involving participants with lower extremity tendinopathy or plantar fasciitis treated with LLLT were included.Data extraction and synthesisRandom effects meta-analyses with dose subgroups based on the World Association for Laser Therapy treatment recommendations were conducted. Risk of bias was assessed with the PEDro scale.ResultsLLLT was compared with placebo (10 trials), other interventions (5 trials) and as an add-on intervention (3 trials). The study quality was moderate to high.Overall, pain was significantly reduced by LLLT at completed therapy (13.15 mm Visual Analogue Scale (VAS; 95% CI 7.82 to 18.48)) and 4–12 weeks later (12.56 mm VAS (95% CI 5.69 to 19.42)). Overall, disability was significantly reduced by LLLT at completed therapy (Standardised Mean Difference (SMD)=0.39 (95% CI 0.09 to 0.7) and 4–9 weeks later (SMD=0.32 (95% CI 0.05 to 0.59)). Compared with placebo control, the recommended doses significantly reduced pain at completed therapy (14.98 mm VAS (95% CI 3.74 to 26.22)) and 4–8 weeks later (14.00 mm VAS (95% CI 2.81 to 25.19)). The recommended doses significantly reduced pain as an add-on to exercise therapy versus exercise therapy alone at completed therapy (18.15 mm VAS (95% CI 10.55 to 25.76)) and 4–9 weeks later (15.90 mm VAS (95% CI 2.3 to 29.51)). No adverse events were reported.ConclusionLLLT significantly reduces pain and disability in lower extremity tendinopathy and plantar fasciitis in the short and medium term. Long-term data were not available. Some uncertainty about the effect size remains due to wide CIs and lack of large trials.PROSPERO registration numberCRD42017077511.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Efficacy of low-level laser therapy in patients with lower extremity tendinopathy or plantar fasciitis: systematic review and meta-analysis of randomised controlled trials

et al. 2022

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“…An important reason for its preference is that it is non‐invasive and well tolerated because of its low side effect profile 24 . Its effect on plantar fascia has contributed to close down the inflammation and regenerate tissues by increasing neovascularisation by collagen remodelling and reducing pro‐inflammatory profile and calcification through angiogenesis‐related markers 22,25 . ESWT therapy was approved by the American Food and Drug Administration in 2000 to treat PF 24 .…”

Section: Discussionmentioning

confidence: 99%

“…angiogenesis-related markers. 22,25 ESWT therapy was approved by the American Food and Drug Administration in 2000 to treat PF. 24 In this study, in accordance with the literature, a decrease in pain and improvement in foot function scale were observed in all groups after ESWT.…”

Section: Ta B L E 2 (Continued)mentioning

confidence: 99%

Effects of adjuvant low‐dye Kinesio taping, adjuvant sham taping, or extracorporeal shockwave therapy alone in plantar fasciitis: A randomised double‐blind controlled trial

Bahar-Özdemir¹,

Atan²

2021

Int. J. Clin. Pract.

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One of the common musculoskeletal pathology and pain causes of the foot is plantar heel pain, 1 and the most common cause of heel pain in adult ages is plantar fasciitis (PF). Patients feel severe pain in the first step they take after sitting for a long time or getting up and walking in the morning, and this pain is triggered by stretching the plantar fascia and carrying loads. 2 Studies have indicated that foot pain and stiffness are between 18% and 63%. 3 The plantar fascia is considered to be the result of micro-rupture occurring at

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“…Estos dos tratamientos son bastante aceptados por la población, pues son fáciles de aplicar y prácticamente no presentan efectos secundarios. En un estudio al respecto, Yinilmez-Sanmak et al 23 no obtuvieron resultados definitivos debido a que no hallaron diferencias significativas ni a favor de las OCH radiales ni a favor de la laserterapia, lo que coincide con lo encontrado por Ulusoy et al 25 , quienes también avalaron un exitoso resultado de ambas técnicas, pero sin llegar a obtener una diferencia significativa entre ellas. En cambio, Cinar et al 9 obtuvieron resultados favorables a la laserterapia a corto-mediano plazo (3 meses) en cuanto a la mejoría del dolor.…”

Section: Continuación Tabla 2 Resumen De Los Artículos Seleccionadosunclassified

Efectividad del tratamiento con ondas de choque en la fascitis plantar

Martinez

Blasco

et al. 2021

Rev Col Med Fis Rehab

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Introducción. Existe una gran heterogeneidad en los estudios que abordan la efectividad e indicación del tratamiento con ondas de choque (OCH) en la fascitis plantar (FP) respecto a otros tratamientos alternativos. Objetivos. Evaluar la efectividad del tratamiento con OCH en pacientes con FP mediante las evidencias científicas más actuales y evaluar la eficacia de este tratamiento en comparación con otros tipos de terapias también empleadas en el manejo de esta inflamación. Materiales y métodos. Se realizó una búsqueda bibliográfica en las bases de datos PubMed y PEDro con los términos clave “shock wave” y “plantar fasciitis AND shock wave”. Se selecciona- ron artículos publicados en español e inglés entre los años 2015 y 2019. Resultados. Tras aplicar los criterios de inclusión y exclusión y luego de eliminar los duplica- dos, se seleccionaron 13 estudios que englobaban una muestra total de 1.220 individuos y comparaban las OCH frente a placebo, OCH con ejercicios, ultrasonoterapia, laserterapia de bajo nivel e infiltración de corticoides y toxina botulínica. Conclusión. Las OCH constituyen un método eficaz y seguro para tratar la FP, siendo más efectivo que la ultrasonoterapia y la infiltración de toxina botulínica, aunque existe controver- sia en el resto de comparaciones. Su uso se aconseja asociado a un programa de ejercicios; sin embargo, es necesario realizar más estudios sobre esta técnica.

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Comparison of effects of low-level laser therapy and extracorporeal shock wave therapy in plantar fasciitis treatment: A randomized, prospective, single-blind clinical study

Cited by 18 publications

References 21 publications

Efficacy of low-level laser therapy in patients with lower extremity tendinopathy or plantar fasciitis: systematic review and meta-analysis of randomised controlled trials

Efficacy of low-level laser therapy in patients with lower extremity tendinopathy or plantar fasciitis: systematic review and meta-analysis of randomised controlled trials

Effects of adjuvant low‐dye Kinesio taping, adjuvant sham taping, or extracorporeal shockwave therapy alone in plantar fasciitis: A randomised double‐blind controlled trial

Efectividad del tratamiento con ondas de choque en la fascitis plantar

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