Ultrasonographic evaluation of plantar fasciitis after low-level laser therapy: results of a double-blind, randomized, placebo-controlled trial

Kiritsi, Olga; Tsitas, Konstantinos; Malliaropoulos, Nikos; Mikroulis, Grogorios

doi:10.1007/s10103-009-0737-5

Cited by 54 publications

(56 citation statements)

References 32 publications

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“…This is similar to the results of the study done by Saber (5) where ESWT group had also showed significant decrease in plantar fascia thickness from 5.9 ±0.5 before treatment to a mean of 3.3±0.4 after treatment (p<0.001) and with the results of Kiritsi et al (33) who demonstrated a reduction in plantar fascia thickness in LLLT and placebo groups. Furthermore, when the difference in plantar fascia thickness was compared between the LLLT group and the placebo group, the change was statistically significant (p=0.007) (33) . In the present study although the improvement in the thickness of the plantar fascia was greater in the ESWT than the LLLT group, this was not statistically significant (p= 0.885).…”

Section: Discussionsupporting

confidence: 90%

Extracorporeal Shock Wave Therapy versus Low-Level Laser Therapy in the Management of Chronic Plantar Fasciitis

ELsehrawy

Nasef

Ibrahim

et al. 2018

Suez Canal University Medical Journal

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Objectives: to compare and evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) and low-level laser therapy (LLLT) using diagnostic ultrasound (US) in the management of chronic plantar fasciitis (PF). Patients and Methods: The study was done as a prospective, randomized, comparative clinical study. Patients with PF were randomly allocated into 2 groups: ESWT (n= 23), LLLT (n= 23), group 1 underwent 2 sessions of ESWT (2050 shocks, 2.5 bars) and group 2 underwent 6 sessions of LLLT (27 J/cm2; 830 nm). All patients were assessed using the visual analog scale (VAS), foot function index (FFI) and diagnostic US to measure plantar fascia thickness and to assess echogenicity before and 1 month after treatment. Results: There were significant improvement after one month of treatment in the mean VAS, FFI, thickness of the plantar fascia and echogenicity in both groups. LLLT proved significantly superior to ESWT in pain relief (p = 0.029), but no significant difference between both groups in FFI improvement (p= 0 .264). No statistically significant difference between both groups regarding improvement in US findings including plantar fascia thickness (p= 0.885) and echogenicity (p= 0.34). Conclusion: LLLT proved to be more effective than ESWT in pain relief in patients with PF after one month of treatment.

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Section: Discussionsupporting

confidence: 90%

Extracorporeal Shock Wave Therapy versus Low-Level Laser Therapy in the Management of Chronic Plantar Fasciitis

ELsehrawy

Nasef

Ibrahim

et al. 2018

Suez Canal University Medical Journal

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“…However excessive tensile forces may not only exist due to overpronation and lowering of the medial longitudinal arch (12) but also due to excessive supinatory forces and pescavus (2,13,34). Obesity may result in greater flattening of the medial longitudinal arch which in turn creates further tensile forces on the plantar fascia (9,(35)(36)(37).…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Plantar Fasciitis and Plantar Heel Pressure

2017

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Objective: The presence of increased medial heel plantar pressure in plantar fasciitis has been debated, with clinicians often utilizing pressure-relieving devices, such as heel pads and cups, as a means of management. Method: Plantar pressures in a sample of 15 adult participants with chronic plantar fasciitis were compared to plantar pressures of the 15 adult participants forming the control group, who were matched for age, gender and weight. Results: There were no significant differences in peak heel plantar pressure (p = 0.244), lateral peakplantar pressure (p = 0.876), forefoot peak plantar pressure (p = 0.576) and the Forefoot to Rearfoot peak pressure ratio (p = 0.242) between the 2 groups. However, there was a significant difference (p = 0.015) in medial heel peak plantar pressure between the 2 groups, with the plantar fasciitis group having lower medial heel pressure than the control group. Conclusion: The findings in this study suggest that there is no relationship between peak medial heel plantar pressures and chronic medioplantar heel pain in plantar fascitis. There is also no shift in pressure from the symptomatic medio-plantar heel region to the latero-plantar heel and forefoot regions. As a result, pressure may not play a part in the pathophysiology of plantar fascitis.Key Words: plantar fasciitis; plantar pressure; heel pain. ResumenObjetivos: La presencia de incremento de presión plantar en la zona medial del talón en la fascitis plantar ha sido estudiado, y los clínicos a menudo utilizan dispositivos de alivio de la presión, como almohadillas de talón y cazoletas, como medio de manejo. Método: Las presiones plantares en una muestra de 15 participantes adultos con fascitis plantar crónica se compararon con las presiones plantares de los 15 participantes adultos que formaron el grupo control, que fueron comparados por edad, sexo y peso. Resultados: No hubo diferencias significativas en la presión plantar en el pico pico (p = 0,244), en la presión pico lateral (p = 0,876), en la presión plantar pico en el antepié (p = 0,576) Los 2 grupos. Sin embargo, hubo una diferencia significativa (p = 0,015) en la presión plantar del talón medial entre los 2 grupos, con el grupo de fascitis plantar con menor presión en el talón medial que en el grupo control. Conclusión: Los hallazgos en este estudio sugieren que no hay relación entre el pico medial del talón de las presiones plantares y crónico medio-plantar talón dolor en la fascitis plantar. Tampoco hay cambio en la presión de la región sintomática del talón medio-plantar a las regiones del talón latero-plantar y del antepié. Como resultado, la presión puede no desempeñar un papel en la fisiopatología de la fascitis plantar.Palabras Clave: fascitis plantar; presión plantar; dolor de talón.

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“…In recent years, some placebo-controlled studies have shown beneficial effects of LLLT on clinical parameters (pain and foot function) in the treatment of PF. 3,11 However, these findings are not consistent because of different doses and parameters used in irradiation with PBMT. Moreover, the physiological mechanism of PBMT is not clear, and some studies have suggested that PBMT irradiation could not alter pain and functional aspects of some skeletal muscle disorders.…”

Section: Introductionmentioning

confidence: 94%

“…P lantar fasciitis (PF) is recognized as an inflammation of the plantar fascia, and may be idiopathic or associated with rheumatoid arthritis, seronegative spondyloarthropathies, or trauma. [1][2][3] PF is a common cause of heel pain in adults. Pain occurs in the heel during the first steps after resting or when getting up in the morning.…”

Section: Introductionmentioning

confidence: 99%

Parameters and Effects of Photobiomodulation in Plantar Fasciitis: A Meta-Analysis and Systematic Review

Santos

Sampaio

Caires

et al. 2019

Photobiomodulation, Photomedicine, and Laser Surgery

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Objective: This systematic review and meta-analysis updated the effects of photobiomodulation therapy (PBMT) on pain, the Foot Function Index (FFI), and the effects on fascial thickness in adults with acute or chronic plantar fasciitis (PF). Methods: A systematic literature search was conducted in the PubMed (Public/Publisher MEDLINE), EM-BASE (Excerpta Medica Database), and CINAHL (Cumulative Index to Nursing and Allied Health Literature) databases. Two researchers independently screened titles and abstracts of the retrieved studies for eligibility. A random-effects model was used for this meta-analysis. Subgroup meta-analyses were conducted to evaluate the influence of PBMT in pain and foot function under investigation and the study design on the overall weighted mean effect size. Results: From a total of 3865 studies, 7 randomized controlled trials were selected after final review and 4 were selected for meta-analysis. There was a significant difference between PBMT and control for Visual Analog Scale (Chi 2 = 29.30; p < 0.00001) with an I 2 value of 90% in favor of PBMT versus the control. The overall effect of PBMT was statistically significant (p < 0.02) with PBMT favoring for thickness of the plantar fascia reduction. FFI between PBMT and control group [Chi 2-83.46, df = 1 (p < 0.00001)]; I 2 = 99% in favor of the PBMT. Conclusions: This meta-analysis presents evidence that PBMT is an effective treatment modality to reduce pain and improvement of foot function in patients with chronic PF, however, a broad discrepancy was found in the PBMT dosimetry. The ideal treatment parameters for PF need to be elucidated.

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Ultrasonographic evaluation of plantar fasciitis after low-level laser therapy: results of a double-blind, randomized, placebo-controlled trial

Cited by 54 publications

References 32 publications

Extracorporeal Shock Wave Therapy versus Low-Level Laser Therapy in the Management of Chronic Plantar Fasciitis

Extracorporeal Shock Wave Therapy versus Low-Level Laser Therapy in the Management of Chronic Plantar Fasciitis

The Relationship between Plantar Fasciitis and Plantar Heel Pressure

Parameters and Effects of Photobiomodulation in Plantar Fasciitis: A Meta-Analysis and Systematic Review

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