Efficiency of Combined Treatment of Extracorporeal Shock Wave Therapy and Kinesiotape Application on Patients with Plantar Fasciitis

Abstract

Objective: Plantar fasciitis is a painfull condition limiting foot function common both in athlete and sedentary populations. Different modalities like orthosis, night splints, steroid injections, extracorporeal shock wave therapy and kinesiotape applications are used in the treatment of plantar fasciitis. In this study the effect of kinesiotape application in addition to extracorporeal shock wave therapy was evaluated. Materials and Methods: Seventy two patients who were diagnosed with plantar fasciitis enrol--led into the study. Age, height, body weight, body mass index, gender, side involved and length of calcaneal spur from direct X--ray graphs in weight bearing positon were measured and noted. Patients were divided into three groups as extracorporeal shock wave therapy group (Group 1), extracorporeal shock wave therapy and kinesiotape group (Group 2) and extracorporeal shock wa--ve therapy and sham kinesiotape group (Group 3). Extracorporeal shock wave therapy was app--lied once a day per week, at 15 Hz frequency, 20 Barr energy and 2000 impulses/session. Taping was done just after the extracorporeal shock wave therapy and kinesiotape was kept for five days/week. Patients were assessed by visual analog scale score, and Roles and Maudsley pain scale. Scores were taken at the beginning of treatment; 1 st , 2 nd and 3 rd weeks of treatment. Results: After the end of the three weeks treatment period, all groups had statistically signifi--cant visual analog scale score, and Roles and Maudsley pain score improvements (p<0.05). However, there was no statistically significant differences between groups (p>0.05). Conclusions: Extracorporeal shock wave therapy lowers pain scores of plantar fasciitis patients in three weeks. Kinesiotape application in addition to extracorporeal shock wave therapy treat--ment does not provide additional profit.

Unilateral Plantar Topuk Ağrısı Olan Hastalarda Termal Peloid Tedavisi Etkinliğinin Retrospektif Değerlendirilmesi

“…9 Termal peloid uygulamasının PTA tedavisinde günümüz- Ayrıca sıcak-soğuk paket uygulamaları, plateletten zengin plazma enjeksiyonu, elektro-manyetik tedaviler de etkilidir. 13 Plantar topuk ağrısının tedavisinde termal tedavi uygulamalarının olumlu etkilerinin gösterildiği az sayıda çalışma vardır. Topuk ağrısı ve azalmış ayak bileği dorsifleksiyonu olan yetişkinlerde germe egzersizi ile birlikte derin ve yüzeyel ısı tedavilerinin etkinliğinin karşılaştırıldığı randomize kontrollü bir çalışmada yüzeyel ısıtıcı olarak parafin, derin ısıtıcı olarak kısa dalga diatermi kullanılmış.…”