Magnetic resonance imaging findings of chronic plantar fasciitis before and after extracorporeal shock wave therapy

Maki, Masahiro; Ikoma, Kazuya; Kido, Masamitsu; Hara, Yusuke; Sawada, Koshiro; Ohashi, Suzuyo; Kubo, Toshikazu

doi:10.1016/j.foot.2017.10.002

Cited by 16 publications

(13 citation statements)

References 32 publications

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“…A direct correlation was observed between the thickness of the plantar fascia and function but not pain in PF 29 . In addition, Maki et al also found that the thickness of the plantar fascia was significantly different between a PF group and a healthy group 30 . On magnetic resonance imaging (MRI) findings, the mean thickness of the plantar fascia of healthy feet was 3.1 mm ± 1.0, while it was 4.4 mm ± 1.6 for the affected feet.…”

Section: Discussionmentioning

confidence: 96%

Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain

Zhou

Feng

et al. 2020

Sci Rep

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The objectives of this study were (1) to investigate the passive stiffness of the medial gastrocnemius (MG) and lateral gastrocnemius (LG) in patients with and without plantar fasciitis (PF), (2) to explore the correlation between gastrocnemius stiffness and plantar fascia thickness (PFT) as well as the intensity of pain in patients with PF, (3) to detect optimal cutoff points for stiffness of the MG and LG for identifying patients with pf. forty patients (mean age = 51.1 years ± 12.9) participated in this study. The elastic properties of the MG and LG were quantified using shear wave elastography ultrasound. The thickness of the plantar fascia was measured by B-mode imaging. the intensity of pain was assessed using a visual analogue scale. The results showed that when the ankle was in the relaxed position, patients with PF had increased passive stiffness in the MG (P < 0.05) but not in the LG. Significant correlations were found between pain and the stiffness of the MG (middle, distal; all P-values < 0.05) and no correlation was observed between pain and pft (P = 0.416). The initial cutoff point for the stiffness of the MG was 29.08 kPa when the ankle was in the relaxed position. The findings from the present study show that an increase in muscle stiffness is not the same in the individual muscles of the gastrocnemius muscle. traditional treatment of the whole gastrocnemius muscle might not be targeted at the tight muscle.

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Section: Discussionmentioning

confidence: 96%

Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain

Zhou

Feng

et al. 2020

Sci Rep

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“…16 submeteram sua amostra a TOC uma vez por semana, o que levou a utilizar a frequência de 15Hz, já Hocaoglu et al 14 17 que utilizou TOC versus toxina botulínica, diferenciou dos demais devido à utilização, em ambos os grupos, de exercícios diários de alongamentos dos músculos da panturrilha e arco plantar, que foram acrescidos ao plano de tratamento. Além disso, utilizou um intervalo maior de tempo com aplicação de apenas uma sessão mensal, diferenciando-se demais estudos que tiveram frequência semanal (uma vez por semana) 12, [14][15][16][17][18][19][20][21][22] .…”

Section: Resultsunclassified

“…al. 18 concluíram que houve melhora da dor seis meses após a TOC (p<0,05), sendo que não houve diferença significativa entre homens e mulheres. Assim, dos 23 pés tratados, 19 apresentaram melhora dos sintomas como também ocorreu nos achados de RM (p<0,01).…”

Section: Resultsunclassified

Efetividade Da Terapia Por Ondas De Choque No Tratamento Da Dor Na Fasciíte Plantar: Revisão Da Literatura

Sousa¹,

Metzker²

2020

Var. Sci. - Ci. Saúde

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Introdução: A fáscia plantar é um tecido fibroso localizado ao longo da planta do pé, que se estende do calcanhar até a base dos metatarsos, com função de sustentação do arco plantar. Uma das principais afecções que ocorrem na fascia plantar é a Fasciíte plantar (FP). Trata-se de inflamação que ocorre devido a um estresse excessivo como impactos, microtraumas repetitivos e processos degenerativos no local de origem da fáscia. Dentre as opções terapêuticas para o tratamento da FP, o método de escolha geralmente é o tratamento conservador, pois, tem se obtido resultados satisfatórios em cerca de 90% dos pacientes, reduzindo ou abolindo a dor. Nesse cenário, uma das técnicas que vem sendo cada vez mais utilizada para a forma crônica da FP é a terapia por ondas de choque (TOC) extracorpórea, tendo como objetivo promover a cicatrização do tecido inflamado. Objetivo: Verificar e descrever o efeito da terapia por ondas de choque extracorpórea no tratamento da dor em indivíduos com Fasciíte plantar crônica. Método: Foi realizado uma pesquisa nas bases de dados PubMed, Scielo e Lilacs, entre os anos 2016 e 2018 nos idiomas inglês e português. Resultados: Do total de 146 foram incluídos nesse estudo dez artigos que atenderam aos critérios de inclusão e exclusão. Conclusão: A aplicação de TOC parece ser uma alternativa para o manejo da FP crônica com benefícios no controle da dor. Contudo, quando comparada a outras terapias como ultrassom, radiofrequência, laser de baixa intensidade e exercícios domiciliares os resultados foram similares para o desfecho da dor.

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“…There was an overall reduction in PFT following SWT application (MD 0.92 mm (95%CI 0.03, 1.81), p = 0.04; Fig. 6 [47,51]. Subgroup analysis showed greater reduction in PFT using radiological guidance (MD 1.31 mm (95%CI 0.49, 2.13), p = 0.002) versus no guidance (MD 0.47 mm (95%CI -0.28, 1.21), p = 0.22) ( Fig.…”

Section: Plantar Fasciitis and Heel Spursmentioning

confidence: 95%

The effects of shockwave therapy on musculoskeletal conditions based on changes in imaging: a systematic review and meta-analysis with meta-regression

Al-Abbad

Allen

Morris

et al. 2020

BMC Musculoskelet Disord

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Background: Shockwave therapy (SWT) is a commonly used intervention for a number of musculoskeletal conditions with varying clinical outcomes. However, the capacity of SWT to influence pathophysiological processes and the morphology of affected tissues remains unclear. The objective of the current review is to evaluate changes in imaging outcomes of musculoskeletal conditions following SWT. Methods: A comprehensive search of Medline, Embase, Cochrane Controlled Trials Register, CINAHL and SportDiscus was conducted from inception to October 2018. Prospective clinical trials evaluating the effectiveness of SWT based on changes in imaging outcomes were eligible for inclusion. Articles were evaluated independently for risk of bias using the Cochrane Risk of Bias list and the Methodological Index for Non-Randomized Studies. Random-effects meta-analysis and meta-regression with a priori determined covariates was conducted for each condition to determine potential predictors of SWT effects. Results: Sixty-three studies were included, with data from 27 studies available for effect size pooling. Meta-analyses and meta-regression on imaging outcomes were performed for rotator cuff calcific tendinitis (n = 11), plantar fasciitis (n = 7) and osteonecrosis of the femoral head (n = 9). There was an overall reduction in the size of measured lesion following SWT (MD 8.44 mm (95%CI 4.30, 12.57), p < 0.001) for calcium deposit diameter, (MD 0.92 mm (95%CI 0.03, 1.81), p = 0.04) for plantar fascia thickness and (MD 4.84% (95%CI -0.06, 9.75), p = 0.05) for lesion size in femoral head osteonecrosis. Meta-regression showed no influence of SWT dosage parameters, however, baseline lesion size was an independent predictor for changes in imaging outcomes. Conclusions: SWT altered the morphology of musculoskeletal conditions, potentially reflecting changes in underlying pathophysiological processes. The parameters of SWT dosage are not significant predictors of changes in imaging outcomes. Lack of adequate reporting of imaging outcomes limited the conclusions that could be drawn from the current review. Registration number: PROSPERO CRD42018091140.

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Magnetic resonance imaging findings of chronic plantar fasciitis before and after extracorporeal shock wave therapy

Cited by 16 publications

References 32 publications

Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain

Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain

Efetividade Da Terapia Por Ondas De Choque No Tratamento Da Dor Na Fasciíte Plantar: Revisão Da Literatura

The effects of shockwave therapy on musculoskeletal conditions based on changes in imaging: a systematic review and meta-analysis with meta-regression

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