One-year treatment follow-up of plantar fasciitis: radial shockwaves vs. conventional physiotherapy

Grecco, Marcus Vinicius; Brech, Guilherme Carlos; Greve, Júlia Maria D’Andréa

doi:10.6061/clinics/2013(08)05

Cited by 43 publications

(38 citation statements)

References 32 publications

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“…Marcus et al, 2013 [23] compared RSW treatment with conventional physiotherapy for CPF after 12 months of follow-up, forty patients were divided randomly into two treatment groups: Group 1, with 20 patients who underwent ten physiotherapy sessions comprising ultrasound, kinesiotherapy and guidance for home-based stretching; and group 2, with 20 patients who underwent three applications of RSW, once a week, and guidance for homebased stretching. At the 12-month follow-up, both treatments were effective for improving pain and functional ability among the patients with PF.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Shockwave Therapy Versus Therapeutic Exercises on Pain and Dynamic Balance in Patients with Plantar Fasciitis

Mohamed¹,

El-Khozamy

2019

The Medical Journal of Cairo University

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Background: Plantar fasciitis (PF) is a painful disorder of the plantar fascia. It is the most common cause of plantar heel pain and accounts for approximately 11-15% of foot symptoms presenting to physicians. Aim of Study: The purpose of this study was to compare the effects of radial shock wave (RSW) alone, therapeutic exercises (stretching and strengthening) alone and RSW combined with therapeutic exercises (stretching and strengthening) on pain severity and dynamic balance in patients with chronic plantar fasciitis (CPF). Methods: Forty five males and females patients with unilateral CPF participated in this study; their age ranged from 40-50 years. Patients randomly assigned into three groups. Group (A): Received three sessions of RSW therapy. Group (B): Received stretching and strengthening exercises as a home program. Group (C): Received three sessions of RSW therapy (one session every week), stretching and strengthening exercises as a home program. Patients were evaluated for pain and dynamic balance before 1 st session and at the end of treatment program. Results: There was a significant decrease in visual analogue scale (VAS) in favor of group C compared with that of group A and that of group B (p<0.01). Also, there was a significant decrease in VAS in favor of group A compared with that of group B (p<0.001). There was a significant increase in anterior, posterolateral and posteromedial excursion of Y balance test in favor of group A compared with that of group B (p<0.05); and a significant increase in anterior, posterolateral and posteromedial excursion in favor of group C compared with that of group B (p<0.001). However; there was no significant difference in anterior, posterolateral and posteromedial excursion between group A and C post treatment (p>0.05). Conclusion: RSW therapy only or combined with therapeutic exercises are more effective than therapeutic exercises only on pain and dynamic balance in patients with CPF.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Shockwave Therapy Versus Therapeutic Exercises on Pain and Dynamic Balance in Patients with Plantar Fasciitis

Mohamed¹,

El-Khozamy

2019

The Medical Journal of Cairo University

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“…Therapeutic ultrasound (Sonopuls 492; Enraf-Nonius, Rotterdam, The Netherlands) with a 50% pulse mode at a frequency of 1.0 MHz and intensity of 1.5 W/cm 2 was ap- www.e-arm.org Step standing and facing the wall PF foot placed behind, then bend both knee and lean body forward to the wall until feel tight of the calf or Achilles tendon (both heels touch the floor) www.e-arm.org plied to the participants for 5 minutes with a slow circular movable technique on the most tender or painful area of the heel [24]. After finishing therapeutic ultrasound, manual therapy, plantar fascia stretching, and tissue mobilization [25], anteroposterior (AP) mobilization on the talocrural joint [25,26] and eversion-inversion mobilization on the subtalar joint [26] were performed.…”

Section: Intervention Protocolmentioning

confidence: 99%

Effects of Strengthening and Stretching Exercises on the Temporospatial Gait Parameters in Patients With Plantar Fasciitis: A Randomized Controlled Trial

et al. 2019

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Objective To investigate the effects of physical therapy interventions using strengthening and stretching exercise programs on pain and temporospatial gait parameters in patients with plantar fasciitis (PF). Methods Eighty-four patients with PF participated in the study and were randomly assigned to the strengthening or stretching exercise groups. All patients received 8 physical therapy interventions two times per week in the first 4 weeks and performed daily strengthening or stretching exercises three times per day. After 4 weeks, they continued the assigned exercise programs every day for 8 weeks. Pain visual analogue scale (VAS) scores at the worst and in the morning and temporospatial gait parameters were evaluated at the baseline, intermediate of the intervention, end of the intervention, and the first and second month follow-up. Results There were significant effects of the time on the worst pain, morning pain, cadence, stride time, stride length, total double support, and gait speed, but there was no effect on step width. In addition, the main effect of the group and the interaction effects of the time and the group were not found in any parameters. For intra-group comparisons, there were significant differences in worst pain, morning pain, cadence, and stride time among the assessment times in both groups. For inter-group comparisons, there were no significant differences in all parameters. Conclusion Both strengthening and stretching exercise programs significantly reduced pain and improved gait in patients with PF.

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“…Th is action aff ects the infl ammatory process and furthermore stimulates the local metabolism. In a metaanalysis on 9 studies and 935 patients on the use of shockwave therapy in chronic plantar fasciitis, the authors observed that ESWT groups had higher improvement rates than placebo groups (OR 2.58, 95%, [CI] 1.97-3.39, p< .001) [41][42][43] .…”

Section: Introductionmentioning

confidence: 99%

Review Over the Therapeutic Benefit of Extracorporeal Shockwave Therapy in Orthopaedic Patients

Gheorghievici¹,

Nica²,

Mitoiu³

et al. 2019

Rev. Med. Mod.

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Shockwaves can be defi ned as transient pressure oscillations which propagate in three dimensions and offer an increased pressure in a very short period of time. Biological effects of shockwave therapy have been proven to stimulate the release of angiogenic growth factors, and contribute to the improvement of blood supply which leads to the repair of bone and soft tissue. The role of ESWT in the treatment of chronic calcifying tendinitis of the rotator cuff has been evaluated in many studies. ESWT has been gaining attention as an alternative option to surgical excision of calcifi cation or when other conservative options have not proven effi cient. The main purpose for using ESWT in heel spur is to increase the local blood supply by inducing neovascularisation. This action influences the inflammatory process and furthermore stimulates the local metabolism. Also, shockwaves have been proposed as a possible treatment in early phases of femoral head necrosis in adults. In case of patellar tendinopathy in vitro studies have shown biological effects, while clinical effects remain unclear. Data suggests that ESWT associated with other physical modalities achieve realiable clinical importance of pain reduction in lateral epycondylitis. However there is still a lack of standardisation and a consensus is needed regarding frequency and intensity.

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One-year treatment follow-up of plantar fasciitis: radial shockwaves vs. conventional physiotherapy

Cited by 43 publications

References 32 publications

Efficacy of Shockwave Therapy Versus Therapeutic Exercises on Pain and Dynamic Balance in Patients with Plantar Fasciitis

Efficacy of Shockwave Therapy Versus Therapeutic Exercises on Pain and Dynamic Balance in Patients with Plantar Fasciitis

Effects of Strengthening and Stretching Exercises on the Temporospatial Gait Parameters in Patients With Plantar Fasciitis: A Randomized Controlled Trial

Review Over the Therapeutic Benefit of Extracorporeal Shockwave Therapy in Orthopaedic Patients

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