Tratamento da fasciíte plantar crônica pela terapia de ondas de choque: avaliação morfológica ultrassonográfica e funcional

Androsoni, Roberto; Netto, Alfonso Apostólico; Macedo, Rafael Rocha; Fasolin, Ricardo Pozzi; Boni, Guilherme; Moreira, Rodrigo Fileto Gavaldão

doi:10.1016/j.rbo.2013.04.005

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…Based on this conclusion, we can affirm the shock wave therapy may be interesting due to the rapid improvement in pain presented, remaining in the later periods of reevaluation. Our study shows an improvement in the AOFAS functional score, agreeing with the results published by Androsoni et al (2013) 11 , which used the same score and obtained a significant improvement at the end of longer periods of patient reassessment (1 month, 3 months and 6 months), General Health Status and Limitation for emotional aspects, although most of the patients presented the disease for more than 3 weeks, which could negatively influence these two domains. Complications of the application of SWT has not been described in the literature.…”

Section: Discussionsupporting

confidence: 93%

“…However, the study analyzed a small sample of patients, 30 patients (36 feet), who were subjected to the procedure more than once, and the results of quality of life and pain improvement were not evaluated at the end. 11 In our earlier analysis, we observed a significant increase in the functional score in a shorter period of time, with a single session of SWT, showing that this treatment may positive results in the functionality within three weeks, maintained for up to 12 weeks. The SF-36 score handles several aspects of patients' quality of life and includes: Functional capacity (FC), Pain (P), Limitation for physical aspects (LPA), General health status (GHS), Vitality (V), Social aspects (SA), Limitation for emotional aspects (LEA) and Mental health (MH).…”

Section: Resultsmentioning

confidence: 71%

“…Shock wave therapy -SWT -has been prescribed for the treatment of several musculoskeletal conditions, for being a noninvasive procedure that stimulates tissue and bone regeneration. 3,[10][11][12][13] SWT has been prescribed for the treatment of plantar fasciitis; however, there are no prospective clinical studies with a sufficient sample to show its benefits. Furthermore, there is no standardization of the form of treatment and in the measurement of the results, considering pain, function and quality of life.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of shockwave therapy in the treatment of plantar fasciitis

et al. 2020

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Objective: To evaluate the effectiveness of single-dose focal shockwave therapy in plantar fasciitis treatment. Methods: a primary, prospective study of a series of cases, conducted in the city of São Paulo, Brazil, by the Department of Orthopedics and Traumatology of the Universidade Federal de São Paulo, in Hospital São Paulo. All outcomes were measured at the time of inclusion of the patient in the study and at the post-intervention moments as it follows: three, six and twelve weeks. The VAS, AOFAS and SF-36 scales were applied by teams other than those who performed the SWT. Results: Data from 56 patients were collected during 2017 and 2018. There was improvement of the parameter evaluated (p < 0.005 and 95%CI) in all the periods in which the patients were reevaluated (3, 6 and 12 weeks), progressive improvement were observed in the three outcomes evaluated. Conclusion: Shock wave therapy was effective for plantar fasciitis treatment according to the proposed protocol considering pain, function and quality of life. Level of Evidence Ic, Case-series Study.

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Section: Discussionsupporting

confidence: 93%

Section: Resultsmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of shockwave therapy in the treatment of plantar fasciitis

et al. 2020

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Eficacia del ultrasonido en la fascitis plantar: revisión sistemática

Barrera

Dévora

2021

Fisioterapia

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Three Sessions of Radial Extracorporeal Shockwave Therapy Gives No Additional Benefit Over “Minimal-Dose” Radial Extracorporeal Shockwave Therapy for Patients With Chronic Greater Trochanteric Pain Syndrome: A Double-Blinded, Randomized, Controlled Trial

Wheeler

Dudson

Calver

et al. 2021

Clinical Journal of Sport Medicine

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To investigate the outcomes following 3 weekly sessions of radial extracorporeal shockwave therapy (rESWT) in patients with chronic greater trochanteric pain syndrome (GTPS) presenting to an NHS Sports Medicine Clinic in the United Kingdom. Design: Double-blinded randomized controlled trial. Setting: A single NHS Sports Medicine Clinic, in the United Kingdom. Patients: One hundred twenty patients in an NHS Sports Medicine clinic presenting with symptoms of GTPS who had failed to improve with a minimum of 3 months of rehabilitation were enrolled in the study and randomized equally to the intervention and treatment groups. Mean age was 60.6 6 11.5 years; 82% were female, and the mean duration of symptoms was 45.4 6 33.4 months (range, 6 months to 30 years). Interventions: Participants were randomized to receive either 3 sessions of ESWT at either the "recommended"/"maximally comfortably tolerated" dose or at "minimal dose." All patients received a structured home exercise program involving flexibility, strength, and balance exercises. Main Outcome Measures: Follow-up was at 6 weeks, 3 months, and 6 months. Outcome measures included local hip pain, validated hip PROMs (Oxford hip score, non-arthritic hip score, Victorian Institute of Sport assessment questionnaire), and wider measures of function including sleep (Pittsburgh sleep quality index) and mood (hospital anxiety and depression scale). Results: Results were available for 98% of patients at the 6-month period. There were statistically significant within-group improvements in pain, local function, and sleep seen in both groups. However, fewer benefits were seen in other outcome measures, including activity or mood. Conclusion: There were no time 3 group interaction effects seen between the groups at any time point, indicating that in the 3 sessions, the "recommended-dose" rESWT had no measurable benefit compared with "minimal dose" rESWT in this group of patients with GTPS. The underlying reason remains unclear; it may be that rESWT is ineffective in the treatment of patients with chronic GTPS, that "minimal dose" rESWT is sufficient for a therapeutic effect, or that a greater number of treatment sessions are required for maximal benefit. These issues need to be considered in further research.

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Tratamento da fasciíte plantar crônica pela terapia de ondas de choque: avaliação morfológica ultrassonográfica e funcional

Cited by 4 publications

References 22 publications

Effectiveness of shockwave therapy in the treatment of plantar fasciitis

Effectiveness of shockwave therapy in the treatment of plantar fasciitis

Eficacia del ultrasonido en la fascitis plantar: revisión sistemática

Three Sessions of Radial Extracorporeal Shockwave Therapy Gives No Additional Benefit Over “Minimal-Dose” Radial Extracorporeal Shockwave Therapy for Patients With Chronic Greater Trochanteric Pain Syndrome: A Double-Blinded, Randomized, Controlled Trial

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