Short-term efficacy analysis of medium-intensity radial shock wave therapy for plantar fasciitis at differ-ent energy flux densities
10.3969/j.issn.1001-1242.2024.05.011
- VernacularTitle:不同能流密度下中等能量发散式冲击波治疗跖筋膜炎的短期疗效分析
- Author:
Jian XIAO
1
,
2
;
Junyu ZHU
;
Jun YAN
Author Information
1. 安徽医科大学武警总医院临床学院,安徽省合肥市,230032
2. 中国人民解放军总医院第三医学中心
- Keywords:
plantar fasciitis;
shock wave;
energy flux density
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(5):681-686
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the short-term effects of medium-intensity radial shock wave therapy on plantar fasciitis at different energy flux densities. Method:A retrospective analysis was performed on the clinical data of 213 patients with plantar fasciitis treated with medium-intensity radial shockwaves from January 2017 to October 2021:73 cases were divided in 0.12mJ/mm2(A group);71 cases in 0.14mJ/mm2(B group);and 69 cases in 0.16mJ/mm2(C group).The evaluation index were changes in the visual analogue scale(VAS)and the-hindfoot function score of the American Orthopedic Foot and Ankle Society Score(AOFAS)in the 4th week post-treatment compared to pre-treatment.The difference in effi-cacy between groups was evaluated by the difference between groups before and after treatment with AOFAS score.A regression model was established to explore the relevant factors of good therapeutic outcomes. Result:There were no significant statistical differences in gender,age,unilateral or bilateral condition,dura-tion of illness and BMI among the three groups.All patients had no adverse effects after treatment.The VAS and AOFAS scores in all the three groups improved significantly before and after treatment(P＜0.001).There was a statistically significant difference in AOFAS scores between groups(P＜0.05).Logistic regression showed that age(OR=0.946,P＜0.05),unilateral and bilateral sides of the affected foot(OR=0.102,P＜0.05)may be risk factors affecting the therapeutic outcome. Conclusion:Medium-intensity radial shock wave therapy can achieve good short-term efficacy in treating plant-er fasciitis.However,the energy flow density(0.12-0.16mJ/mm2)may not be a key factor in determining the therapeutic outcome.
