Dose-Related Effect of Extracorporeal Shock Wave Therapy for Plantar Fasciitis.
10.5535/arm.2013.37.3.379
- Author:
Su Jin LEE
1
;
Jung Ho KANG
;
Ja Young KIM
;
Jin Hong KIM
;
Seo Ra YOON
;
Kwang Ik JUNG
Author Information
1. Department of Rehabilitation Medicine, Gwangju Veterans Hospital, Gwangju, Korea. standupmd@hanmail.net
- Publication Type:Original Article
- Keywords:
Plantar fasciitis;
Extracorporeal shock wave therapy;
Dose-related Effect
- MeSH:
Fascia;
Fasciitis, Plantar;
Follow-Up Studies;
Humans;
Outcome Assessment (Health Care);
Shock
- From:Annals of Rehabilitation Medicine
2013;37(3):379-388
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To examine the dose-related effect of extracorporeal shock wave therapy (ESWT) for plantar fasciitis. METHODS: Sixty patients with plantar fasciitis despite conservative treatment were enrolled. The patients were divided into a low-energy group (group L: n=30, 1,000 shocks/session, energy flux density [EFD] per shock 0.08 mJ/mm2) and a medium-energy group (group M: n=30, 1,000 shocks/session, EFD 0.16 mJ/mm2). The main outcome measures were visual analogue scale (VAS), Roles and Maudsley (RM) score, and thickness of plantar fascia (PF). To compare the effects between each group, follow-up was carried out 1 week after 3 and 6 sessions, and 1 and 3 months after ESWT. RESULTS: Significant VAS and RM score improvement, and PF thickness reduction were observed in both groups (p<0.01). After 3 sessions of ESWT, group M showed significant improvement in the VAS and RM score than group L, whereas after 3 additional sessions applied in group L, the main outcomes were no longer significantly different in both groups (p>0.05). CONCLUSION: Therapeutic effect might disclose a dose-related relationship; therefore, EFD and the times of the session are considerable factors when treating with ESWT.
