The clinical efficacy of combining extracorporeal shock wave therapy with local anesthesia in treating chronic plantar fasciitis: A meta-analysis
10.3760/cma.j.issn.0254-1424.2020.09.013
- VernacularTitle:体外冲击波联合麻醉剂治疗慢性足底筋膜炎临床疗效的Meta分析
- Author:
Yinan ZHOU
1
;
Yilan SHENG
;
Qiang QU
;
Zixing WEN
Author Information
1. 上海杉达学院国际医学技术学院康复治疗系，上海 201209；上海交通大学医学院附属仁济医院康复医学科，上海 200127
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2020;42(9):824-829
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of combining extracorporeal shock wave therapy (ESWT) with local anesthesia in treating chronic plantar fasciitis.Methods:Reports of randomized and controlled trials about treating plantar fasciitis using ESWT were sought in the CNKI, Wanfang, Pubmed, Embase, Cochrane Library and Web of Science databases from their inception until October 2018. Each report found was screened by two independent researchers and the characteristics were abstracted. The risk of bias was assessed according to the methods recommended in the Cochrane Handbook. Version 5.3 of the RevMan software was used for the meta-analysis.Results:Eight reports of randomized and controlled trials were identified covering 779 patients treated with shock wave therapy and 710 controls. The meta-analysis showed that ESWT could significantly relieve the pain and improve functioning. Local anesthesia did not affect the outcome. Focued and radial shock wave were both significantly more effective than placebo stimulation, so as the medium and high-intensity.Conclusions:ESWT can significantly relieve the pain and improve the walking ability of patients with chronic plantar fasciitis. The use of local anesthesia during the intervention and different ESWT modes and intensities will not affect its efficacy.
