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- Title
Plantar Fasiitte Radyal Ekstrakorporeal Şok Dalga Tedavisinde İki Farklı Doz Uygulamasının Karşılaştırmalı Klinik ve Fonksiyonel Sonuçları.
- Authors
Arıcan, Mehmet; Turhan, Yalçın; Karaduman, Zekeriya Okan
- Abstract
Objective: To investigate and compare the efficacy of two different protocol of r-ESWT (radial extracorporeal shock wave therapy) in plantar fasiitis unresponsive to conservative treatment. Methods: 319 patients who met eligibility criteria were included in 2010--2017 years in a same department center. 181 patients;1500 impulses, 10 Hz, 1.5 bar, five sessions at 1 week intervals (group 1) and 138 patients;2000 impulses,10 Hz, 3 bar, five sessions at 1 week intervals (group 2) were applied. Results were assessed pretreatment, at 6th week and at 6th months with Visual Analogue Scale (VAS) and American Orthopaedics Foot and Ankle Score (AOFAS). Results: The mean VAS score had decreased in group 1 from 8,73±1,10 to 3,20±2,09 (p=0,0001) and 8,68±1,17 to 2,61±1,68 in group 2 (p=0,0001). The mean AOFAS score had increased in group 1 from 55,85±11,73 to 88,38±8,23(p=0,0001) and 58,74±12,74 to 88,47±8,10 in group 2 (p=0,0001). While no significant difference averages was observed between VAS 6th weeks-6th months of group 1 and group 2 (p = 0,451), the mean difference of VAS Pretreatment - 6th weeks and pretreatment-6th months of group 1 was lover than group 2 (p=0,006,p=0,019). And also while no significant difference averages was observed between AOFAS pretreatment-6th months and 6th weeks-6th months of group 1 and group 2 (p=0,094,p=0,174), the mean difference of AOFAS Pretreatment-6th weeks of group 1 was lover than group 2 (p=0,029). Conclusions: Although, both r-ESWT regimes cause a decrease pain and function, superior protocol for r-ESWT appears to be 5 sessions at 1 week intervals, 2000 impulses of 10 Hz per session and 3 bar.
- Subjects
PLANTAR fasciitis treatment; MEDICAL protocols; ORTHOPEDICS; ULTRASONIC therapy; PAIN management; VISUAL analog scale; TREATMENT effectiveness
- Publication
Konuralp Medical Journal / Konuralp Tip Dergisi, 2019, Vol 11, Issue 2, p278
- ISSN
1309-3878
- Publication type
Article
- DOI
10.18521/ktd.525118