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- Title
Comparison of two extracorporeal shock wave therapy techniques for the treatment of painful subcalcaneal spur. A randomized controlled study.
- Authors
Tornese, Davide; Mattei, Enrico; Lucchesi, Giampaolo; Bandi, Marco; Ricci, Gabriele; Melegati, Gianluca
- Abstract
Objective: To describe and compare two extracorporeal shock wave therapy techniques for the treatment of painful subcalcaneal spur. Design: Random assignment to two groups of treatment with two and eight months follow-up. Setting: The data were collected in outpatients. Subjects: Forty-five subjects with a history of at least six months of heel pain were studied. Interventions: Each subject received a three-session ultrasound-guided extracorporeal shock wave therapy (performed weekly). Perpendicular technique was used in group A (n=22, mean age 59.3±12 years) and tangential technique was used in group B (n=23, mean age 58.8±12.3 years). Main outcome measures: Mayo Clinical Scoring System was used to evaluate each subject before the treatment and at two and eight months follow-up. Results: Mayo Clinical Scoring System pretreatment scores were homogeneous between the groups (group A 55.2±18.7; group B 53.5±20; P>0.05). In both groups there was a significant (P>0.05) increase in the Mayo Clinical Scoring System score at two months (group A 83.9±13.7; group B 80±15,8) and eight months (group A 90±10.5; group B 90.2±8.7) follow-up. No significant differences were obtained comparing the Mayo Clinical Scoring System scores of the two groups at two and eight months follow-up. Conclusions: There was no difference between the two techniques of using extracorporeal shock wave therapy. The tangential technique was found to be better tolerated as regards treatment-induced pain, allowing higher energy dosages to be used.
- Subjects
EXTRACORPOREAL shock wave therapy; THERAPEUTICS; HEALTH outcome assessment; HEEL bone injuries
- Publication
Clinical Rehabilitation, 2008, Vol 22, Issue 9, p780
- ISSN
0269-2155
- Publication type
Article
- DOI
10.1177/0269215508092819