用于治疗足底筋膜炎的径向冲击波与传统物理治疗的比较。
Comparison of radial shockwaves and conventional physiotherapy for treating plantar fasciitis.
作者信息
Greve Júlia Maria D'Andréa, Grecco Marcus Vinicius, Santos-Silva Paulo Roberto
机构信息
Laboratório de Estudos do Movimento - LIM 41 - Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo, São Paulo/SP, Brazil.
出版信息
Clinics (Sao Paulo). 2009;64(2):97-103. doi: 10.1590/s1807-59322009000200006.
OBJECTIVE
To compare radial shockwave treatment and conventional physiotherapy for plantar fasciitis.
MATERIALS AND METHODS
Thirty-two patients with plantar fasciitis were included in this study. They were randomly divided into two groups. Group 1 was composed of 16 patients who underwent 10 physiotherapy sessions each, consisting of ultrasound, kinesiotherapy and instruction for stretching exercises at home. Group 2 was composed of 16 patients who underwent three applications of radial shockwaves (once a week) and received instruction for stretching exercises at home. Pain and ability to function were evaluated before treatment, immediately afterwards, and three months later. The mean age of the patients was 47.3 +/- 10.3 years (range 25-68); 81% were female, 87% were overweight, 56% had bilateral impairment, and 75% used analgesics regularly.
RESULTS
Both treatments were effective for pain reduction and for improving the functional abilities of patients with plantar fasciitis. The effect of the shockwaves was apparent sooner than physiotherapy after the onset of treatment.
CONCLUSION
Shockwave treatment was no more effective than conventional physiotherapy treatment when evaluated three months after the end of treatment.
目的
比较冲击波治疗与传统物理治疗对足底筋膜炎的疗效。
材料与方法
本研究纳入32例足底筋膜炎患者。他们被随机分为两组。第1组由16例患者组成，每人接受10次物理治疗，包括超声治疗、运动疗法以及在家进行伸展运动的指导。第2组由16例患者组成，接受三次冲击波治疗（每周一次），并在家接受伸展运动指导。在治疗前、治疗后即刻以及治疗后三个月评估疼痛和功能能力。患者的平均年龄为47.3±10.3岁（范围25 - 68岁）；81%为女性，87%超重，56%双侧受累，75%经常使用镇痛药。
结果
两种治疗方法均能有效减轻足底筋膜炎患者的疼痛并改善其功能能力。治疗开始后，冲击波的效果比物理治疗出现得更早。
结论
在治疗结束三个月后评估时，冲击波治疗并不比传统物理治疗更有效。
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