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低强度激光疗法与体外冲击波疗法治疗足底筋膜炎的效果比较:一项随机、前瞻性、单盲临床研究。

Comparison of effects of low-level laser therapy and extracorporeal shock wave therapy in plantar fasciitis treatment: A randomized, prospective, single-blind clinical study.

作者信息

Yinilmez Sanmak Ömür Damla, Geler Külcü Duygu, Mesci Nilgün, Altunok Elif Çiğdem

机构信息

Department of Physical Medicine and Rehabilitation, Mardin Derik State Hospital, Mardin, Turkey.

Department of Physical Medicine and Rehabilitation, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.

出版信息

Turk J Phys Med Rehabil. 2018 Oct 27;65(2):184-190. doi: 10.5606/tftrd.2019.3528. eCollection 2019 Jun.

Abstract

OBJECTIVES

The aim of this study is to compare the efficacy of extracorporeal shock wave therapy (ESWT) and low-level laser therapy (LLLT) in terms of fascia thickness, heel pain, and foot functions in patients with plantar fasciitis (PF).

PATIENTS AND METHODS

Between April 2015 and October 2015, a total of 34 patients (5 males, 29 females; mean age 51.5±10.8 years; range, 18 to 65 years) with PF were randomized into two treatment groups to receive either ESWT or LLLT using closed envelope method. The patients were evaluated before and after treatment and one month after treatment using the visual analog scale (VAS)-pain, Foot Function Index (FFI), and plantar fascia thickness measured by ultrasonography.

RESULTS

A significant improvement in the VAS-pain and FFI scores and plantar fascia thickness was observed in both groups after treatment and one month after treatment, compared to pre-treatment values (p<0.05). Changes over time in these outcome parameters were not different between study groups (p>0.05).

CONCLUSION

Our study results suggest that both ESWT and LLLT seem to be effective on pain, foot functions, and fascia thickness in the treatment of PF.Presented at the 26th National Congress of Physical Medicine and Rehabilitation, April 25-29, 2017 Antalya, Turkey.

摘要

目的

本研究旨在比较体外冲击波疗法(ESWT)和低强度激光疗法(LLLT)对足底筋膜炎(PF)患者筋膜厚度、足跟疼痛及足部功能的疗效。

患者与方法

2015年4月至2015年10月期间,共34例PF患者(5例男性,29例女性;平均年龄51.5±10.8岁;范围18至65岁)采用封闭信封法随机分为两个治疗组,分别接受ESWT或LLLT治疗。在治疗前、治疗后及治疗后1个月,使用视觉模拟量表(VAS)评估疼痛程度、足部功能指数(FFI),并通过超声测量足底筋膜厚度。

结果

与治疗前相比,两组在治疗后及治疗后1个月时,VAS疼痛评分、FFI评分及足底筋膜厚度均有显著改善(p<0.05)。研究组间这些结果参数随时间的变化无差异(p>0.05)。

结论

我们的研究结果表明,ESWT和LLLT在治疗PF时似乎对疼痛、足部功能及筋膜厚度均有效。发表于2017年4月25 - 29日在土耳其安塔利亚举行的第26届全国物理医学与康复大会。

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