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冲击波疗法治疗足底筋膜炎的有效性。

Effectiveness of shockwave therapy in the treatment of plantar fasciitis.

作者信息

Leão Renan Gonçalves, Azuma Marina Mayumi, Ambrosio Gustavo Henrique Carillo, Faloppa Flavio, Takimoto Eduardo Shoiti, Tamaoki Marcel Jun Sugawara

机构信息

Universidade Federal de São Paulo, Paulista School of Medicine, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2020 Jan-Feb;28(1):7-11. doi: 10.1590/1413-785220202801227402.

DOI:10.1590/1413-785220202801227402
PMID:32095104
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7006537/
Abstract

OBJECTIVE

To evaluate the effectiveness of single-dose focal shockwave therapy in plantar fasciitis treatment.

METHODS

a primary, prospective study of a series of cases, conducted in the city of São Paulo, Brazil, by the Department of Orthopedics and Traumatology of the Universidade Federal de São Paulo, in Hospital São Paulo. All outcomes were measured at the time of inclusion of the patient in the study and at the post-intervention moments as it follows: three, six and twelve weeks. The VAS, AOFAS and SF-36 scales were applied by teams other than those who performed the SWT.

RESULTS

Data from 56 patients were collected during 2017 and 2018. There was improvement of the parameter evaluated (p < 0.005 and 95%CI) in all the periods in which the patients were reevaluated (3, 6 and 12 weeks), progressive improvement were observed in the three outcomes evaluated.

CONCLUSION

Shock wave therapy was effective for plantar fasciitis treatment according to the proposed protocol considering pain, function and quality of life. .

摘要

目的

评估单剂量聚焦冲击波疗法治疗足底筋膜炎的有效性。

方法

巴西圣保罗市圣保罗大学医学院骨科与创伤科开展了一项针对一系列病例的前瞻性初步研究。所有结果在患者纳入研究时以及干预后的如下时间点进行测量：三周、六周和十二周。视觉模拟评分法（VAS）、美国足踝外科协会（AOFAS）评分和简明健康状况调查量表（SF-36）由实施冲击波疗法（SWT）以外的团队进行评估。

结果

在2017年至2018年期间收集了56例患者的数据。在对患者进行重新评估的所有时间段（3周、6周和12周），所评估参数均有改善（p < 0.005且95%置信区间），在评估的三个结果中均观察到渐进性改善。

结论

根据所提出的方案，考虑到疼痛、功能和生活质量，冲击波疗法对足底筋膜炎治疗有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/2007e6cffcb4/1809-4406-aob-28-01-7-gf9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/9729aad801ed/1809-4406-aob-28-01-7-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/efc37c7cd2a2/1809-4406-aob-28-01-7-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/d8670ce5e22c/1809-4406-aob-28-01-7-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/91639d45f025/1809-4406-aob-28-01-7-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/d0385497165e/1809-4406-aob-28-01-7-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/e2a457ec3462/1809-4406-aob-28-01-7-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/68eaf468e61d/1809-4406-aob-28-01-7-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/56e9dabc73ca/1809-4406-aob-28-01-7-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/2007e6cffcb4/1809-4406-aob-28-01-7-gf9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/9729aad801ed/1809-4406-aob-28-01-7-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/efc37c7cd2a2/1809-4406-aob-28-01-7-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/d8670ce5e22c/1809-4406-aob-28-01-7-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/91639d45f025/1809-4406-aob-28-01-7-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/d0385497165e/1809-4406-aob-28-01-7-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/e2a457ec3462/1809-4406-aob-28-01-7-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/68eaf468e61d/1809-4406-aob-28-01-7-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/56e9dabc73ca/1809-4406-aob-28-01-7-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a02/7006537/2007e6cffcb4/1809-4406-aob-28-01-7-gf9.jpg

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