Yetişir Ayşegül, Kozanoğlu Erkan, Kelle Bayram
Department of Physical Medicine and Rehabilitation, Çukurova University Faculty of Medicine, Adana, Türkiye.
Turk J Phys Med Rehabil. 2022 Oct 27;69(1):8-14. doi: 10.5606/tftrd.2023.9923. eCollection 2023 Mar.
The purpose of the study was to compare low-level laser therapy (LLLT) and local corticosteroid injection in the treatment of plantar fasciitis.
This retrospective study was performed with 56 patients (6 males, 50 females; mean age: 44.7±10.1 years; range, 18 to 65 years) between January 2015 and March 2016. The patients were equally divided into two groups: Group 1, comprising patients who underwent a one-time local corticosteroid injection into the heel by the same physician, and Group 2, including patients who had gallium arsenide laser therapy at a wavelength of 904 nm lasting 10 sessions. Evaluations were done at pre-treatment, post-treatment, and two weeks, one month, and three months after the post-treatment evaluation. The post-treatment evaluation was accepted as the 10 day after the injection in Group 1 and as the time after the last session of the laser treatment in Group 2. Each visit was compared with the previous visit for within-group analysis. The Visual Analog Scale (VAS), Heel Tenderness Index (HTI), and Foot Function Index (FFI) were assessed.
Pain scores in Group 1 and Group 2 were not associated with statistically significant differences (p>0.05). Within-groups analysis demonstrated statistically significant differences concerning VAS subgroups (p <0.05), except for Group 2's resting VAS values (p=0.159). No statistically significant differences were found between groups in the means of FFI scores (p>0.05). Statistically significant differences were observed regarding within-group analyses for all subscores (p <0.001). No statistically significant differences were observed between the two groups for all visits regarding HTI scores (p>0.05). Statistically significant differences were found between baseline and the first after-treatment visit in all groups (p <0.05). Statistically significant differences were found in the first (p=0.020) and third (p=0.010) months compared to the one-week follow-up in Group 2 regarding HTI scores.
Both LLLT and local corticosteroid injection for plantar fasciitis have positive effects for three months after treatment. However, LLLT is more effective than local corticosteroid injection at the end of the third month in local tenderness.
本研究旨在比较低强度激光疗法（LLLT）和局部注射皮质类固醇治疗足底筋膜炎的效果。
本回顾性研究纳入了2015年1月至2016年3月期间的56例患者（6例男性，50例女性；平均年龄：44.7±10.1岁；年龄范围18至65岁）。患者被平均分为两组：第1组，由同一位医生对足跟进行一次性局部皮质类固醇注射的患者组成；第2组，包括接受波长为904nm的砷化镓激光治疗，共10次疗程的患者。在治疗前、治疗后以及治疗后评估的两周、一个月和三个月进行评估。第1组的治疗后评估为注射后10天，第2组的治疗后评估为最后一次激光治疗后的时间。每次就诊时与前一次就诊进行组内分析比较。评估视觉模拟量表（VAS）、足跟压痛指数（HTI）和足部功能指数（FFI）。
第1组和第2组的疼痛评分无统计学显著差异（p>0.05）。组内分析显示，除第2组静息VAS值外（p = 0.159），VAS亚组存在统计学显著差异（p <0.05）。两组间FFI评分均值无统计学显著差异（p>0.05）。所有亚评分的组内分析均观察到统计学显著差异（p <0.001）。两组间所有就诊时的HTI评分均无统计学显著差异（p>0.05）。所有组在基线和首次治疗后就诊之间均观察到统计学显著差异（p <0.05）。与第2组一周随访相比，在第1个月（p = 0.020）和第3个月（p = 0.010）的HTI评分存在统计学显著差异。
LLLT和局部注射皮质类固醇治疗足底筋膜炎在治疗后三个月均有积极效果。然而，在第三个月末，LLLT在局部压痛方面比局部注射皮质类固醇更有效。
