局部振动联合体外冲击波治疗足底筋膜炎的疗效：一项随机对照试验。

Effects of local vibration combined with extracorporeal shock wave therapy in plantar fasciitis: a randomized controlled trial.

机构信息

Department of Physical Therapy, The Graduate School of Sahmyook University, Seoul, Republic of Korea.

Department of Physical Therapy, The Graduate School of Sahmyook University, Seoul, Republic of Korea .

出版信息

J Rehabil Med. 2023 Oct 23;55:jrm12405. doi: 10.2340/jrm.v55.12405.

OBJECTIVE

To compare the effects of local vibration combined with extracorporeal shock wave therapy and extracorporeal shock wave therapy alone for plantar fasciitis.

METHODS

A randomized controlled trial including 34 participants with a mean age of 37.5 years. Participants were randomly allocated to a group treated with extracorporeal shock wave therapy combined with local vibration (ESWT-LV group) or a group treated with extracorporeal shock wave therapy alone (ESWT-alone group). All participants in each group underwent 2 treatment sessions weekly for 5 weeks. Thickness of the plantar fascia, plantar pain, and foot function were measured using ultrasonography, numerical rating scale for pain, and Foot Function Index, respectively, at baseline and at the end of the 5-week intervention.

RESULTS

Significant improvements were measured in both groups in the thickness of the plantar fascia, numerical rating scale, and Foot Function Index values (p < 0.05). In addition, the thickness of the plantar fascia and pain was significantly more decreased in the ESWT-LV group than in the ESWT-alone group (p < 0.05). However, the differences between groups in Foot Function Index values were not significant (p > 0.05).

CONCLUSION

Local vibration combined with extracorporeal shock wave therapy is an effective treatment for chronic plantar fasciitis.

目的

比较局部振动联合体外冲击波疗法与单独体外冲击波疗法治疗足底筋膜炎的效果。

方法

这是一项随机对照试验，纳入了 34 名平均年龄为 37.5 岁的参与者。参与者被随机分配到接受体外冲击波疗法联合局部振动治疗（ESWT-LV 组）或单独接受体外冲击波疗法治疗（ESWT-单独组）的组。每组所有参与者每周接受 2 次治疗，共 5 周。在基线和 5 周干预结束时，分别使用超声、疼痛数字评分量表和足部功能指数测量足底筋膜厚度、足底疼痛和足部功能。