Sezaki Yui, Ikeda Naoto, Toyoshima Sho, Aoki Atsushi, Fukaya Taizan, Yokoi Yuka, Morishita Katsuyuki
Department of Rehabilitation Science, Graduate School of Health Sciences, Josai International University: 1 Gumyo, Togane, Chiba 283-8555, Japan.
Department of Rehabilitation, Shiraishi Clinic Orthopedics & Internal Medicine & Gastrointestinal Medicine, Japan.
J Phys Ther Sci. 2024 Sep;36(9):537-541. doi: 10.1589/jpts.36.537. Epub 2024 Sep 5.
[Purpose] This study aimed to measure the analgesic effects and efficacy of radial extracorporeal shock wave therapy, for which no consensus has been reached regarding optimal treatment parameters. [Participants and Methods] The study included 40 feet of 40 patients with plantar fasciitis. The visual analogue scale was used to determine the immediate and cumulative effects of radial extracorporeal shock wave therapy as well as the efficacy rate. Efficacy was calculated as a percentage visual analogue scale change of ≥20 mm and visual analogue scale improvement of ≥60%. [Results] Immediate and continued efficacy of radial extracorporeal shock wave therapy was observed and recorded. Efficacy rates based on a percentage visual analogue scale change of ≥20 mm and visual analogue scale improvement of ≥60% were both 57.5%. [Conclusion] Radial extracorporeal shock wave therapy has immediate and cumulative analgesic effects on plantar fasciitis. However, cumulative results of interventions with various treatment parameters are required to determine the optimal treatment parameter settings for diffuse pressure wave therapy for plantar fasciitis.
[目的] 本研究旨在评估体外冲击波疗法（radial extracorporeal shock wave therapy）的镇痛效果和疗效，目前对于最佳治疗参数尚未达成共识。[参与者与方法] 本研究纳入了40例足底筋膜炎患者的40只脚。采用视觉模拟评分法（visual analogue scale）来确定体外冲击波疗法的即时和累积效果以及有效率。有效率的计算方法为视觉模拟评分变化≥20 mm且视觉模拟评分改善≥60%。[结果] 观察并记录了体外冲击波疗法的即时和持续疗效。基于视觉模拟评分变化≥20 mm且视觉模拟评分改善≥60%的有效率均为57.5%。[结论] 体外冲击波疗法对足底筋膜炎具有即时和累积镇痛效果。然而，需要各种治疗参数干预的累积结果来确定足底筋膜炎弥散压力波疗法的最佳治疗参数设置。
