Rompe J D, Hopf C, Nafe B, Burger R
Department of Orthopaedics, University Hospital, Mainz, Germany.
Arch Orthop Trauma Surg. 1996;115(2):75-9. doi: 10.1007/BF00573445.
The aim of this prospective single-blind pilot study was to explore the pain-alleviating effect of low-energy extracorporeal shock wave therapy (ESWT) in painful heel associated with inferior calcaneal spurs. Thirty patients who suffered from persistent symptoms for more than 12 months qualified for low-energy ESWT and were assigned at random to two groups, real or simulated ESWT. Before beginning the treatment, any other therapy was stopped for a period of 6 weeks. The shock waves were applied by a experimental device allowing exact localization through an integrated fluoroscopy unit. Patients were treated three times at weekly intervals. Each time 1000 impulses of 0.06 mJ/mm2 were given around the heel spur. Follow-ups were done after 3, 6, 12 and 24 weeks. Patients of the placebo group who did not improve at the 6-week follow-up were then offered ESWT therapy and were checked at 3, 6, 12 and 24 weeks after the last treatment. Whereas we noticed no significant differences between the groups before ESWT, there was a significant alleviation of pain and improvement of function at all follow-ups in the treatment group.
这项前瞻性单盲试验研究的目的是探讨低能量体外冲击波疗法（ESWT）对跟骨下骨刺相关足跟痛的止痛效果。30名持续症状超过12个月的患者符合低能量ESWT治疗条件，并被随机分为两组，即接受真实或模拟ESWT治疗。在开始治疗前，停止任何其他治疗6周。冲击波由一台实验设备施加，该设备可通过集成的荧光透视装置进行精确定位。患者每周接受3次治疗。每次在跟骨骨刺周围给予1000次0.06 mJ/mm²的脉冲。在3、6、12和24周后进行随访。安慰剂组在6周随访时未改善的患者随后接受ESWT治疗，并在最后一次治疗后的3、6、12和24周进行检查。虽然在ESWT治疗前两组之间未发现显著差异，但治疗组在所有随访中疼痛均有显著减轻，功能也有改善。
