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首页> 外文期刊>Folia medica >Radial Shock Wave Therapy for Plantar Fasciitis: A One Year Follow-Up Study / Радиальная ударно-волновая терапия при подошвенном фасциите; прослеживание в течение года
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Radial Shock Wave Therapy for Plantar Fasciitis: A One Year Follow-Up Study / Радиальная ударно-волновая терапия при подошвенном фасциите; прослеживание в течение года

机译：足底筋膜炎的放射状冲击波疗法：一年的随访研究/足底筋膜炎的放射状冲击波疗法;全年追踪

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The vast majority of published papers on the efficacy of extracorporeal shockwave therapy (ESWT) have come up with rather controversial results in patients with plantar fasciitis. The aim of the present study was to investigate the effect of radial shock wave therapy in patients with chronic proximal plantar fasciitis. Material and methods: Twenty-one patients were included in the study (mean age 51.29 ± 2.02 yrs, mean duration of symptoms 10.14 ± 1.11 mos). Radial shock wave therapy was administered in five sessions. Total number of shocks per session was 2500 at a pressure of 2.5 bars. Visual analog scale (VAS) and a modification of the clinical rating system of the American Orthopedic Foot and Ankle Society (AOFAS) were used for outcome measurement. The patients were assessed before treatment and followed up 3, 6, and 12 months after end of treatment. Results: Statistically significant improvement in pain and functional capacity was found after completion of treatment in comparison with baseline; the improvement was preserved throughout a one-year follow-up. VAS mean score for pain showed changes in pain while walking the first few steps in the morning from 6.28 ± 0.4 before therapy to 2.85 ± 0.48 after treatment and to 1.52 ± 0.31 at 3 months, to 1.09 ± 0.25 at 6 months, and to 0.52 ± 0.14 at 12 months of follow up (p < 0.001). Similar dynamics was observed in pain intensity during daily activities, at rest, in the evening and upon compression. The AFOAS score showed a statistically significant reduction in pain - from 11.90 ± 2.35 at baseline to 31.90 ± 1.48 after the end of interventions (p < 0.001), and to 39.52 ± 0.47 at one year of follow-up (p < 0.001). The mean values of the evaluation reflecting activity limitations and support requirements increased from 3.85 ± 0.42 to 7.85 ± 0.46 after treatment and to 9.71 ± 0.19 at one year of follow up (p < 0.001). Similar dynamics was seen in the maximum walking distance and walking surfaces. Gait abnormalities changed from 3.43 ± 0.50 at baseline to 6.28 ± 0.59 after treatment (p < 0.001). Conclusion: Based on the results of this study we could conclude that radial shock wave therapy is a safe non-invasive method of treatment. Our preliminary findings indicate that it could be an effective treatment of choice for patients with chronic plantar fasciitis that is recalcitrant to other conservative treatment modalities.
机译：关于足底筋膜炎患者的体外冲击波治疗（ESWT）功效的绝大多数已发表论文都颇具争议。本研究的目的是研究放射状冲击波疗法对慢性足底筋膜炎患者的疗效。材料和方法：21名患者被纳入研究（平均年龄51.29±2.02岁，平均症状持续时间10.14±1.11 mos）。在五个疗程中进行了径向冲击波治疗。在2.5巴的压力下，每节的总冲击次数为2500。视觉模拟量表（VAS）和美国矫形足踝学会（AOFAS）的临床评分系统的修改用于结果测量。在治疗前对患者进行了评估，并在治疗结束后的3、6和12个月进行了随访。结果：与基线相比，完成治疗后疼痛和功能能力的统计学上显着改善;在为期一年的随访中，改善一直保留下来。疼痛的VAS平均评分显示，早晨行走的最初几步时疼痛有所改变，从治疗前的6.28±0.4到治疗后的2.85±0.48、3个月的1.52±0.31、6个月的1.09±0.25和0.52随访12个月时为±0.14（p <0.001）。在日常活动，休息，傍晚和压迫过程中，疼痛强度也观察到类似的变化。 AFOAS评分显示疼痛有统计学意义的减轻-从基线时的11.90±2.35降低到干预结束后的31.90±1.48（p <0.001），以及随访一年后的39.52±0.47（p <0.001）。反映活动限制和支持需求的评估平均值从治疗后的3.85±0.42增加到7.85±0.46，在随访的一年中增加到9.71±0.19（p <0.001）。在最大步行距离和步行表面上也看到了类似的动态。步态异常从基线的3.43±0.50变为治疗后的6.28±0.59（p <0.001）。结论：根据这项研究的结果，我们可以得出结论，放射状冲击波疗法是一种安全的非侵入性治疗方法。我们的初步发现表明，对于其他保守治疗方式不满意的慢性足底筋膜炎患者，这可能是一种有效的治疗选择。

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