PDF(Pubmed)
Abstract：
Background and Objectives: Treatment of chronic plantar fasciitis is challenging given that there are various of available treatment options with no clear gold standard. The aim of the study was to examine the dose-escalation effect of rESWT on the biomechanical parameters of the plantar fascia and pain ailments. Materials and Methods: In the experimental group (n = 30), the intensity of the shock wave was increased every two subsequent treatment sessions. In the control group (n = 32), the treatment parameters were not changed. In both groups, six treatments were performed, with two treatment sessions a week. In order to assess the biomechanical parameters of the plantar fascia, myotonometric measurements were performed. The pain intensity was assessed using the Visual Analog Scale (VAS). Results: The tension of the plantar fascia attachment in the experimental group decreased from 27.69 ± 2.06 [Hz] before treatment to 26.29 ± 1.69 [Hz] after treatment (p = 0.009) and to 26.03 ± 2.15 [Hz] 1 month after the beginning of treatment (p = 0.003). In the control group, the frequency results did not change significantly (p > 0.05). Flexibility increased in both groups. The test results before treatment and 1 month after the beginning of the treatment showed statistical significance in the experimental group (p = 0.001) vs. (p = 0.002) in the control group. The differences were not statistically significant between groups (p > 0.05). The assessment of pain intensity carried out 1 month after the end of treatment in the experimental group amounted to 3.14 ± 2.28 points, which was statistically significantly lower compared to that in the control group, where it amounted to 5.14 ± 1.92 points. (p < 0.001). Conclusions: The use of rESWT performed with an increasing intensity of impact during subsequent treatment procedures demonstrated greater effectiveness in improving the biomechanical parameters of the plantar fascia and was also more effective in reducing the pain ailments. Our results are encouraging. The dose escalation in the treatment cycle is worth considering. To prove that this method of treatment is more effective, a randomized controlled trial should be carried out on a representative sample.
摘要：
背景和目的：慢性足底筋膜炎的治疗具有挑战性，因为有多种可用的治疗选择没有明确的金标准。该研究的目的是检查rESWT对足底筋膜和疼痛疾病的生物力学参数的剂量递增效应。材料与方法:实验组(n=30),冲击波的强度每两个疗程增加一次.对照组(n=32),治疗参数没有改变.在这两组中,进行了六次治疗，每周两次治疗。为了评估足底筋膜的生物力学参数，进行了肌张力测量。使用视觉模拟量表(VAS)评估疼痛强度。结果:实验组足底筋膜附着张力由治疗前的27.69±2.06[Hz]下降至治疗后的26.29±1.69[Hz](p=0.009),治疗开始后1个月下降至26.03±2.15[Hz](p=0.003)。在对照组中，频率结果无明显变化(p>0.05)。两组的灵活性都增加了。治疗前和治疗开始后1个月的测试结果在实验组中具有统计学意义（p=0.001）。（p=0.002）在对照组中。组间差异无统计学意义(p>0.05)。实验组治疗结束后1个月进行的疼痛强度评估为3.14±2.28分，与对照组相比，在统计学上明显较低，达到5.14±1.92分。（p<0.001）。结论：在随后的治疗过程中，使用rESWT的影响强度增加，在改善足底筋膜的生物力学参数方面表现出更大的有效性，并且在减少疼痛方面也更有效。我们的结果令人鼓舞。治疗周期中的剂量递增值得考虑。为了证明这种治疗方法更有效，应在代表性样本上进行随机对照试验.
