Abstract：
OBJECTIVE: Extracorporeal shockwave therapy (ESWT) has been used as a therapeutic option for plantar fasciitis. The objective was to investigate the effect of ESWT over the plantar fascia thickness.
METHODS: MEDLINE, Embase, Web of Science, and SCOPUS databases were searched for randomized controlled trials evaluating the effect of ESWT in patients with plantar fasciitis, comparing ESWT with another treatment. Meta-analysis was conducted using a random-effects model and the generic inverse variance method. Meta-regression and subgroup analyses were also carried out.
RESULTS: A total of 14 studies (867 participants) were included. ESWT significantly decreased plantar fascia thickness (weighted mean difference [WMD], -0.21 mm [95% CI -0.39, -0.02]; p = 0.03). No significant improvement in pain was observed (WMD, -0.51 cm [95% CI -1.04, 0.01]; p = 0.06) compared with non-surgical interventions.
CONCLUSIONS: Our results suggest that plantar fascia thickness is significantly decreased after ESWT intervention in patients with plantar fasciitis. However, pain relief was not significantly improved compared to other non-surgical interventions.
METHODS: MEDLINE, Embase, Web of Science, and SCOPUS databases were searched for randomized controlled trials evaluating the effect of ESWT in patients with plantar fasciitis, comparing ESWT with another treatment. Meta-analysis was conducted using a random-effects model and the generic inverse variance method. Meta-regression and subgroup analyses were also carried out.
RESULTS: A total of 14 studies (867 participants) were included. ESWT significantly decreased plantar fascia thickness (weighted mean difference [WMD], -0.21 mm [95% CI -0.39, -0.02]; p = 0.03). No significant improvement in pain was observed (WMD, -0.51 cm [95% CI -1.04, 0.01]; p = 0.06) compared with non-surgical interventions.
CONCLUSIONS: Our results suggest that plantar fascia thickness is significantly decreased after ESWT intervention in patients with plantar fasciitis. However, pain relief was not significantly improved compared to other non-surgical interventions.
摘要：
目的：体外冲击波疗法（ESWT）已被用作足底筋膜炎的治疗选择。目的是研究ESWT对足底筋膜厚度的影响。
方法：MEDLINE，Embase,WebofScience,和SCOPUS数据库搜索随机对照试验，评估ESWT对足底筋膜炎患者的影响，将ESWT与另一种治疗进行比较。使用随机效应模型和通用逆方差方法进行荟萃分析。还进行了Meta回归和亚组分析。
结果：共纳入14项研究（867名参与者）。ESWT显着降低足底筋膜厚度（加权平均差[WMD]，-0.21mm[95%CI-0.39,-0.02]；p=0.03)。没有观察到疼痛的显着改善（WMD，-0.51cm[95％CI-1.04，0.01]；p=0.06）与非手术干预相比。
结论：我们的结果表明，足底筋膜炎患者在ESWT干预后，足底筋膜厚度明显降低。然而,与其他非手术干预措施相比,疼痛缓解没有显著改善.
方法：MEDLINE，Embase,WebofScience,和SCOPUS数据库搜索随机对照试验，评估ESWT对足底筋膜炎患者的影响，将ESWT与另一种治疗进行比较。使用随机效应模型和通用逆方差方法进行荟萃分析。还进行了Meta回归和亚组分析。
结果：共纳入14项研究（867名参与者）。ESWT显着降低足底筋膜厚度（加权平均差[WMD]，-0.21mm[95%CI-0.39,-0.02]；p=0.03)。没有观察到疼痛的显着改善（WMD，-0.51cm[95％CI-1.04，0.01]；p=0.06）与非手术干预相比。
结论：我们的结果表明，足底筋膜炎患者在ESWT干预后，足底筋膜厚度明显降低。然而,与其他非手术干预措施相比,疼痛缓解没有显著改善.
