Plantar Fasiit Te Radyal Ekstrakorporeal Şok Dalga Tedavisi ve Ultrasontedavisinin Etkinliğinin Karşılaştırılması

Abstract

This study compared the effects of Radial Extracorporeal Shock Wave Therapy (REWT) and ultrasound (US) treatment on the patients with diagnosis of plantar fasciitis. The study began with 78 patients, and completed by 54 patients. Patients were divided randomly into two groups as those taking RESWT and those taking US in addition to their home exercises. The control group consisted of patients who were given only home exercise but not any other treatment. Totally 3 sessions of RESWT treatment once a week and 2000 beats performed on the patients in RESWT and exercise group, and totally 7 sessions of US treatment with 20% intermittent in the 3 MHz at 1 W / cm² power two days a week applied for the patients in US and exercise group. Pain, Achilles and plantar fascia shortenings were evaluated on patients. Pain, impairment and activity limitations were determined by Foot Function Index (FFI), and similarly foot functioning was determined by American orthopaedic foot and ankle Association (AOFAS) hind foot score. And also walking distance of patients by a 6-minute walk test; static equilibrium by one leg stand test; dynamic equilibrium by the forward functional reach test; performances by standing heel raise test; walking speed by 20 meter walking test; ankle preprioceptive sense by Biodex III isokinetic device were determined. According to the evolution results before and after treatment, Achilles tendon and plantar fascia shortening of all three groups reduced, static and dynamic balance performances and walking distance increased (p<0,05). Ankle proprioceptive sense was increased in RESWT group (p <0.05), no significant difference was observed in other groups (p>0,05). In all three groups, it was observed that the morning and evening pain reduced (p <0.05). However; pain before bedtime reduced more in US group (p<0,05). 20-m walking speed after treatment increased in the US group and RESWT (p<0, 05), but not in the control group (p> 0.05). It was observed that the hind foot AOFAS scores in all three groups increased (p<0,05), but this increase was detected less in the control group (p <0.05). There was a decrease in AFI values in all three groups (p<0,05), and these decreases were observed higher in US group than other groups (p<0,05). In conclusion, all three groups including particularly RESWT and the US groups were determined to have been cured after treatment. However; it was observed that pain before bedtime and FFI parameters were reduced more in US groups than other two groups, ankle proprioceptive sense increased in RESDT group, and there was no change in other groups.