Influencia de la densidad de energía de ondas de choque focalizadas en el tratamiento de la fascitis plantar.
Influence of energy density on the effectiveness of the treatment of plantar fasciitis with focused extracorporeal shock waves.
Keywords:
focused extracorporeal shock waves, plantar fasciitis, functionality, energy density
Abstract
Plantar fasciitis (FP) is a frequent and disabling condition that can be treated with focused extracorporeal shock waves. The main objective of this study was to assess the effectiveness of focused extracorporeal shockwave treatment in FP according to the energy density used. Eighty-two patients with a clinical diagnosis of FP were included and assigned, by simple random sampling, to two treatment groups: medium-high energy density (0.59mJ/mm 2) and low-medium energy density (0.27mJ/mm 2). Pain and functionality were assessed using the VAS (Visual Analogical Scale) and AOFAS (American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale) scales, respectively, at the start of the study (baseline consultation), and at the first, third and sixth month post-treatment. Finally, the degree of patient satisfaction was evaluated using the Roles and Maudsley score. The results of the scales in the post-treatment reviews were compared, and statistical significance was obtained for the main study variables (pain and functionality) in each intervention group. Although pain levels and functionality improved in both study groups after treatment, a greater and earlier analgesic and functional response was obtained for the medium-high energy density group.
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References
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Dunning J, Butts R, Henry N, Mourad F, Brannon A, Rodriguez H, Young I, Arias-Buría JL, Fernández-de-Las-Peñas C. Electrical dry needling as an adjunct to exercise, manual therapy and ultrasound for plantar fasciitis: A multcenter randomized clinical trial. PLoS One 2018 Oct 31;13(10):e0205405.
Vaamonde-Lorenzo L, Cuenca González C, Monleón-Llorente L, Chiesa Estomba R, Labrada Rodríguez YH, Castro-Portal A, Archanco Olcese M, Garvin Ocampos L. Aplicación de ondas de choque focales piezoeléctricas en el tratamiento de la fasciitis plantar. Rev Esp Cir Ortop Traumatol 2019;63(3):227-232.
Chen CM, Lee M, Lin CH, Chang CH, Lin CH. Comparative efficacy of corticosteroid injection and non-invasive treatments for plantar fasciitis: a systematic review and meta-analysis. Sci Rep 2018;8(1):4033.
Tae Im Yi., Ga Eun Lee, In Seok Seo, Won Seok Huh, Tae Hee Yon, Bo Ra Kim. Clinical characteristics of the causes of plantar heel pain. Ann Rehabil Med 2011; 35(4):507-513.
Covey CJ, MulderMD. Plantar fasciitis: how best to treat? J Fam Pract 2013;62(9):466- 471.
Goff JD, Crawford R. Diagnosis and treatment of plantar fasciitis. Am Fam Phy- sician; 84(6):676-682.
Andres BM, Murrell GAC. Treatment of tendinopathy: what works, what does not, and what is on the horizon. Clin Orthop Relat Res 2008; 466:1539–1554.
Sems A, Dimeff R, Iannotti JP. Extracorporeal shockwave therapy in the treatment of chronic tendinopathies. J Am Acad Orthop Surg 2006;14(4):195-204.
Thomas JL, Christensen JC, Kravitz SR, Mendicino RW, Schuberth JM, Vanore JV, Weil LS Sr, Zlotoff HJ, Bouché R, Baker J; American College of Foot and Ankle Surgeons Heel Pain Committee. The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg 2010;49(3 Suppl):S1-19.
González Rebollo AM. Introducción a la electroterapia.1ª Ed. Valladolid (España): González Rebollo AM; 2016, p 287-300.
Wang CJ, Wang FS, Yang KD, Weng LH, Hsu CC, Huang CS, Yang LC. Shock wave therapy induces neovascularization at the tendon-bone junction. A study in rabbits. J Orthop Res 2003;21(6):984-989.
Landorf KB, Radford JA, Hudson S. Minimal important difference of two commonly used outcome measures for foot problems. J Foot Ankle Res 2010;3:1-7.
Ceccarelli F, Calderazzi F, Pedrazzi G. Is there a relation between AOFAS Ankle-Hindfoot Score and SF-36 in evaluation of Achilles ruptures treated by percutaneous technique? J Foot Ankle Surg 2014; 53: 16–21.
Roles NC, Maudsley RH. Radial tunnel syndrome: resistant tennis elbow as a nerve entrapment. J Bone Joint Surg Br 1972;54(3):499–508.
Roca B, Mendoza MA, Roca M. Comparison of extracorporeal shock wave therapy with botulinum toxin type A in the treatment of plantar fasciitis. Disabil Rehabilitations 2016;38(21):2114-2121.
Rompe JD, Kirkpatrick CJ, Kullmer K, Schwitalle M, Krischek O. Dosrelated effects of shock waves on rabbit tendo Achillis. A sonographic and histological study. J Bone Joint Surg Br 1998;80:546– 552.
Su-Jin Lee, Jung-Ho Kang, Ja-Young Kim, Jin-Hong Kim, Seo-Ra Yoon, Kwang-Ik Jung. Dose-related effect of extracorporeal shock wave therapy for plantar fasciitis. Ann Rehabil Med 2013;37(3):379-388.
Elía Martínez JM, Schmitt J, Tenías Burillo JM, Valero Inigo JC, Sánchez Ponce G, Peñalver Barrios L, García Fenollosa M, Cortés Fabregat A. Comparación de la terapia de ondas de choque extracorpóreas focales y presión radiales en la fascitis plantar. Rehabilitacion 2020;54:11- 18.
Córdova A, López D, Fernández-Lazaro D, Caballero A. Nueva visión del tratamiento de la fascitis plantar en deportistas: Utilidad del entrenamiento funcional mediante el esquí. Invest Clín 2017;58(3), 309-318.
Guevara Serna JA, Acosta Morón JA. Extracorporeal shockwave therapy versus corticosteroid injection in chronic plantar fasciitis. Rev Colomb Ortop Traumatol 2018;32:43–9.
Lai TW, Ma HL, Lee MS, Chen PM, Ku MC. Ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: A randomized controlled trial. J Musculoskelet Neuronal Interact. 2018;18(1):47-54.
Saber N, Diab H, Nassar W, Razaak HA. Ultrasound guided local steroid injection versus extracorporeal shockwave therapy in the treatment of plantar fasciitis. Alex J Med 2012;48:35–42.
Gollwitzer H, Saxena A, DiDomenico LA, Galli L, Bouché RT, Caminear DS, Fullem B, Vester JC, Horn C, Banke IJ, Burgkart R, Gerdesmeyer L. Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am 2015;97:701–8.
Published
2022-03-21
How to Cite
Andrés Toribio, A. M., González Rebollo, A. M., Tristán-Vega, A., & Garrosa, M. (2022). Influencia de la densidad de energía de ondas de choque focalizadas en el tratamiento de la fascitis plantar.: Influence of energy density on the effectiveness of the treatment of plantar fasciitis with focused extracorporeal shock waves. Investigación Clínica, 63(1), 32-46. https://doi.org/10.54817/IC.v63n1a03
Section
Original Works
