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Journal of the Korean Academy of Rehabilitation Medicine 2009;33(3):333-338.
The Effect of Extracorporeal Shock Wave Therapy in Plantar Fasciitis.
Kim, Sang Beom , Lee, Kyeong Woo , Lee, Jong Hwa , Kim, Young Dong , Yoon, Kisung , Joe, Yang Lae
1Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Korea. suezoe79@hanmail.net
2Department of Physical Medicine and Rehabilitation, Inchang Hospital, Korea.
족저 근막염 환자에서 체외 충격파 치료의 효과
김상범, 이경우, 이종화, 김영동, 윤기성1, 조양래
동아대학교 의과대학 재활의학교실, 1인창병원 재활의학과
Abstract
Objective
To evaluate the effect of extracorporeal shock wave therapy (ESWT) in plantar fasciitis with visual analog scale score and thickness of fascia by ultrasonography.
Method
The subjects consisted of 32 feet (24 patients) with established diagnosis of chronic plantar fasciitis, including 17 feet in the ESWT group and 15 feet in the control group. In the ESWT group, three session of ESWT (0.24 mJ/mm2 FED, 1,200 impulse, weekly) were performed. The visual analog scale (VAS) score and thickness of the plantar fascia were measured by ultrasound before therapy and at the 6-week and 6-month follow-up. Patients in the control group were treated with medication, orthotics, physical therapy and exercise program. VAS and thickness of plantar fascia was evaluated at the same time as ESWT group.
Results
In the ESWT group, thickness of plantar fascia decreased significantly at 6-week follow-up (p<0.05) and 6-month follow-up (p<0.05). Control group showed no significant difference at follow-up (p>0.05). Visual analog scale score showed no significantly difference at 6-week follow-up (p>0.05), but decreased at 6-month follow-up. On the other hand, in the control group, thickness of plantar fascia did not change significantly at 6-week follow-up (p>0.05) and 6-month follow-up (p>0.05). VAS score was not significant different at the 6-week follow-up (p>0.05), but decreased at the 6-month follow-up (p<0.05).
Conclusion
ESWT in plantar fasciitis is effective in relieving subjective pain and reducing thickness of plantar fascia at 6-month follow-up. (J Korean Acad Rehab Med 2009; 33: 333-338)
Key Words: Plantar fasciitis, Extracorporeal shock wave therapy, Ultrasonography


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