Cargando…

Ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: A randomized controlled trial

OBJECTIVES: Extracorporeal shockwave therapy (ESWT) and corticosteroid injection (CSI) are treatment options for plantar fasciitis. Their clinical outcome comparison remains a debate. Also, the thickness changes of the plantar fascia on objective evaluation under the medium energy ESWT and CSI thera...

Descripción completa

Detalles Bibliográficos
Autores principales: Lai, Ta-Wei, Ma, Hsiao-Li, Lee, Meng-Shiunn, Chen, Po-Ming, Ku, Ming-Chou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Society of Musculoskeletal and Neuronal Interactions 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881128/
https://www.ncbi.nlm.nih.gov/pubmed/29504578
_version_ 1783311261110370304
author Lai, Ta-Wei
Ma, Hsiao-Li
Lee, Meng-Shiunn
Chen, Po-Ming
Ku, Ming-Chou
author_facet Lai, Ta-Wei
Ma, Hsiao-Li
Lee, Meng-Shiunn
Chen, Po-Ming
Ku, Ming-Chou
author_sort Lai, Ta-Wei
collection PubMed
description OBJECTIVES: Extracorporeal shockwave therapy (ESWT) and corticosteroid injection (CSI) are treatment options for plantar fasciitis. Their clinical outcome comparison remains a debate. Also, the thickness changes of the plantar fascia on objective evaluation under the medium energy ESWT and CSI therapy are elusive. METHODS: A total of 97 patients with chronic plantar fasciitis were enrolled in the randomized prospective trial. Forty-seven patients received extracorporeal shock wave therapy (ESWT), and fifty patients received corticosteroid injection (CSI). The thickness of the plantar fascia was evaluated respectively before ESWT and CSI, and at the 4(th) and 12(th) week after ESWT and CSI by ultrasonography. Pain level and clinical outcomes were recorded using visual analogue scale (VAS) and 100-points scoring systems. Correlation analysis was performed between the thickness change and clinical outcome. RESULTS: Under ultrasonography, we observed more increase of plantar fascia thickness of ESWT group than CSI group at 4(th) week (p=0.048). VAS of plantar fasciitis patients receiving ESWT was lower than those who received corticosteroid injection (0.001 and p<0.001, at 4(th) and 12(th) week). On the assessment of 100-points scoring systems, the pain level of patients with ESWT was lower than those with CSI at the 12(th) week (p<0.001). On the other hand, the increase of plantar fascia thickness at 4(th) week was positively correlated with the decrease of VAS score at 12(th) week follow-up (R=0.302, P=0.039). CONCLUSIONS: At 4(th) week after treatment, the thickness of plantar fascia increased. Then it decreased gradually, but not to the baseline at 12(th) week. On the pain level outcome at 12(th) week, extracorporeal shockwave therapy (ESWT) was more efficient than corticosteroid injection (CSI) on chronic plantar fasciitis. The more change of plantar fascia after ESWT, the more efficient on clinical outcome.
format Online
Article
Text
id pubmed-5881128
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher International Society of Musculoskeletal and Neuronal Interactions
record_format MEDLINE/PubMed
spelling pubmed-58811282018-04-05 Ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: A randomized controlled trial Lai, Ta-Wei Ma, Hsiao-Li Lee, Meng-Shiunn Chen, Po-Ming Ku, Ming-Chou J Musculoskelet Neuronal Interact Original Article OBJECTIVES: Extracorporeal shockwave therapy (ESWT) and corticosteroid injection (CSI) are treatment options for plantar fasciitis. Their clinical outcome comparison remains a debate. Also, the thickness changes of the plantar fascia on objective evaluation under the medium energy ESWT and CSI therapy are elusive. METHODS: A total of 97 patients with chronic plantar fasciitis were enrolled in the randomized prospective trial. Forty-seven patients received extracorporeal shock wave therapy (ESWT), and fifty patients received corticosteroid injection (CSI). The thickness of the plantar fascia was evaluated respectively before ESWT and CSI, and at the 4(th) and 12(th) week after ESWT and CSI by ultrasonography. Pain level and clinical outcomes were recorded using visual analogue scale (VAS) and 100-points scoring systems. Correlation analysis was performed between the thickness change and clinical outcome. RESULTS: Under ultrasonography, we observed more increase of plantar fascia thickness of ESWT group than CSI group at 4(th) week (p=0.048). VAS of plantar fasciitis patients receiving ESWT was lower than those who received corticosteroid injection (0.001 and p<0.001, at 4(th) and 12(th) week). On the assessment of 100-points scoring systems, the pain level of patients with ESWT was lower than those with CSI at the 12(th) week (p<0.001). On the other hand, the increase of plantar fascia thickness at 4(th) week was positively correlated with the decrease of VAS score at 12(th) week follow-up (R=0.302, P=0.039). CONCLUSIONS: At 4(th) week after treatment, the thickness of plantar fascia increased. Then it decreased gradually, but not to the baseline at 12(th) week. On the pain level outcome at 12(th) week, extracorporeal shockwave therapy (ESWT) was more efficient than corticosteroid injection (CSI) on chronic plantar fasciitis. The more change of plantar fascia after ESWT, the more efficient on clinical outcome. International Society of Musculoskeletal and Neuronal Interactions 2018-03 /pmc/articles/PMC5881128/ /pubmed/29504578 Text en Copyright: © Journal of Musculoskeletal and Neuronal Interactions http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lai, Ta-Wei
Ma, Hsiao-Li
Lee, Meng-Shiunn
Chen, Po-Ming
Ku, Ming-Chou
Ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: A randomized controlled trial
title Ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: A randomized controlled trial
title_full Ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: A randomized controlled trial
title_fullStr Ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: A randomized controlled trial
title_full_unstemmed Ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: A randomized controlled trial
title_short Ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: A randomized controlled trial
title_sort ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: a randomized controlled trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881128/
https://www.ncbi.nlm.nih.gov/pubmed/29504578
work_keys_str_mv AT laitawei ultrasonographyandclinicaloutcomecomparisonofextracorporealshockwavetherapyandcorticosteroidinjectionsforchronicplantarfasciitisarandomizedcontrolledtrial
AT mahsiaoli ultrasonographyandclinicaloutcomecomparisonofextracorporealshockwavetherapyandcorticosteroidinjectionsforchronicplantarfasciitisarandomizedcontrolledtrial
AT leemengshiunn ultrasonographyandclinicaloutcomecomparisonofextracorporealshockwavetherapyandcorticosteroidinjectionsforchronicplantarfasciitisarandomizedcontrolledtrial
AT chenpoming ultrasonographyandclinicaloutcomecomparisonofextracorporealshockwavetherapyandcorticosteroidinjectionsforchronicplantarfasciitisarandomizedcontrolledtrial
AT kumingchou ultrasonographyandclinicaloutcomecomparisonofextracorporealshockwavetherapyandcorticosteroidinjectionsforchronicplantarfasciitisarandomizedcontrolledtrial