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Rehabilitation Practice and Science

Translated Title

體外震波於慢性足底筋膜炎之療效評估

Abstract

Extracorporeal shock wave therapy (ESWT) has shown success in the alleviation of painful heels and other orthopedic conditions such as tennis elbow, calcifying tendinopathy of the shoulder, and nonunion fractures of the long bones. The purpose of this study is to evaluate the effectiveness of ESWT on chronic plantar fasciitis, and to monitor the complication of ESWT.Forty patients were enrolled in the study, however, 10 patients dropped out after first session due to intolerable pain during the course of treatment. Two patients were symptom-relief after the first session of treatment, and the other 2 patients were loss of follow-up. Therefore, 26 patients (11 men and 15 women) with an average age of 60.73 years (range, 42-76 years) had completed the total 2 sessions of treatment in this study. Each session of treatment was composed of 1500 impulses of shock wave at level 5(0.26 mJ/mm2) with frequency of 2 Hz to the affected heel. Of 26 patients with 4 weeks follow-up, 85% of heels achieving subjective improvement, and 92% of heels achieving objective improvement of pressure tolerance after 2 sessions of treatment. There were no significant systemic or local complications such as hematoma or ecchymosis that required special attention, nor were there any device-related problem. There is no statistic significance noted on the results of thickness of plantar fascia measured by ultrasonography. Treatment of painful heels with extra-corporeal shock wave produced a high rate of success in pain relief and pressure tolerance, and negligible complications except local pain.

Language

English

First Page

141

Last Page

146

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