Extracorporeal Shockwave Therapy versus Low-Level Laser Therapy in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial.

Pub Date : 2024-07-01 DOI:10.7547/22-095
Eren Timurtaş, Eda Çinar, Halit Selçuk, Ender Ersin Avci, Suat Batar, İlkşan Demirbüken, Mine Gülden Polat
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Abstract

Background: Plantar fasciitis is predominantly treated conservatively through modalities such as extracorporeal shockwave therapy (ESWT) and low-level laser therapy (LLLT), yet the short-term effect of these modalities on pain and function is still ambiguous. We compared the short-term effectiveness of ESWT and LLLT on pain and function in patients with plantar fasciitis.

Methods: Participants (n = 47) were randomly assigned to the ESWT group (n = 27) or the LLLT group (n = 20). Participants received ESWT (once a week) and LLLT (three times a week) for 3 weeks. The Foot Function Index, including the pain, disability, and activity limitation subscales, was administered at baseline and after treatment. A reduction of 1 point in total scores was considered a minimum clinically important difference. Repeated-measures analysis of variance was used to analyze the changes in outcomes and compare groups.

Results: There were significant main effects of time, and significant interaction effects between group and time on pain (P < .001), disability (P < .001), and activity limitation (P < .05). The main effect of group was not significant for all of the subscales (P = .811, P = .481, P = .865, respectively). The LLLT group showed significant declines in pain (P < .001), disability (P < .001), and activity limitation (P < .001), and there was no change in the ESWT group over time (P = .319, P = .711, P > .99, respectively). Consistently, 95% of participants in the LLLT group had a clinically important difference in the pain subscale versus 48% of the ESWT group.

Conclusions: Compared with ESWT, LLLT was found to be superior as an effective approach in the short-term management of plantar fasciitis.

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治疗足底筋膜炎的体外冲击波疗法与低水平激光疗法:随机对照试验
背景:足底筋膜炎(PF)主要通过体外冲击波疗法(ESWT)和低强度激光疗法(LLLT)等方式进行保守治疗,但这些方式对疼痛和功能的短期疗效仍不明确。本研究旨在比较 ESWT 和 LLLT 对 PF 患者疼痛和功能的短期疗效:将参与者(47 人)随机分为两组,ESWT 组(27 人)和 LLLT 组(20 人)。ESWT(每周一次)和 LLLT(每周三次)对参与者进行为期 3 周的治疗。足部功能指数(FFI)包括疼痛、残疾和活动受限子量表,分别在基线和治疗后进行测量。总分减少 1 分被视为最小临床重要差异。采用重复测量方差分析来分析结果的变化并对各组进行比较:结果:时间对疼痛有明显的主效应,组别和时间对疼痛有明显的交互效应:研究发现,LLLT 作为一种短期治疗 PF 的有效方法优于 ESWT。
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