Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Ultrasonographic characteristics of the shoulder in patients with shoulder pain: A retrospective study comparing younger and older age groups.","authors":"Apichai Vongviboonchai, Jittima Saengsuwan, Patpiya Sirasaporn","doi":"10.1177/10538127241296688","DOIUrl":"https://doi.org/10.1177/10538127241296688","url":null,"abstract":"<p><strong>Background: </strong>Shoulder pain can be caused by structures within the shoulder joint or external structure to shoulder and the prevalence of shoulder pain is high.</p><p><strong>Objective: </strong>The purpose was to investigate the ultrasonographic characteristics of patients with shoulder pain and to study the association between age groups (less than 60 years vs. 60 years and above) and commonly found abnormal ultrasonographic findings.</p><p><strong>Methods: </strong>A retrospective study was conducted on 253 patients experiencing shoulder pain over a month. Data included gender, age, side of pain, pain duration, painful area, previous treatments, clinical assessment of shoulder pain. The abnormal findings in shoulder ultrasound images were reported, and the association between age group with common ultrasound abnormalities were analyzed using the chi-square test.</p><p><strong>Results: </strong>Common abnormal ultrasound findings included subdeltoid bursitis (82.7%), biceps tendon effusion (48.7%), and supraspinatus tendinosis (44.2%). Moreover, patients aged 60 years and above had a significantly higher prevalence of biceps tendon effusion (53.6% vs 36.0%), supraspinatus tendon tear (19.3% vs 8.6%) and subscapularis tendon tear (6.1% vs 1.4%) compared to those aged less than 60 years.</p><p><strong>Conclusion: </strong>The common abnormal ultrasound findings in patients with shoulder pain were subdeltoid bursitis, biceps tendon effusion and supraspinatus tendinosis. Patients aged 60 years and above had a significantly higher prevalence of biceps tendon effusion and tears in the supraspinatus and subscapularis tendons.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 1","pages":"132-138"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Butterfly vertebrae: Congenital variation of the fourth lumbar spine.","authors":"Xiaoxi Liu, Han Yang, Yuting Ke, Qian Lai, Liqing Liao, Kun Chen","doi":"10.1177/10538127241290642","DOIUrl":"https://doi.org/10.1177/10538127241290642","url":null,"abstract":"","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 1","pages":"200-202"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of neuromuscular electrical stimulation superimposed on quadriceps training on gait dynamics after anterior cruciate ligament reconstruction.","authors":"Shihao Li, Bin Lu, Yuanyuan Zhang, Jun Liu, Weiguo Xu, Qi Li","doi":"10.1177/10538127241296376","DOIUrl":"https://doi.org/10.1177/10538127241296376","url":null,"abstract":"<p><strong>Background: </strong>Abnormal gait dynamics are an important risk factor responsible for the high incidence of traumatic knee osteoarthritis in patients undergoing anterior cruciate ligament (ACL) reconstruction.</p><p><strong>Objective: </strong>To evaluate the effect of neuromuscular electrical stimulation (NMES) superimposed quadriceps training on gait dynamics.</p><p><strong>Methods: </strong>A total of 32 postoperative patients were randomly allocated to the NMES and conventional training (CT) groups, with 16 patients per group. Patients in the CT group received the standardized conventional training for 60 min per day, 3 days per week for 6 weeks, while those in the NMES group received the same conventional training, but with NMES superimposed on the conventional open chain training of the quadriceps. The amount of time for training was equal between the two groups. Patients were evaluated at 8 and 14 weeks after surgery. The outcome measurements were maximum voluntary isometric contraction (MVIC) of the quadriceps used to assess the quadriceps strength, Lysholm score used to assess knee function and peak vertical ground reaction force (PvGRF), heel medial (HM) peak pressure and heel lateral (HL) peak pressure used to assess gait dynamics.</p><p><strong>Results: </strong>Compared to the CT group, the NMES group had greater improvements in quadriceps strength (p<0.001, effect size = 2.93), knee function (p = 0.049, effect size = 2.06), and gait loading (including HL peak pressure (P = 0.007, effect size = 0.89) and PvGRF (P = 0.019, effect size = 0.62)). After the intervention, participants in both groups had a significantly lower rearfoot impulse and significantly higher forefoot impulse.</p><p><strong>Conclusions: </strong>The NMES superimposed on conventional quadriceps open chain training has shown additional improvements in gait loading in patients after ACL reconstruction, which suggests it may contribute to delaying the onset of early postoperative traumatic knee osteoarthritis. In addition, changes in foot impulse may suggest a progressive trend in quadriceps avoidance gait in the early postoperative period.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 1","pages":"139-147"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound measurement of abdominal and low back muscle symmetry in adult degenerative lumbar scoliosis: A case-control study.","authors":"Wang Dawu, Li Kaiting, Yi Weiwei, Tao Yuzhang, Li Xiaohong, Zhang Yong","doi":"10.1177/10538127241289365","DOIUrl":"https://doi.org/10.1177/10538127241289365","url":null,"abstract":"<p><strong>Background: </strong>Individuals with adult degenerative lumbar scoliosis (ADLS) have underlying biomechanical alterations along the trunk muscles. However, few studies have evaluated trunk muscles in ADLS.</p><p><strong>Objective: </strong>To quantify and evaluate the symmetry, thickness, and stiffness (shear modulus) of the abdominal and back muscles in ADLS participants.</p><p><strong>Methods: </strong>This was a case-control study with participants aged 60-79 years with ADLS (n = 37) and without ADLS (n = 37). Radiographic examination data were collected from the participants. Ultrasound thickness and shear modulus measurements were performed to compare differences in the rectus abdominis, external oblique, internal oblique, transversus abdominis (TrA), multifidus, erector spinae, and quadratus lumborum muscles in the supine, prone and standing positions in the ADLS (n = 37) and control groups (n = 37). Thicknesses and shear modulus were compared.</p><p><strong>Results: </strong>The absolute thickness of the TrA in ADLS group was significantly greater on the convex side than on the concave side in both the supine (2.978 ± 0.552 vs. 2.556 ± 0.513, <i>p</i> = 0.041) and standing positions (2.671 ± 0.475 vs. 2.054 ± 0.401, <i>p</i> = 0.034). The percentage changes in both sides of the shear modulus of the TrA were significantly greater in the ADLS group than in the control group for the supine position (<i>p</i> = 0.019), and standing position (<i>p</i> = 0.039).</p><p><strong>Conclusions: </strong>Compared with those in the control group, only the absolute muscle thicknesses and percent change in the shear modulus of the TrA in the ADLS participants were more asymmetric.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 1","pages":"148-157"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The statistical stability of clavicle fracture management: A systematic review of randomized controlled trials with fragility analysis.","authors":"Michael N Megafu, Elisabeth Point Du Jour, Janet Nguyen, Emmanuel Megafu, Hassan Mian, Sulabh Singhal, Paul Tornetta, Robert L Parisien","doi":"10.1177/10538127241296345","DOIUrl":"https://doi.org/10.1177/10538127241296345","url":null,"abstract":"<p><strong>Background: </strong>Randomized controlled trials (RCTs) represent the highest level of evidence in guiding the management of clavicle fractures. They are conducted to ensure that evidence drives the basis of treatment algorithms. Relying solely on <i>P</i> values to assess orthopedic RCTs may be deceptive and challenge the validity of the studies.</p><p><strong>Objective: </strong>To evaluate the degree of statistical fragility in the clavicle fracture literature using the fragility index (FI) and fragility quotient (FQ).</p><p><strong>Methods: </strong>A systematic search strategy using the Medline, PubMed, and Embase databases was used to find all dichotomous data for randomized controlled trials (RCTs) in clavicle fracture research from 2000 to 2024. The FI of each outcome was calculated by reversing a single outcome event until significance was reversed. The FQ was calculated by dividing each fragility index by the study sample size. The interquartile range (IQR) was also calculated for the FI and FQ.</p><p><strong>Results: </strong>Of the 3646 articles screened, 81 met the search criteria, with 30 RCTs evaluating clavicle fractures included for analysis. There were 250 total outcomes, where 62 significant and 188 nonsignificant outcomes were identified. The overall FI and FQ were 4 (IQR 3-5) and 0.045 (IQR 0.024-0.080). Statistically significant and nonsignificant outcomes had an FI of 3.5 (IQR 2-7) and 4 (IQR 3-5), respectively. Regarding loss to follow-up (LTF), 63.3% (19) reported LTF greater or equal to the overall FI of 4.</p><p><strong>Conclusion: </strong>When scrutinizing management algorithms relying on statistical analysis, we recommend including the FI and FQ alongside the <i>P</i> value.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 1","pages":"63-70"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical efficacy of proximal femoral nail anti-rotation in elderly patients with intertrochanteric fractures with negative medial cortical support: A comparison of lithotomy and scissor position techniques.","authors":"Zhe Lin, Weidong Chen, Wenchao Zhou","doi":"10.1177/10538127241289347","DOIUrl":"https://doi.org/10.1177/10538127241289347","url":null,"abstract":"<p><strong>Background: </strong>Femoral intertrochanteric fractures are a prevalent type of hip fracture among the elderly population. And proximal femoral nail anti-rotation (PFNA) is the leading surgical technique for managing femoral intertrochanteric fractures in this patient population.</p><p><strong>Objective: </strong>This study aimed to evaluate the clinical efficacy of proximal femoral nail anti-rotation (PFNA) in managing intertrochanteric fractures in elderly patients with negative medial cortical support. Additionally, the outcomes associated with two different nail positioning techniques were investigated.</p><p><strong>Methods: </strong>Elderly patients with femoral intertrochanteric fractures with negative medial cortical support, treated between January 2017 and January 2021, were included. A retrospective analysis of their clinical data was conducted. Patients were categorized into two groups based on the positioning technique: lithotomy position group (n = 40) and scissor position group (n = 40). Baseline characteristics, perioperative indicators, hidden blood loss, and Harris hip scores were compared.</p><p><strong>Results: </strong>The groups exhibited no significant differences in baseline characteristics, incision length, or postoperative tip-apex distance. The scissor position group experienced fewer fluoroscopies, shorter surgical durations, and lower Visual Analogue Scale (VAS) scores for the unaffected limb on postoperative day 1 compared to the lithotomy position group. No significant differences in hidden blood loss were observed between the groups. The Harris hip score for the unaffected side showed no significant differences between the scissor position group on postoperative day 1 and postoperative month 1. However, in the lithotomy position group, the Harris hip score of the unaffected side on postoperative day 1 was significantly lower than that at postoperative month 1. Additionally, the Harris hip score for the unaffected side on postoperative day 1 was substantially higher in the scissor position group compared to the lithotomy position group, although there were no significant differences between the two groups at postoperative month 1.</p><p><strong>Conclusion: </strong>PFNA in the scissor position demonstrated advantages over the lithotomy position, including reduced fluoroscopy usage, shorter surgical duration, and less trauma to the unaffected limb. These findings indicate its effectiveness in managing intertrochanteric fractures in elderly patients with negative medial cortical support.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 1","pages":"113-120"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of clinical efficacy between femoral neck system and cannulated screw in Pauwels type III femoral neck fracture: A meta-analysis.","authors":"Kailun Zhuang, Jingyi Wu, Yusen Yang, Tianmo Bai, Baofeng Li","doi":"10.1177/10538127241296340","DOIUrl":"https://doi.org/10.1177/10538127241296340","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the femoral neck system (FNS) has become increasingly widely used for Pauwels type III femoral neck fractures.</p><p><strong>Objective: </strong>We performed a meta-analysis to investigate the safety and efficacy of FNS and the mainstream internal fixation method, cannulated screw (CS), in the treatment of Pauwels type III femoral neck fractures.</p><p><strong>Methods: </strong>We systematically searched all research studies from PubMed, Embase, Web of Science, Cochrane, WANFANG, and the Chinese Academic Journal Full-Text Database (CNKI) from 2018 to July 2024 and conducted data extraction. The study was conducted on July 26, 2024. We used the PRISMA guidelines to assess the quality of the results of all included studies. In addition, we searched for references to relevant articles. After completing the literature search, we performed a manual literature screening to obtain studies that met the inclusion criteria. The outcomes were Harris Hip Score, operation duration, intraoperative blood loss, hospital stay, healing time, and postoperative complications.</p><p><strong>Results: </strong>This meta-analysis ultimately included nine studies (n = 524) and conducted quality evaluations. All nine articles were retrospective cohort studies. The study exhibited statistically significant variations between the FNS and CS groups in relation to total complications (95% confidence interval (CI)= [0.11, 0.40], odds ratio (OR) = 0.21, P < 0.001), Harris Hip Score (95%CI = [2.14, 3.65], mean difference (MD) = 2.89, P < 0.001), Femoral head necrosis (95%CI = [0.17, 0.86], OR = 0.38, P = 0.02), Internal fixation failure (95%CI = [0.06, 0.50], OR = 0.17, P = 0.001), Medium femoral neck shortening (95%CI = [0.17, 0.53], OR = 0.30, P < 0.001), intraoperative blood loss (95%CI = [11.57, 26.80], MD = 19.19, P < 0.001), Operation duration (95%CI = [-15.20, -2.17], MD = -8.69, P = 0.009), and healing time (95%CI = [-1.30, -0.32], MD = -0.81, P = 0.001).</p><p><strong>Conclusion: </strong>This meta-analysis showed that in Pauwels type III femoral neck fractures, the femoral neck system has a shorter operative time, a lower rate of postoperative complications, a shorter healing time, less shortening of the femoral neck, and a higher Harris Hip Score compared with cannulated screws, but increases intraoperative blood loss. However, more clinical studies are needed to confirm our conclusions due to our small sample size and lack of randomized controlled trials.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 1","pages":"71-82"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of traditional Chinese exercises on knee osteoarthritis: A network meta-analysis.","authors":"Meiling Lv, Jie Wang, Xin Chu, Weisi Zeng, Xiaoting Wen","doi":"10.1177/10538127241290902","DOIUrl":"https://doi.org/10.1177/10538127241290902","url":null,"abstract":"<p><strong>Background: </strong>Osteoarthritis is the third leading risk factor for disability in older adults.</p><p><strong>Objective: </strong>To compare the efficacy of different traditional Chinese exercises on knee osteoarthritis by network meta-analysis, and to provide a reference basis for patients to choose the best method.</p><p><strong>Methods: </strong>Seven databases, including Pubmed, Embase, The Cochrane Library, Web of Science, China National Knowledge Infrastructure, WanFang, and China Science and Technology Journal Database were searched for literature on traditional Chinese exercise to improve the symptoms of patients with knee osteoarthritis. The search period was from inception of the database until February 14, 2024. Literature screening and data extraction were carried out independently by 2 investigators, and the quality of the included studies was evaluated using the Cochrane Risk of Bias 2.0 assessment tool. R4.2.3 and Stata 15.0 were used for analysis.</p><p><strong>Results: </strong>Forty-two studies involving 2843 patients were ultimately included, encompassing 4 kinds of traditional Chinese exercise. The surface under the cumulative ranking curve (SUCRA) showed that Baduanjin was the best traditional Chinese exercises for Western Ontario and McMaster University Osteoarthritis Index scores including pain score (SUCRA = 0.85), stiffness score (SUCRA = 0.87), physical function score (SUCRA = 0.88) and overall score (SUCRA = 0.83). For Visual Analog Scale pain score, the most effective traditional Chinese exercise was Tai Chi (SUCRA = 0.93).</p><p><strong>Conclusion: </strong>The efficacy of Tai Chi, Baduanjin, Yijinjing, and Wuqinxi on knee osteoarthritis patients is superior to that of usual care. Baduanjin had the best effect in improving stiffness, physical function and overall score, and both Baduanjin and Tai Chi were the best options for improving pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 1","pages":"48-62"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clarifying the characteristics of interprofessional rehabilitation programs for adults with chronic low back pain: A scoping review.","authors":"Sintayehu Daba Wami, Mulugeta Bayisa Chala, Sara Yirgalem Wolde, Catherine Donnelly, Kassahun Alemu Gelaye, Abdul Pullatayil, Esayas Adefris, Jordan Miller","doi":"10.1177/10538127241290643","DOIUrl":"https://doi.org/10.1177/10538127241290643","url":null,"abstract":"<p><strong>Background: </strong>Interprofessional rehabilitation programs are recommended by practice guidelines based on their effectiveness in improving health-related quality of life, pain, and function for people with chronic low back pain (CLBP). However, the most appropriate program characteristics are poorly described in the literature.</p><p><strong>Objective: </strong>This scoping review aimed to synthesize the characteristics of interprofessional rehabilitation programs for people living with CLBP.</p><p><strong>Methods: </strong>The scoping review was guided by the framework developed by Arksey and O'Malley, which has been further enhanced by the Joanna Briggs Institute (JBI). Electronic databases, including Ovid MEDLINE, EMBASE, CINAHL, PsycINFO, SCOPUS, PubMed, Web of Science, and Cochrane Library, were searched to identify relevant published studies.</p><p><strong>Results: </strong>Out of 13370 articles identified through our search, seventy-nine studies fulfilled our eligibility criteria. In the majority of the studies (n = 75), interprofessional rehabilitation programs for people with CLBP consisted of two or more of the following interventions: physical activity and exercise (n = 68), education (n = 61), psychotherapy (n = 52), and vocational support/advice (n = 31). In a few studies describing the underlying theories, the biopsychosocial model, which emphasizes the need to address social, psychological, and physical components in the management of CLBP, was the most often cited theoretical framework.</p><p><strong>Conclusion: </strong>There is substantial variation in how interprofessional rehabilitation programs for people with CLBP are conceptualized and evaluated. A detailed description of the intervention evaluated, and the underlying theoretical frameworks was also lacking in most studies. We recommend the use of a consistent term and components aligned with practice guidelines.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 1","pages":"4-18"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative retrospective analysis of magnetic field therapy and extracorporeal shock wave therapy in pain management for heel spur.","authors":"Ozlem Akkoyun Sert, Kamil Yilmaz","doi":"10.1177/10538127241296347","DOIUrl":"https://doi.org/10.1177/10538127241296347","url":null,"abstract":"<p><strong>Background: </strong>Heel spurs, caused by inflammation and overstretching of the plantar fascia, are a common source of heel pain. Although various conservative and invasive treatments are used, evidence on their effectiveness remains limited.</p><p><strong>Objective: </strong>This study aims to evaluate the effect of extracorporeal shock wave therapy (ESWT) and magnetic field application on pain levels in heel spur patients.</p><p><strong>Methods: </strong>The files of 80 patients diagnosed with heel spurs were accessed. Patients with missing demographic information in the files, incomplete Visual Analogue Scale (VAS) values, and patients with heel pain complaints for less than 5 months were excluded from the study. A total of 39 patients who met the study criteria were included in the study. While ESWT was applied to 21 of these patients (ESWT group), magnetic field was applied to 18 patients (MA group). All patients were given plantar fascia stretching exercises as a home program. Pain scores before and after treatment were evaluated with VAS.</p><p><strong>Results: </strong>A significant decrease was found in VAS values after the 5th session and 2 months later in both the ESWT group and the magnetic field group (p < 0.001). On the other hand, neither treatment method was found to be superior to each other (p > 0.05).</p><p><strong>Conclusion: </strong>It was observed that the pain of the patients decreased in both the early and late periods in both applications.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 1","pages":"184-191"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}