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Purpose: The experiment was designed to evaluate and compare the efficacy of focused shockwave and radial shockwave in symptomatic heel spur treatment. Postural balance tests were used to ensure the objectivity of evaluations. Methods: Forty three patients with symptomatic heel spur were divided into two comparative groups that received respectively focused shockwave therapy (the FSWT group; 2000 impulses, 4 Hz, 0.4 mJ/mm2 ) and radial shockwave therapy (the RSWT group; 2000 impulses, 8 Hz, 5 bars + 2000 impulses, 8 Hz, 2.5 bars). Each patient received 5 treatments at weekly intervals. Before therapy started and 1, 3, 6 and 12 weeks after it ended, the intensity of pain experienced by the patients was assessed and static balance tests were performed on a force platform. Results: Successive measurements showed that the intensity of all kinds of pain under consideration was decreasing gradually and statistically significantly in both groups. The percentage reduction in pain intensity was similar between the groups. The standard deviation of the COP in the anterior-posterior and medial-lateral directions, 95% confidence ellipse area and COP velocity kept varying throughout the experiment, but in none of the groups changes were statistically significant. Conclusions: Focused shockwave therapy and radial shockwave therapy improve the well-being of patients with symptomatic heel spur significantly and comparably. Posturography cannot deliver unambiguous data for tracking changes that the two therapies induce in these patients.
Czasopismo
Rocznik
Tom
Strony
143--148
Opis fizyczny
Bibliogr. 25 poz., tab.
Twórcy
autor
autor
- Medical University of Silesia, School of Medicine, Chair and Department of Medical Biophysics, Katowice, Poland
autor
- Medical University of Silesia, School of Medicine, Chair and Department of Medical Biophysics, Katowice, Poland
autor
- Medical University of Silesia, School of Medicine, Chair and Department of Medical Biophysics, Katowice, Poland
autor
- Medical University of Silesia, School of Health Sciences, Chair and Department of Rehabilitation, Katowice, Poland
autor
- Medical University of Silesia, School of Health Sciences, Chair and Department of Rehabilitation, Katowice, Poland
autor
- Medical University of Silesia, School of Health Sciences, Department of Physiotherapy, Katowice, Poland
autor
- Medical University of Silesia, School of Health Sciences, Chair and Department of Rehabilitation, Katowice, Poland
autor
- Medical University of Silesia, School of Medicine, Chair and Department of Medical Biophysics, Katowice, Poland
Bibliografia
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- [5] CORNWALL M.W., MCPOIL T.G., Plantar fasciitis: etiology and treatment, J. Orthop. Sports Phys. Ther., 1999, Vol. 29(12), 756–760.
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- [9] GOLLWITZER H., DIEHL P., VON KORFF A., RAHLFS V.W., GERDESMEYER L., Extracorporeal Shock Wave Therapy for Chronic Painful Heel Syndrome: A Prospective, Double Blind, Randomized Trial Assessing the Efficacy of a New Electromagnetic Shock Wave Device, J. Foot Ankle Surg., 2007, 46(5), 348–357.
- [10] HAMMER D.S., ADAM F., KREUTZ A., KOHN D., SEIL R., Extracorporeal shock wave therapy (ESWT) in patients with chronic proximal plantar fasciitis: a 2-year follow-up, Foot Ankle Int., 2003, Vol. 24(11), 823–828.
- [11] IBRAHIM M.I., DONATELLI R.A., SCHMITZ C., HELLMAN M.A., BUXBAUM F., Chronic plantar fasciitis treated with two sessions of radial extracorporeal shock wave therapy, Foot Ankle Int., 2010, Vol. 31(5), 391–397.
- [12] JOHAL K.S., MILNER S.A., Plantar fasciitis and the calcaneal spur: Fact or fiction?, Foot Ankle Surg., 2012, Vol. 18(1), 39–41.
- [13] KUCZYŃSKI M., The second order autoregressive model in the evaluation of postural stability, Hum. Mov. Sci., 2001, Vol. 2(4), 33–38.
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- [15] LEE G.P., OGDEN J.A., CROSS G.L., Effect of extracorporeal shock waves on calcaneal bone spurs, Foot Ankle Int., 2003, Vol. 24(12), 927–930.
- [16] LOHRER H., NAUCK T., DORN-LANGE N.V., SCHÖLL J., VESTER J.C., Comparison of radial versus focused extracorporeal shock waves in plantar fasciitis using functional measures, Foot Ankle Int., 2010, Vol. 31, 1–9.
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- [19] PIECHA M., KRÓL P., JURAS G., SOBOTA G., POLAK A., BACIK B., The effect of short- and long-term vibration training on postural stability in men, Acta Bioeng. Biomech., 2013, Vol. 15(3), 29–35.
- [20] ROMPE J.D., MEURER A., NAFE B., HOFMANN A., GERDESMEYER L., Repetitive low-energy shock wave application without local anesthesia is more efficient than repetitive low-energy shock wave application with local anesthesia in the treatment of chronic plantar fasciitis, J. Orthop. Res., 2005, Vol. 23, 931–941.
- [21] SINGH D., ANGEL J., BENTLEY G., TREVINO S.G., Fortnightly review. Plantar fasciitis, BMJ, 1997, Vol. 315, 172–175.
- [22] SMITH S., TINLEY P., GILHEANY M., GRILLS B., KINGSFORD A., The inferior calcaneal spur – Anatomical and histological considerations, Foot, 2007, Vol. 17, 25–31.
- [23] TRENKWALDER C., PAULUS W., KRAFCZYK S., HAWKEN M., OERTEL W.H., BRANDT T., Postural stability differentiates “lower body” from idiopathic parkinsonism, Acta Neurol. Scand., 1995, Vol. 91(6), 444–452.
- [24] VAN DER WORP H., ZWERVER J., HAMSTRA M., VAN DEN AKKERSCHEEK I., DIERCKS R.L., No difference in effectiveness between focused and radial shockwave therapy for treating patellar tendinopathy: a randomized controlled trial, Knee Surg. Sports Traumatol. Arthrosc., 2014, Vol. 22(9), 2026–2032.
- [25] WINTER D.A., PATLA E.A., PRINCE F., ISHAC M., GIELO-PERCZAK K., Stiffness control of balance in quiet standing, J. Neurophysiol., 1998, Vol. 80(3), 1211–1221.
Uwagi
PL
Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.
Typ dokumentu
Bibliografia
Identyfikator YADDA
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