Evaluation Effects of Laser Therapy and Extracorporeal Shock Wave Therapy with Clinical Parameters and Magnetic Resonance Imaging for Treatment of Plantar Fasciitis in Patients with Spondyloarthritis: A Randomized Controlled Trial

dc.contributor.authorArmagan Alpturker K.
dc.contributor.authorCerrahoglu A.B.L.
dc.contributor.authorOrguc I.S.
dc.date.accessioned2024-07-22T08:07:58Z
dc.date.available2024-07-22T08:07:58Z
dc.date.issued2020
dc.description.abstractObjective. Low-level laser therapy (LLLT) and extracorporeal shock wave therapy (ESWT) is applied in the conservative treatment of inflammatory plantar fasciitis, which is also a characteristic feature of spondyloarthritis (SpA) (Gill, 1997 and Roxas, 2005). We determined and compared the effectiveness of LLLT and ESWT using magnetic resonance imaging (MRI). Methods. This study is a prospective, randomized, comparative, single-blind clinical study. Voluntarily followed 40 patients with the diagnosis of SpA and having pain at the heels at least for 6 months. Patients were divided randomly into two treatment groups. One group undertook 14 sessions of infrared Ga-Al-As LLLT, and the other group undertook 3 sessions ESWT. Feet functions of the patients were evaluated by American Orthopaedic Foot and Ankle Society (AOFAS) and Roles and Maudsley Scoring; VAS was evaluated for foot pain and function. In clinical assessment, disease activity was carried out by applying the BASDAI, the functional assessment was evaluated through the BASFI, and the patient quality of life was evaluated through the ASQoL; enthesitis was scored according to MASES assessment, performed before and at 1 month after treatment. The thickness of the plantar fascia was measured with MRI before and 1 month after treatment. Results. Compared with the pretherapy, progress in the feet function by AOFAS and Roles-Maudsley scoring and decrease in VAS levels were statistically significant in both groups (p<0.001). Only the VAS exercise score was superior to LLLT (p<0.05). The thickness of the plantar fascia had decreased significantly on MRI in all two groups. Conclusion. The treatment of plantar fasciitis with LLLT and ESWT was more successful in pain improvement and functional outcomes with the dose, frequency, and duration used in our study. © 2020 Kezban Armagan Alpturker et al.
dc.identifier.DOI-ID10.1155/2020/4386361
dc.identifier.issn16879260
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/14175
dc.language.isoEnglish
dc.publisherHindawi Limited
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectanalgesic agent
dc.subjectadult
dc.subjectAmerican Orthopedic Foot and Ankle Society score
dc.subjectArticle
dc.subjectBath ankylosing spondylitis disease activity index
dc.subjectclinical article
dc.subjectclinical effectiveness
dc.subjectcontrolled study
dc.subjectdisease activity
dc.subjectenthesitis
dc.subjectexercise
dc.subjectfemale
dc.subjectfoot pain
dc.subjectfrequency modulation
dc.subjecthuman
dc.subjectimage analysis
dc.subjectlow level laser therapy
dc.subjectmale
dc.subjectmusculoskeletal disease assessment
dc.subjectnuclear magnetic resonance imaging
dc.subjectpain intensity
dc.subjectphysical examination
dc.subjectplantar fasciitis
dc.subjectprospective study
dc.subjectquality of life
dc.subjectrandomized controlled trial
dc.subjectRoles and Maudsley scoring
dc.subjectscoring system
dc.subjectshock wave therapy
dc.subjectsingle blind procedure
dc.subjectspondylarthritis
dc.subjectvisual analog scale
dc.titleEvaluation Effects of Laser Therapy and Extracorporeal Shock Wave Therapy with Clinical Parameters and Magnetic Resonance Imaging for Treatment of Plantar Fasciitis in Patients with Spondyloarthritis: A Randomized Controlled Trial
dc.typeArticle

Files