Magnetic Resonance Imaging and Clinical Outcomes of Laser Therapy, Ultrasound Therapy, and Extracorporeal Shock Wave Therapy for Treatment of Plantar Fasciitis: A Randomized Controlled Trial

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dc.contributor.authorUlusoy A.
dc.contributor.authorCerrahoglu L.
dc.contributor.authorOrguc S.
dc.date.accessioned2024-07-22T08:10:44Z
dc.date.available2024-07-22T08:10:44Z
dc.date.issued2017
dc.description.abstractWe determined and compared the effectiveness of low-level laser therapy (LLLT), therapeutic ultrasound (US) therapy, and extracorporeal shock wave therapy (ESWT) using magnetic resonance imaging (MRI). We performed a randomized, prospective, comparative clinical study. A total of 60 patients with a diagnosis of chronic plantar fasciitis were divided randomly into 3 treatment groups: group 1 underwent 15 sessions of LLLT (8 J/cm2; 830 nm); group 2 underwent 15 sessions of continuous US (1 mHz; 2 W/cm2); and group 3 underwent 3 sessions of ESWT (2000 shocks). All patients were assessed using the visual analog scale (VAS), heel tenderness index (HTI), American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale, Roles–Maudsley score, and MRI before and 1 month after treatment. The primary efficacy success criterion was the percentage of decrease in heel pain of >60% from baseline at 1 month after treatment for ≥2 of the 3 heel pain (VAS) measurements. Significant improvement was measured using the mean VAS, AOFAS scale, and HTI scores for all 3 groups. The thickness of the plantar fascia had decreased significantly on MRI in all 3 groups. The treatment success rate was 70.6% in the LLLT group, 65% in the ESWT group, and 23.5% in the US group. LLLT and ESWT proved significantly superior to US therapy using the primary efficacy criterion (p =.006 and p =.012, respectively), with no significant difference between the LLLT and ESWT groups (p >.05). The treatment of chronic plantar fasciitis with LLLT and ESWT resulted in similar outcomes and both were more successful than US therapy in pain improvement and functional outcomes. © 2017 American College of Foot and Ankle Surgeons
dc.identifier.DOI-ID10.1053/j.jfas.2017.02.013
dc.identifier.issn10672516
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15369
dc.language.isoEnglish
dc.publisherAcademic Press Inc.
dc.subjectAdult
dc.subjectAged
dc.subjectChronic Disease
dc.subjectExtracorporeal Shockwave Therapy
dc.subjectFasciitis, Plantar
dc.subjectFemale
dc.subjectHigh-Energy Shock Waves
dc.subjectHumans
dc.subjectLow-Level Light Therapy
dc.subjectMagnetic Resonance Imaging
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectTreatment Outcome
dc.subjectYoung Adult
dc.subjectnonsteroid antiinflammatory agent
dc.subjectadult
dc.subjectaged
dc.subjectAmerican Orthopaedic Foot and Ankle Society ankle hindfoot scale
dc.subjectArticle
dc.subjectbone marrow edema
dc.subjectclinical effectiveness
dc.subjectcontrolled study
dc.subjectextracorporeal shock wave therapy
dc.subjectfemale
dc.subjectfollow up
dc.subjectfoot orthosis
dc.subjectfunctional assessment
dc.subjectheel pain
dc.subjectheel tenderness index
dc.subjecthome physiotherapy
dc.subjecthuman
dc.subjectintermethod comparison
dc.subjectlow level laser therapy
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmusculoskeletal disease assessment
dc.subjectmusculoskeletal system parameters
dc.subjectnuclear magnetic resonance imaging
dc.subjectnuclear magnetic resonance scanner
dc.subjectoutcome assessment
dc.subjectplantar fasciitis
dc.subjectprospective study
dc.subjectrandomized controlled trial
dc.subjectRoles Maudsley score
dc.subjectshock wave generator
dc.subjectshock wave therapy
dc.subjectsoft tissue disease
dc.subjectsoft tissue edema
dc.subjecttherapy effect
dc.subjecttreatment duration
dc.subjecttreatment response
dc.subjectultrasound therapy
dc.subjectvisual analog scale
dc.subjectchronic disease
dc.subjectcomparative study
dc.subjectdiagnostic imaging
dc.subjecthigh-energy shock wave
dc.subjectmiddle aged
dc.subjectplantar fasciitis
dc.subjecttreatment outcome
dc.subjectyoung adult
dc.titleMagnetic Resonance Imaging and Clinical Outcomes of Laser Therapy, Ultrasound Therapy, and Extracorporeal Shock Wave Therapy for Treatment of Plantar Fasciitis: A Randomized Controlled Trial
dc.typeArticle

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