Article

The objective of this meta-analysis was to investigate the efficacy of
extracorporeal shock wave therapy in the treatment of recalcitrant plantar
fasciitis without local anesthesia. METHODS: The Cochrane Library, EMBASE,
PubMed, and Web of Science databases were searched from inception to September
2015 for randomized controlled trials comparing ESWT without local anesthesia
versus placebo for treatment of plantar fasciitis in adults.
The primary outcome
was the 12-week post-intervention success rate of reducing the visual analog
scale score by 60% from baseline at the first step in the morning, reducing the
VAS score by 60% from baseline during daily activities, reducing the Roles and
Maudsley score, reducing overall heel pain, and reducing pain after applying a
force meter. RESULTS: Nine studies were included in the meta-analysis. Compared
with placebo, ESWT significantly improved the success rate of reducing overall
heel pain, reducing the VAS score by 60% at the first step in the morning and
during daily activities, improving the Roles and Maudsley score to excellent or
good, and reducing heel pain after application of a pressure meter. CONCLUSIONS:
ESWT seems to be particularly effective in relieving pain associated with RPF.
ESWT should be considered when traditional treatments have failed. TO CLAIM CME
CREDITS: Complete the self-assessment activity and evaluation online at
http://www.physiatry.org/JournalCME CME OBJECTIVES: Upon completion of this
article, the reader should be able to (1) understand the recovery rates for
nonsurgical treatment of plantar fasciitis, (2) understand the role of
extracorporeal shockwave therapy (ESWT) in the treatment of recalcitrant plantar
fasciitis, and (3) understand the indications to incorporate ESWT in the
treatment plan of recalcitrant plantar fasciitis. LEVEL: Advanced ACCREDITATION:
The Association of Academic Physiatrists is accredited by the Accreditation
Council for Continuing Medical Education to provide continuing medical education
for physicians.The Association of Academic Physiatrists designates this activity
for a maximum of 1.5 AMA PRA Category 1 Credit(s). Physicians should only claim
credit commensurate with the extent of their participation in the activity.

Langue : ANGLAIS