Abdoli A, Nakhostin Roohi B. Effect of Extracorporeal Shockwave Therapy Versus Stretching in the Treatment of Athletes With Chronic Plantar Fasciitis. PTJ 2019; 9 (2) :117-124
URL:
http://ptj.uswr.ac.ir/article-1-401-en.html
1- Department of Physical Education and Sport Sciences, Faculty of Human Sciences, Shams Education Institute of Science and Technology, Tabriz, Iran.
2- Department of Physical Education and Sport Sciences, Faculty of Human Sciences, Ardabil Branch, Islamic Azad University, Ardabil, Iran.
Abstract: (3502 Views)
Purpose: Extracorporeal shockwave therapy (ESWT) is a relatively new method in the treatment of musculoskeletal disorders such as plantar fasciitis. This study aimed to compare two methods of treatment with extracorporeal shockwave and stretching in athletes with chronic plantar fasciitis.
Methods: The study was a randomized clinical trial. A total of 30 male athletes with chronic plantar fasciitis voluntarily participated in this study. The subjects were randomly divided into two groups; ESWT (n=15) and stretching exercises (n=15). Both treatment methods were applied once a week for five weeks. Pain, the range of motion (ROM) of the ankle joint, and the strength of the plantar flexors of the ankle were assessed, using visual analog scale (VAS), goniometer, and dynamometer before and after the interventions.
Results: VAS scores significantly decreased in both groups after the treatment (P<0.001). Furthermore, after the treatment, the ROM and the strength of plantar flexors increased dramatically in both groups (P<0.001). There were no significant between-group differences at any time (P>0.05).
Conclusion: This study suggests that both methods of stretching and ESWT are suitable methods for improving the symptoms in chronic plantar fasciitis. There was no significant difference in the effect of both types of treatment. According to the results, stretching is easier, non-invasive, and less costly method. So, it seems to be a preferable method for ESWT. However, more studies are required because of the limitations of this research.
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● Stretching is useful and less costly method for improving the symptoms in chronic plantar Fasciitis.
● Extra Corporal Shockwave Therapy (ESWT) is suitable new method for improving the symptoms in chronic plantar Fasciitis.
Plain Language Summary
Plantar Fasciitis is a musculoskeletal disorder in the lower extremities that affects the plantar fascia. Patients typically suffer from a sharp pain in the medial heel of Calcaneus. Pain is often more severe when standing or in the first steps after waking up or after long periods of sitting. The treatment of chronic plantar Fasciitis is mainly conservative. In the present study, we used two methods of stretching and Extra Corporal Shockwave Therapy (ESWT) to treat this injury. Both methods effectively improved the symptoms of the disease. Therefore, we propose both methods for the treatment of plantar Fasciitis, although the stretching is less costly treatment.
Type of Study:
Research |
Subject:
Special Received: 2019/06/17 | Accepted: 2019/08/28 | Published: 2019/11/12