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conferenceseries
.com
Volume 8
Journal of Novel Physiotherapies
ISSN: 2165-7025
Novel Physiotherapies 2018
March 19-20,, 2018
March 19-20, 2018 | Berlin, Germany
5
th
International Conference and Expo on
Novel Physio
therapies
J Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C1-024
Shock wave therapy effectiveness in treating patients with heel pain: a randomized control trial
Eman Matar
Ministry of Health, Kingdom of Bahrain
Introduction:
Shockwave therapy is increasingly used for plantar fasciitis, but limited evidence supports its use. In spite of
plantar heel pain being so common in the population, a growing body of evidence indicates that various methods andmodalities
applied by physiotherapists to relieve the symptoms of plantar heel pain lack quality validating research and therefore, not
evidence-based. The purpose of this study is to determine the clinical effectiveness of shock wave in the treatment of chronic
patient with plantar heel pain in term of pain intensity and function level, to measure any changes in pain level before and
immediately after the treatment and to compare the effectiveness of shock wave therapy with other regular modalities in
physiotherapy.
Methods:
Randomized controlled trial (RCT) with 90 patients with plantar heel pain was selected from the general public
in the same order that they presented in the Physiotherapy Department at Ahmed Ali Kanoo Health Center. Patients were
randomly assigned into three groups: Group A - shockwave therapy group - using Piezoson 100 at each session, 2000 shots
(0.12-.051 mJ/mm2, 50Hz) of shock waves and exercise. Group B - conservative treatment group includes wax therapy and
exercise. Group C - routine care with exercise only. The foot and ankle ability measure (FAAM) were used to measure function
and the visual analogue scale (VAS) to measure the pain intensity.
Results:
Pain intensity data group A (shock wave and exercise) was no immediate reduction. The mean value of pain intensity
was calculated as 7/10 pre intervention. The mean value of pain intensity was calculated as 3.3/10 post intervention. Pain
intensity data for group B (Wax & Exercise) was no change in pain within the same session. The mean value of pain intensity
was calculated as 6.5/10 pre intervention. The mean value of pain intensity was calculated as 5.2/10 post intervention. Pain
intensity data for group C (exercise only) was an immediate reduction, but not lasting for next session. The mean value of pain
intensity was calculated as 6.3/10 pre intervention. The mean value of pain intensity was calculated as 4.2/10 post intervention.
Function has been improved by 80% with group A, 65% with group B and 33% with group C.
Discussion:
The study demonstrated the clinical and statistical efficacy of shock wave therapy in the treatment of chronic
patients with plantar heel pain in term of pain and function. In comparison to other physiotherapy modalities, shock wave
therapy has been proven its effectiveness with other regular modalities in physiotherapy.
eman_matar@yahoo.com