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Arch Phys Med Rehabil. 2014 Aug;95(8):1585-93. doi: 10.1016/j.apmr.2014.01.033. Epub 2014 Mar 21.

Is extracorporeal shock wave therapy clinical efficacy for relief of chronic, recalcitrant plantar fasciitis? A systematic review and meta-analysis of randomized placebo or active-treatment controlled trials.

Author information

1
Department of Orthopedics, Shanghai Longhua Hospital, Shanghai, China.
2
Department of Orthopedics, Shanghai Longhua Hospital, Shanghai, China. Electronic address: Mw2218@hotmail.com.

Abstract

OBJECTIVE:

To assess the efficacy of extracorporeal shockwave therapy (ESWT) and provide clinicians with an evidence base for their clinical decision making.

DATA SOURCES:

PubMed, MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Evidence-Based Medicine Reviews.

STUDY SELECTION:

All randomized or quasi-randomized controlled trials of ESWT for chronic recalcitrant plantar fasciitis were searched. Searching identified 108 potentially relevant articles; of these, 7 studies with 550 participants met inclusion criteria.

DATA EXTRACTION:

Number of patients, population, body mass index, duration of symptoms, adverse effects, blinding method, and details of shockwave therapy were extracted.

DATA SYNTHESIS:

For intervention success rate, ESWT of low intensity was more effective than control treatment of low intensity. For pain relief, the pooled data showed a significant difference between the ESWT and control groups. For function, only low-intensity ESWT was significantly superior over the control treatment.

CONCLUSIONS:

The efficacy of low-intensity ESWT is worthy of recognition. The short-term pain relief and functional outcomes of this treatment are satisfactory. However, owing to the lack of a long-term follow-up, its long-term efficacy remains unknown.

KEYWORDS:

Rehabilitation

PMID:
24662810
DOI:
10.1016/j.apmr.2014.01.033
[Indexed for MEDLINE]

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