Effect of extracorporeal shockwave therapy on plantar fascia thickness in plantar fasciitis: a systematic review and meta-analysis of randomized controlled trials

被引:4
作者
Simental-Mendia, Mario [1 ]
Simental-Mendia, Luis E. [2 ]
Sanchez-Garcia, Adriana [3 ]
Sahebkar, Amirhossein [4 ,5 ]
Jamialahmadi, Tannaz [6 ]
Vilchez-Cavazos, Felix [1 ]
Pena-Martinez, Victor M. [1 ]
Acosta-Olivo, Carlos [1 ]
机构
[1] Univ Autonoma Nuevo Leon, Univ Hosp Dr Jose Eleuterio Gonzalez, Sch Med, Orthoped Trauma Serv, Ave Francisco I Madero & Ave Dr Jose Eleuterio Gon, Monterrey 64460, Nuevo Leon, Mexico
[2] Inst Mexicano Seguro Social, Biomed Res Unit, Delegac Durango, Durango, Mexico
[3] Univ Autonoma Nuevo Leon, Univ Hosp Dr Jose Eleuterio Gonzalez, Sch Med, Endocrinol Div, Monterrey, Mexico
[4] Mashhad Univ Med Sci, Pharmaceut Technol Inst, Biotechnol Res Ctr, Mashhad, Iran
[5] Mashhad Univ Med Sci, Appl Biomed Res Ctr, Mashhad, Iran
[6] Mashhad Univ Med Sci, Sch Med, Dept Nutr, Mashhad, Iran
关键词
Plantar fasciitis; Plantar fascia; Pain; Extracorporeal shockwave therapy; Systematic review; Meta-analysis; WAVE THERAPY; ULTRASONOGRAPHIC EVALUATION; LASER THERAPY; ULTRASOUND; MANAGEMENT; INJECTION; DIAGNOSIS;
D O I
10.1007/s00402-024-05464-6
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
ObjectiveExtracorporeal shockwave therapy (ESWT) has been used as a therapeutic option for plantar fasciitis. The objective was to investigate the effect of ESWT over the plantar fascia thickness.MethodsMEDLINE, Embase, Web of Science, and SCOPUS databases were searched for randomized controlled trials evaluating the effect of ESWT in patients with plantar fasciitis, comparing ESWT with another treatment. Meta-analysis was conducted using a random-effects model and the generic inverse variance method. Meta-regression and subgroup analyses were also carried out.ResultsA total of 14 studies (867 participants) were included. ESWT significantly decreased plantar fascia thickness (weighted mean difference [WMD], -0.21 mm [95% CI -0.39, -0.02]; p = 0.03). No significant improvement in pain was observed (WMD, -0.51 cm [95% CI -1.04, 0.01]; p = 0.06) compared with non-surgical interventions.ConclusionsOur results suggest that plantar fascia thickness is significantly decreased after ESWT intervention in patients with plantar fasciitis. However, pain relief was not significantly improved compared to other non-surgical interventions.
引用
收藏
页码:3503 / 3516
页数:14
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