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Comparison of different energy densities of extracorporeal shock wave therapy (ESWT) for the management of chronic heel pain

机译:体外冲击波治疗慢性足跟痛不同能量密度的比较

摘要

Objective: To compare the effectiveness of different energy densities of extracorporeal shock wave therapy (ESWT) for managing chronic heel pain. Design: A randomized clinical trial. Setting: Hospital-based practice. Subjects: Fifty-seven patients with chronic heel pain were recruited; eight patients withdrew from the study. Interventions: Subjects were randomized into three groups receiving: (1) a 'fixed' energy density, (2) 'maximum tolerable' energy density, or (3) control treatment once a week for three weeks. Outcome measures: Pain on palpation, pain on tension, maximum tolerable walking/standing duration and Foot Function Index were assessed before treatment in each treatment session and at the three-week follow-up. Results: By week 3, the 'maximum tolerable' energy density group experienced a 66% cumulative reduction in pain from tension, a 65% reduction on palpation and a 112% cumulative increase in maximum tolerable walking/standing duration. The 'fixed' energy density group experienced a 45% cumulative reduction in pain from tension, a 32% reduction in pain on palpation, and a 45% increase in walking/standing tolerance. The 'maximum tolerable' energy density group also showed a significantly greater reduction in Foot Function Index scores than the other two groups. Therapeutic effects were maintained at least up to the three-week follow-up period. The control group had no significant changes in any outcome measures across time periods. Conclusion: The delivery of ESWT with a maximum tolerable energy density is a more effective treatment protocol than a fixed energy density in terms of relieving pain and restoring the functional activity of people suffering from chronic heel pain. The analgesic effects were maintained at least up to the three-week follow-up.
机译:目的:比较不同能量密度的体外冲击波疗法(ESWT)治疗慢性足跟痛的效果。设计:一项随机临床试验。地点:医院实践。研究对象:57例慢性足跟痛患者。八名患者退出研究。干预措施:将受试者随机分为三组,分别接受:(1)“固定”能量密度,(2)“最大可耐受”能量密度,或(3)每周一次,连续三周进行对照治疗。结果指标:在每次治疗前和三周的随访中评估触诊疼痛,紧张疼痛,最大可忍受步行/站立时间和足功能指数。结果:到第3周,“最大可忍受”能量密度组的紧张性疼痛累积减轻了66%,触诊减少了65%,最大可忍受步行/站立时间累计增加了112%。 “固定”能量密度组的紧张性疼痛累积减少了45%,触诊疼痛减少了32%,步行/站立耐力增加了45%。 “最大可容忍”能量密度组的足功能指数评分也明显低于其他两组。至少在三周的随访期间内保持治疗效果。对照组在各个时间段内的任何结局指标中均无显着变化。结论:就减轻疼痛和恢复慢性足跟痛患者的功能活动而言,具有最大可承受能量密度的ESWT的输送比固定能量密度更有效的治疗方案。镇痛作用至少维持到三周随访。

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    Chow IHW; Cheing GLY;

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  • 年度 2007
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  • 原文格式 PDF
  • 正文语种 eng
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