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Ekstrakorporeal şok dalga tedavi (eswt) uygulamasının plantar fasiitis kaynaklı topuk ağrısına erken ve orta dönem etkisi

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2012

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Short and medium-term results of eswt on heel pain caused by plantar fasciitis Objective: To investigate the short and medium-term effects of ESWT on heel pain and tenderness in patients with plantar fasciitis. Subjects and methods: porty-one subjects (13 men, 28 women) who were diagnosed as suffering with plantar fasciitis symptoms longer than six weeks were participated in the study. The patients were treated in 3 sessions at intervals of 1week with 2000 impulses per session at a pressure of 2.0 bars and a frequency of 15 Hertz. The evaluation consisted of assessments of pain (VAS) and was performed before treatment and weekly intervals for 3 weeks, then 3 months after last session. Results: All mean post-treatment VAS scores were significantly lower than the pre-treatment scores (pre-treatment mean VAS=75.34, week1 mean VAS=49.43, week2 mean VAS=38.53, week3 mean VAS=23.04, and month3 mean VAS=20.39). There was no significant difference between mean VAS score at 1 week after last session (week3) and mean VAS score at 3 months after last session (month3) (23.04 ± 16.41 and 20.39, ± 22.98, respectively p>0,001). Conclusion: Three treatments with 2000 impulses of low-energy shock waves were a safe and effective method for treatment of hell pain caused by chronic plantar fasciitis.
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Abstract (Original Language): 
Amaç: Topuk ağrısı olan, Plantar fasiitis tanılı hastalarda ESWT tedavisinin, ağrı şiddeti ve hassasiyet üzerine olan kısa ve orta dönem etkilerinin araştırılması amaçlandı. Hastalar ve yöntem: Klinik olarak plantar fasiitis tanısı almış, semptomları 6 haftadan uzun süren 28'i kadın, 13'ü erkek olmak üzere toplam 41 hasta çalışmaya dahil edildi. Tüm hastalara 15 Hz frekans, 2.0 Barr yoğunluk ve 2000 atım/seans olmak üzere birer hafta ara ile toplam 3 seans ESWT tedavisi uygulandı. Hastaların ağrı şiddetleri tedavi öncesi ve her tedaviden bir hafta sonra ve son tedavi seansından 3 ay sonra olmak üzere 10 santimetrelik Vizüel Ağrı Skalası (VAS) ile değerlendirildi. Bulgular: Tedavi sonrası 1. haftadan itibaren tüm VAS skoru değerleri tedavi öncesine göre anlamlı olarak daha düşük saptandı (p < 0,001) (tedavi öncesi VAS ort; 75.34,1. hafta sonu VAS ort; 49.43, 2. hafta sonu VAS ort; 38.53, 3. hafta sonu VAS ort; 23.04, 3. ay sonu VAS ort; 20.39). Son tedavi seansından 1 hafta sonra (haf3) değerlendirilen VAS skoru ile tedavi bitiminden 3 ay sonra (ay3) değerlendirilen VAS skoru arasında istatistiksel anlamlı bir fark (23.04 ± 16.41; 20.39, ± 22.98, p>0,001) yoktu. Sonuç: 2000'er atım olarak uygulanan, 3 seans düşük enerjili şok dalga tedavisi, kronik plantar fasiitis kaynaklı topuk ağrısının tedavisinde etkili ve güvenli bir yöntemdir.
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  • 2
37-42
  • Turkish

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