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3차원 동적집속모드 체외충격파 기기를 이용한 족저근막염 치료의 유용성

The Efficacy of Three-Dimensional Sweeping Mode Extracorporeal Shockwave Treatment for Plantar Fasciitis

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초록

Purpose: This was a pilot study to examine the clinical usefulness of the newly developed three-dimensional sweep mode extracorporeal shockwave treatment (ESWT) in patients with plantar fasciitis. Materials and Methods: Three-dimensional sweep mode ESWT was performed once a week for 5 weeks in patients with plantar fasciitis who showed no improvement with the conventional conservative treatment. A 100-mm visual analogue scale (VAS) reading for pain from walking and at rest after walking were collected before the treatment and 8 and 16 weeks after the initial treatment. In addition, the Foot and Ankle Outcome Score (FAOS) and EuroQol-5-dimension (EQ-5D) scores before and 16 weeks after the treatment were evaluated. Results: VAS for pain for walking improved from 50.60±8.38 to 19.80±15.61 at 8 weeks after the initial treatment (p=0.008) and 9.80±9.62 at 16 weeks after the treatment (p<0.001). VAS for pain at rest after walking improved from 36.60±19.55 to 11.80±12.95 at 8 weeks after the initial treatment (p=0.052) and 8.80±8.87 at 16 weeks after the treatment (p=0.024). Preoperative FAOS increased from an average of 74.80±9.73 before the treatment to an average of 81.00±8.86 at week 16 after the procedure (p=0.49) and compared to pre-treatment levels, there was a decrease of one level in the anxiety/depression domain of the EQ-5D, post-treatment. Conclusion: The results of this preliminary study confirmed that the newly developed EWST with the smart forging sweep mode was effective in improving pain and function in plantar fasciitis.

Abstract

Purpose: This was a pilot study to examine the clinical usefulness of the newly developed three-dimensional sweep mode extracorporeal shockwave treatment (ESWT) in patients with plantar fasciitis. Materials and Methods: Three-dimensional sweep mode ESWT was performed once a week for 5 weeks in patients with plantar fasciitis who showed no improvement with the conventional conservative treatment. A 100-mm visual analogue scale (VAS) reading for pain from walking and at rest after walking were collected before the treatment and 8 and 16 weeks after the initial treatment. In addition, the Foot and Ankle Outcome Score (FAOS) and EuroQol-5-dimension (EQ-5D) scores before and 16 weeks after the treatment were evaluated. Results: VAS for pain for walking improved from 50.60±8.38 to 19.80±15.61 at 8 weeks after the initial treatment (p=0.008) and 9.80±9.62 at 16 weeks after the treatment (p<0.001). VAS for pain at rest after walking improved from 36.60±19.55 to 11.80±12.95 at 8 weeks after the initial treatment (p=0.052) and 8.80±8.87 at 16 weeks after the treatment (p=0.024). Preoperative FAOS increased from an average of 74.80±9.73 before the treatment to an average of 81.00±8.86 at week 16 after the procedure (p=0.49) and compared to pre-treatment levels, there was a decrease of one level in the anxiety/depression domain of the EQ-5D, post-treatment. Conclusion: The results of this preliminary study confirmed that the newly developed EWST with the smart forging sweep mode was effective in improving pain and function in plantar fasciitis.

참고문헌 (10)

  1. Kim BS, "Extracorporeal shock wave therapy(ESWT)in patients with chronic proximal plantar fasciitis", J Korean Foot Ankle Soc, 10, pp.163~167 (2006)
  2. 은일수, "족저 근막염의 진단과 치료", 대한족부족관절학회지, 20(3), pp.93~99 (2016), 대한족부족관절학회[DOI]
  3. Choi WJ, "Extracorporeal shock wave therapy for the treatment of refractory plantar fasciitis", J Korean Foot Ankle Soc, 11, pp.51~56 (2007)
  4. 염재광, "근골격계 질환에 대한 체외충격파 치료", 대한정형외과학회지, 53(5), pp.400~406 (2018), 대한정형외과학회[DOI]
  5. 김상범, "족저 근막염 환자에서 체외 충격파 치료의 효과", Annals of Rehabilitation Medicine, 33(3), pp.333~338 (2009), 대한재활의학회
  6. Wang CJ, "Long-term results of extracorporeal shockwave treatment for plantar fasciitis", Am J Sports Med, 34, pp.592~596 (2006)[DOI]
  7. Lohrer H, "Comparison of radial versus focused extracorporeal shock waves in plantar fasciitis using functional measures", Foot Ankle Int, 31, pp.1~9 (2010)[DOI]
  8. Kudo P, "Randomized, placebo-controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracoporeal shockwave therapy(ESWT)device : a North American confirmatory study", J Orthop Res, 24, pp.115~123 (2006)[DOI]
  9. Roos EM, "Validation of the foot and ankle outcome score for ankle ligament reconstruction", Foot Ankle Int, 22, pp.788~794 (2001)[DOI]
  10. EuroQol Group, "EuroQol--a new facility for the measurement of health-related quality of life", Health Policy, 16, pp.199~208 (1990)[DOI]

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