Clinical Application of Extracorporeal Shock Wave Therapy in the Treatment of Plantar Fasciitis

體外震波治療在足底筋膜炎之臨床應用

李文宏(Wen-Hong Lee) ； 許晉榮(Chin-Jung Hsu) ； 許弘昌(Horng-Chaung Hsu) ； 曾國峰(Kuo-Fung Tseng)

《Mid-Taiwan Journal of Medicine》 11卷4期 (2006/12) Pp. 230-235

https://doi.org/10.6558/MTJM.2006.11(4).4

摘要

目的　足底筋膜炎是常見之疾病，其治療方法有數種非手術治療，自1990年代起體外震波治療亦用於治療此疾病，本文報告臨床應用體外震波治療足底筋膜炎一年之結果。
方法　從2002年7月到2003年3月，37位病人（45足跟）患有足底筋膜炎症狀超過6個月，在局部麻醉下，每處患足接受1至3次體外震波治療，每次治療包含能量密度0.55mJ/平方公厘之震波1000次。病人之基本資料、治療前和治療後之疼痛指數、滿意度和功能分數在治療後6週、12週、6個月和12個月作分析比較。
結果　除了2位病人（2足跟）失去追蹤，其餘弱位病人（43足跟）皆無併發症。於治療後12個月疼痛指數從6.87±2.00降至1.05±1.7B，疼痛緩解率為67.4%，功能分數從40.5±15.4增至86.9±18.2，功能優良率為85.7%，滿意率為72.1%。
結論　體外震波治療對於慢性足底筋膜炎是安全且有效的，在頑強疼痛的慢性足底筋膜炎考慮手術治療前應先考慮體外震波治療。

關鍵字

體外震波治療 ； 足底筋膜炎

並列摘要

Purpose. Plantar fasciitis is a common disorder. Several non-operative treatments have been advocated for the management of this condition. Extracorporeal shock wave therapy (ESWT) has been used in the treatment of this disorder since the early 1990's. We present the results of a one-year clinical application of ESWT to treat plantar fasciitis.
Methods. We enrolled 37 patients (45 heels) who had suffered from planter fasciitis for more than 6 months from July 2002 to March 2003. Under local anesthesia, all patients received one to three sessions of ESWT. Each session consisted of 1000 acoustic shock wave pulses with an energy density of 0.55 mJ/mm^2. Follow-up examinations were conducted at 6 weeks, 12 weeks, 6 months, and 12 months. Patients' general data, visual analog pain scales, satisfaction, and functional scores were measured and analyzed pre-treatment and at 6 weeks, 12 weeks, 6 months, and 12 months post-treatment.
Results. A total of two patients (2 heels) were lost to follow-up. Among the remaining 35 patients (43 heels), there were no systemic or local complications. Pain scales decreased from 6.87±2.00 pre-ESWT to 1.05±1.73 at 12 months post-ESWT. The pain-relief rate was 67.4% at 12 months post- ESWT. Functional scores increased from 40.5±15.4 pre-ESWT to 86.9±18.2 at 12 months post-ESWT. The good to excellent result rate was 85.7% at 12 months post-ESWT. The satisfaction rate was 72.1% at 12 months post-ESWT.
Conclusions. ESWT is safe and effective for the treatment of chronic plantar fasciitis. It should be considered before any surgical treatment.

並列關鍵字

extracorporeal shock wave therapy ； plantar fasciitis