Tratamiento de la fascitis plantar mediante ondas de choque
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2015-06-16
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Jaén: Universidad de Jaén
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[ES] La fascitis plantar (FP) afecta al 10% de la población mundial, ocasionando deterioro de la fascia plantar, aumento de grosor y dolor en la planta del pie y el talón, especialmente por la mañana. El objetivo de este trabajo es evaluar la eficacia del tratamiento mediante ondas de choque (TOCH) en la FP para reducir el dolor, así como las limitaciones, incrementar la funcionalidad y calidad de vida. Las búsquedas bibliográficas se han realizado en PubMed y PEDro, utilizando las palabras clave “plantar fasciitis AND shock waves”. Los estudios que se han utilizado tenían que ser ensayos clínicos aleatorizados, que hayan sido publicados desde 2008 y >5 en la escala PEDro. Los resultados muestran que las TOCH en la mayoría de los artículos consiguen mejorías significativas en los niveles de dolor, y en el grosor de la FP, mejorando la funcionalidad y la calidad de vida. Dentro de las TOCH, las ondas de choque radiales presentan resultados ligeramente mejores que las focalizadas. La fasciotomía, los estiramientos y las órtesis también presentan buenos resultados. Concluimos que, en base a los resultados obtenidos, el TOCH debe de ser uno de los principales tratamientos conservadores, ya que la evidencia obtenida lo demuestra.
[EN] Plantar fasciitis (PF) affects 10% of the world population causing deterioration of plantar fascia, and increased pain in the foot and the heel, especially in the morning. The objective of this work is to evaluate the effectiveness of shock wave treatment (SWT) in PF, to reduce pain and limitations and quality of life. The literature searches were performed in PubMed and PEDro using the keywords “plantar fasciitis and shock waves”. The studies that have been reviewed had to the randomized clinical trials published since 2008 and > 5 in PEDro´s scale. Our results showed that SWT in most articles get significant improvements in pain levels as well as the thickness of the fascia improving the functionality and quality of life. Among SWTs, Extracorporeal shockwave therapy present results slightly than those targeted. Fasciotomy, the stretching and orthotics also have good results. In conclusion, and based in our findings, SWT must be one of the main conservative treatment, as evidenced by the evidence obtained.
[EN] Plantar fasciitis (PF) affects 10% of the world population causing deterioration of plantar fascia, and increased pain in the foot and the heel, especially in the morning. The objective of this work is to evaluate the effectiveness of shock wave treatment (SWT) in PF, to reduce pain and limitations and quality of life. The literature searches were performed in PubMed and PEDro using the keywords “plantar fasciitis and shock waves”. The studies that have been reviewed had to the randomized clinical trials published since 2008 and > 5 in PEDro´s scale. Our results showed that SWT in most articles get significant improvements in pain levels as well as the thickness of the fascia improving the functionality and quality of life. Among SWTs, Extracorporeal shockwave therapy present results slightly than those targeted. Fasciotomy, the stretching and orthotics also have good results. In conclusion, and based in our findings, SWT must be one of the main conservative treatment, as evidenced by the evidence obtained.