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KMID : 1035420210090040237
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Journal of The Korean Society of Integrative Medicine
2021 Volume.9 No. 4 p.237 ~ p.249
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Comparison of the Effects of Physiotherapy vs. Corticosteroid Injection in Patients with Chronic Plantar Fasciitis
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Choo Yeon-Ki
Kim Hyeon-Su
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Abstract
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Purpose : This study was to investigate the effectiveness of ESWT and plantar fascia-specific stretching exercise vs ESWT and high-load strengthening exercise in patients with chronic plantar fasciitis.
Methods : The subjects were randomized to extracorporeal shock wave therapy ( ESWT, for 3 weeks) and daily plantar-specific stretching (Group Ⅰ: Stretch group) or ESWT and high-load progressive strength (Group Ⅱ: Strength group) performed every second day. The main outcome measures were ultrasound, visual analogue scale (VAS), and Korean Foot Function Index (KFFI). The ultrasound (plantar fascia thickness), pain intensity Ⅰ, Ⅱ (the most painful of the day?, the pain when you first step in the morning?) and KFFI (functional performance) were compared between the groups.
Results : No significant difference was observed between the groups in the plantar fascia thickness but pain intensity Ⅰ, Ⅱ was significantly lower in Group 2 than in Group 1 at only 12weeks and functional performance was also significantly increased in Group 2 compared to Group 1 at only 12 weeks.
Conclusion : The high-load strengthening exercise consisting of the progressive exercise protocol, resulted in superior after 12 weeks compared with plantar-specific stretching. High-load strength exercise may aid in a quicker reduction in pain and improvements in functional performance.
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KEYWORD
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chronic plantar fasciitis, corticosteroid injection, extracorporeal shock wave therapy, high-load strengthening exercise, physiotherapy
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