Comparative Effectiveness of High-intensity Laser Therapy and Radial Extracorporeal Shock Wave Therapy in Chronic Plantar Fasciitis: A Randomized, Single-blind Clinical Trial
Keywords:
chronic plantar fasciitis, high-intensity laser therapy, radial extracorporeal shock wave therapy, physical therapyAbstract
Objectives: To compare the effectiveness of high-intensity laser therapy (HILT) and radial extracorporeal shock wave therapy (rESWT) in reducing pain and improving foot function in patients with chronic plantar fasciitis (PF)
Study design: A randomized, single-blinded, non-inferiority clinical trial
Setting: Sirindhorn National Medical Rehabilitation Institute, Nonthaburi, Thailand
Subjects: Fifty-two patients suffering from chronic PF
Methods: Participants were randomly assigned to receive a total of 9 sessions of HILT or a total of 3 sessions of rESWT. Outcome measures were the visual analog scale (VAS) and the Thai version of the Foot and Ankle Ability Measure (FAAM) at 0, 3, and 7 weeks.
Results: There was no statistically significant difference between the two groups in VAS at baseline. The FAAM and VAS of both groups showed significant improvement at 3 and 7 weeks (p < 0.05). For instance, the FAAM scores of the rESWT group had significant improvement at 3 and 7 weeks (p < 0.05), while the FAAM scores of the HILT group had significant improvement only at 7 weeks (p < 0.05). There was no statistically significant difference in the VAS and total FAAM scores between the two groups. However, the rESWT group showed significant improvement compared to the HILT group in the ADL subgroup of FAAM at 3 weeks (p < 0.05).
Conclusions: HILT and rESWT for chronic PF have no statistical different pain reduction effect at 3 and at 7 weeks. Regarding foot function, rESWT helps improve ADL at 3 weeks but not in HILT. Both treatments improve overall foot function at 7 weeks.
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