Shock-wave therapy improved outcome with plantar fasciitis: a meta-analysis of randomized controlled trials
- 133 Downloads
Shock-wave therapy (SWT) has been widely applied and proven to be an effective treatment in ameliorating symptoms of plantar fasciitis (PF). Ultrasound therapy (UT) is another common treatment of PF, and several researches have documented its advantages when compared to corticosteroid injection. Despite this, few studies have focused on comparing the use of SWT and UT in the treatment of PF. The purpose of our meta-analysis is to evaluate whether SWT is better than UT in managing PF, both in terms of ameliorating pain and improving functionality.
A systematic search of the literature was conducted to identify relevant articles that were published in Pubmed, Medline, Embase, the Cochrane Library, SpringerLink, Clinical Trials.gov and OVID from the databases’ inception to October 2018. All studies comparing the efficacy of SWT and UT in terms of pain levels and functionality improvement were included. Data on the two primary outcomes were collected and analyzed using the Review Manager 5.3.
Five studies were included in the current meta-analysis. A significant difference in VAS score (MD = − 13.14, Cl − 14.07 to − 12.75 P < 0.00001, I2 = 100%) was noted between the SWT group and the UT group. No significant difference was seen in the AOFAS (MD = 3.19, Cl − 1.72 to 8.10 P = 0.20, I2 = 100%); FFI or PFPS score was not found significant difference either (SMD = − 1.17, Cl − 4.45 to 2.10 P = 0.48, I2 = 96%).
The results from this meta-analysis highlight the effectiveness of both SWT and UT in the treatment of PF. Although inter-group differences were not significant, the VAS score was better improved in the SWT group, suggesting that SWT may be a superior alternative for the treatment of PF.
KeywordsPlantar fasciitis Shock wave Ultrasound Therapy
Visual analog scale
Heel tenderness index
Foot function index
Plantar fasciitis pain and disability scale
American orthopaedic foot and ankle society
Randomized controlled trial
This work was accomplished with the help of the library of Huazhong University of Science and Technology.
YX and HX participated in the design of the study; BM and YL carried out data curation; JL and QW performed the statistical analysis; LC and QW carried out investigation; BM and CY carried out project administration; YS and WZ operated software; YX carried out supervision; LH and WZ carried out validation; YX and HX conceived the study, and participated in its design and coordination and helped to draft the manuscript; GL. YX and AP participated in the sequence alignment and drafted the manuscript. All authors read and approved the final manuscript.
This study was supported by grants from the National Natural Science Foundation of China (No. 81772345). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Compliance with ethical standards
Conflict of interest
All the authors responsible for this work declare no conflict of interest.
- 20.Krukowska J, Wrona J, Sienkiewicz M et al (2016) A comparative analysis of analgesic efficacy of ultrasound and shock wave therapy in the treatment of patients with inflammation of the attachment of the plantar fascia in the course of calcaneal spurs. Arch Orthop Trauma Surg 136:1289–1296CrossRefGoogle Scholar
- 31.Boerner E, Torun´-Kotarska E, Kusiciel-Lewandowska J (2009) The comparison of the efficiency of ultrasounds therapy of calcanean spur depending on therapeutic dose. Acta Bio-Opt Inf Med 15(3):230–233Google Scholar
- 32.Straburzyn´ska-Lupa A, Kornacka A (2005) Ultrasound therapy in the treatment of calcar pedis-own experiences. Ortop Traumatol Rehabil 7(1):79–86Google Scholar