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Lasers in Medical Science

, Volume 34, Issue 3, pp 583–593 | Cite as

Clinical effectiveness of multi-wavelength photobiomodulation therapy as an adjunct to extracorporeal shock wave therapy in the management of plantar fasciitis: a randomized controlled trial

  • Mary Kamal Nassif TaklaEmail author
  • Soheir Shethata Rezk-Allah Rezk
Original Article

Abstract

The goal of our study was to investigate the cumulative effect of combining medium-energy extracorporeal shock wave therapy (ESWT) and photobiomodulation therapy (PBMT), as well as to compare between their relative effectiveness in the management of plantar fasciitis (PF). One hundred twenty participants with chronic PF, more than 6 months with failure to respond to conservative treatment, were randomly assigned into four equal groups. Participants received either ESWT with PBMT, ESWT (once a week), PBMT (three times a week), or sham-PBMT (three times a week) for three consecutive weeks. A home exercise program was also included for all four groups. Outcome measures included pressure pain threshold (PPT), visual analogue scale (VAS), and functional foot index disability subscale (FFI-d) that were collected prior to the first treatment session and at the end of the 3-week treatment period, as well as at a follow-up session, 12 weeks after the final treatment session. There were statistically significant improvements in post-intervention and follow-up PPT, VAS, and FFI-d values in all treatment groups (P < 0.0001). As for the sham-PBMT, no significant difference was found between the pre-, post-intervention and follow-up values (P > 0.05). Bonferroni correction test revealed that there was a significant difference between all the four groups in PPT, VAS, and FFI-d values (P < 0.0001). All active treatment groups maintained the treatment effect at the 12-week follow-up. Both ESWT and PBMT were effective in increasing PPT values, decreasing pain and increasing functional ability. Additionally, application of PBMT after ESWT was shown to be superior over ESWT and PBMT alone, and ESWT was superior over PBMT in terms of reducing pain sensitivity and increasing function.

Level of Evidence II.

Keywords

Photobiomodulation therapy Extracorporeal shock wave therapy Plantar fasciitis 

Notes

Compliance with ethical standards

Ethics approval

The Board Council of Higher Education of the School of Physical Therapy, the Institutional Review Board of Higher Education and Research of Cairo University, and the Supreme Council of Universities at Egypt approved this study. The study is prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12617000761369). All participants gave written informed consent before data collection began.

Conflict of interests

None.

Previous presentation or publication

None.

Financial benefits to the authors

None.

References

  1. 1.
    Tsai C, Chang W, Lee J (2010) Effects of short-term treatment with kinesiotaping for plantar fasciitis. J Musculoskelet Pain 18:71–80CrossRefGoogle Scholar
  2. 2.
    Whiting W, Zernicke R, Roxas M (2005) Plantar fasciitis: diagnosis and therapeutic considerations. Altern Med Rev 10:83–93Google Scholar
  3. 3.
    Braddom R, Buschbacher R (2007) Physical medicine & rehabilitation, 3rd edn. Saunders Elsevier, PhiladelphiaGoogle Scholar
  4. 4.
    Lee S, McKeon P, Hertel J (2009) Does the use of orthoses improve self-reported pain and function measures in patients with plantar fasciitis? A meta-analysis. Phys Ther Sport 10:12–18CrossRefGoogle Scholar
  5. 5.
    Buchbinder R (2004) Clinical practice. Plantar fasciitis. N Engl J Med 350(21):2159–2166CrossRefGoogle Scholar
  6. 6.
    Wearing S, Smeathers J, Sullivan P, Yates B, Urry S, Dubois P (2007) Plantar fasciitis: are pain and fascial thickness associated with arch shape and loading? Phys Ther 87:1002–1008CrossRefGoogle Scholar
  7. 7.
    Covey C, Mulder M (2013) Plantar fasciitis: how best to treat? J Fam Pract 62:466–471Google Scholar
  8. 8.
    Díaz López A, Guzmán Carrasco P (2014) Effectiveness of different physical therapy in conservative treatment of plantar fasciitis: systematic review. Rev Esp Salud Publica 88:157–178CrossRefGoogle Scholar
  9. 9.
    Donley G, Moore T, Sferra J (2007) The efficacy of oral nonsteroidal anti-inflammatory medication (NSAID) in the treatment of plantar fasciitis: a randomized, prospective, placebo-controlled study. Foot Ankle Int 28:20CrossRefGoogle Scholar
  10. 10.
    Digiovanni B, Nawoczenski D, Malay D, Graci P, Williams T, Wilding G, Baumhauer J (2006) Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis. A prospective clinical trial with two-year follow-up. J Bone Joint Surg Am 88:1775–1781CrossRefGoogle Scholar
  11. 11.
    Radford J, Landorf K, Buchbinder R, Cook C (2007) Effectiveness of calf muscle stretching for the short-term treatment of plantar heel pain: a randomized trial. BMC Musculoskelet Disord 8:36–42CrossRefGoogle Scholar
  12. 12.
    Chow R, Barnsley L (2005) Systematic review of the literature of low-level laser therapy (LLLT) in the management of neck pain. Lasers Surg Med 37:46–52CrossRefGoogle Scholar
  13. 13.
    Djavid G, Mortazavi S, Basirnia A (2003) Low level laser therapy in musculoskeletal pain syndromes: pain relief and disability reduction. Lasers Surg Med 15:43–43Google Scholar
  14. 14.
    Basford R, Malanga A, Krause A, Harmsen S (1998) A randomized controlled evaluation of low intensity laser therapy: plantar fasciitis. Arch Phys Med Rehabil 79:249–254CrossRefGoogle Scholar
  15. 15.
    Malay D, Pressman M, Assili A (2006) Extracorporeal shockwave therapy versus placebo for the treatment of chronic proximal plantar fasciitis: results of a randomized, placebo-controlled, double-blinded, multicenter intervention trial. J Foot Ankle Surg 4:196–210CrossRefGoogle Scholar
  16. 16.
    Thomas J, Christensen J, Kravitz S (2010) The diagnosis and treatment of heel pain: a clinical practice guide line revision. J Foot Ankle Surg 49:S1–S19CrossRefGoogle Scholar
  17. 17.
    Ogden J, Alvarez R, Levitt R (2001) Shock wave therapy for chronic proximal plantar fasciitis. Clin Orthop Relat Res 387:47–59CrossRefGoogle Scholar
  18. 18.
    Martin R, Davenport T, Reischl S (2014) Heel pain—plantar fasciitis: revision 2014. J Orthop Sports Phys Ther 44(11):A1–A33Google Scholar
  19. 19.
    Lohrer H, Nauck T, Dorn-Lange N (2010) Comparison of radial versus focused extracorporeal shock waves in plantar fasciitis using functional measures. Foot Ankle Int 31:1–9CrossRefGoogle Scholar
  20. 20.
    Konjen N, Napnark T, Janchai S (2015) A comparison of the effectiveness of radial extracorporeal shock wave therapy and ultrasound therapy in the treatment of chronic plantar fasciitis: a randomized controlled trial. J Med Assoc Thail 98:S49–S56Google Scholar
  21. 21.
    Rompe JD, Furia J, Weil L (2007) Shock wave therapy for chronic plantar fasciopathy. Br Med Bull 81-82:183–208CrossRefGoogle Scholar
  22. 22.
    Cosentino R, Falsetti P, Manca S (2001) Efficacy of extracorporeal shockwave therapy for painful heel: a prospective controlled single-blind study. Ann Rheum Dis 60:1064–1067CrossRefGoogle Scholar
  23. 23.
    Hammer D, Rupp S, Kreutz A, Pape D, Kohn D, Seil R (2002) Extracorporeal shock wave therapy (ESWT) in patients with chronic proximal plantar fasciitis. Foot Ankle Int 23:309–313CrossRefGoogle Scholar
  24. 24.
    Metzner G, Dohnalek C, Aigner E (2010) High-energy extracorporeal shock-wave therapy (ESWT) for the treatment of chronic plantar fasciitis. Foot Ankle Int 31:790–796CrossRefGoogle Scholar
  25. 25.
    Vahdatpour B, Sajadieh S, Bateni V, Karami M, Sajjadieh H (2012) Extracorporeal shock wave therapy in patients with plantar fasciitis. A randomized, placebo-controlled trial with ultrasonographic and subjective outcome assessments. J Res Med Sci 17:834–838Google Scholar
  26. 26.
    Finocchietti S, Graven-Nielsen T, Arendt-Nielsen L (2015) Dynamic mechanical assessment of muscle hyperalgesia in humans: the dynamic algometer. Pain Res Manag 20(1):29–34CrossRefGoogle Scholar
  27. 27.
    Graven-Nielsen T, Vaegter H, Finocchietti S, Handberg G, Arendt-Nielsen L (2015) Assessment of musculoskeletal pain sensitivity and temporal summation by pressure algometry: a reliability study. Pain 156(11):2193–2202CrossRefGoogle Scholar
  28. 28.
    Xiong S, Goonetilleke R, Jiang Z (2011) Pressure thresholds of the human foot: measurement reliability and effects of stimulus characteristics. Ergonomics 54(3):282–293CrossRefGoogle Scholar
  29. 29.
    Buchbinder R, Ptasznik R, Gordon J, Buchanan J, Prabaharan V, Forbes A (2002) Ultrasound-guided extracorporeal shock wave therapy for plantar fasciitis: a randomized controlled trial. JAMA 288:1364–1372CrossRefGoogle Scholar
  30. 30.
    Landorf KB, Radford JA, Hudson S (2010) Minimal important difference (MID) of two commonly used outcome measures for foot problems. J Foot Ankle Res 3:7CrossRefGoogle Scholar
  31. 31.
    Budiman-Mak E, Conrad K, Mazza J, Stuck R (2013) A review of the foot function index and the foot function index—revised. J Foot Ankle Res 6:5CrossRefGoogle Scholar
  32. 32.
    Martin R, Irrgang J (2007) A survey of self-reported outcome instruments for the foot and ankle. J Orthop Sports Phys Ther 37:72–84CrossRefGoogle Scholar
  33. 33.
    Landorf K, Radford J (2008) Minimal important difference: values for the foot health status questionnaire, foot function index and visual analogue scale. Foot 18(1):15–19CrossRefGoogle Scholar
  34. 34.
    Cheing L, Chang H, Lo K (2007) A comparison of the effectiveness of extracorporeal shock wave and ultrasound therapy in the management of heel pain. Shock Waves 17:195–201CrossRefGoogle Scholar
  35. 35.
    Jenkins A, Carroll D (2011) How to report low-level laser therapy (LLLT)/photomedicine dose and beam parameters in clinical and laboratory studies. Photomed Laser Surg 29:785–787CrossRefGoogle Scholar
  36. 36.
    Coughlin MJ, Mann RA, Saltzman CL (2013) Mann’s surgery of the foot and ankle, 9th edn. Elsevier Saunders, PhiladelphiaGoogle Scholar
  37. 37.
    DiGiovanni B, Moore A, Zlotnicki J, Pinney S (2012) Preferred management of recalcitrant plantar fasciitis among orthopaedic foot and ankle surgeons. Foot Ankle Int 33:507–512CrossRefGoogle Scholar
  38. 38.
    Kudo P, Dainty K, Clarfield M (2006) Randomized, placebo-controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracorporeal shockwave therapy (ESWT) device: a North American confirmatory study. J Orthop Res 24:115–123CrossRefGoogle Scholar
  39. 39.
    Weil S, Roukis S, Borrelli H (2002) Extracorporeal shock wave therapy for the treatment of chronic plantar fasciitis: indications, protocol, intermediate results, and a comparison of results to fasciotomy. J Foot Ankle Surg 3:166–172CrossRefGoogle Scholar
  40. 40.
    Park J, Yoon K, Chun K (2014) Long-term outcome of low-energy extracorporeal shock wave therapy for plantar fasciitis: comparative analysis according to ultrasonographic findings. Ann Rehabil Med 38:534–540CrossRefGoogle Scholar
  41. 41.
    Haake M, Buch M, Schoellner C, Goebel F, Vogel M, Mueller I (2003) Extracorporeal shock wave therapy for plantar fasciitis: randomised controlled multicentre trial. BMJ 327(7406):75CrossRefGoogle Scholar
  42. 42.
    Speed A, Nichols D, Wies J, Humphreys H, Richards C, Burnet S (2003) Extracorporeal shock wave therapy for plantar fasciitis. A double blind randomised controlled trial. J Orthop Res 21(5):937–940CrossRefGoogle Scholar
  43. 43.
    Jastifer J, Catena F, Doty J, Stevens F, Coughlin M (2014) Low-level laser therapy for the treatment of chronic plantar fasciitis: a prospective study. Foot Ankle Int 35(6):566–571CrossRefGoogle Scholar
  44. 44.
    Alves A, Vieira R, Leal-Junior E (2013) Effect of low level laser therapy on the expression of inflammatory mediators and on neutrophils and macrophages in acute joint inflammation. Arthritis Res Ther 15:R116CrossRefGoogle Scholar
  45. 45.
    Alves A, Fernandes K, Melo C (2014) Modulating effect of low level-laser therapy on fibrosis in the repair process of the tibialis anterior muscle in rats. Lasers Med Sci 29(2):813–821CrossRefGoogle Scholar
  46. 46.
    Casalechi L, Leal-Junior E, Xavier M (2013) Low-level laser therapy in experimental model of collagenase-induced tendinitis in rats: effects in acute and chronic inflammatory phases. Lasers Med Sci 28:989–995CrossRefGoogle Scholar
  47. 47.
    Guerra F, Vieira C, Almeida MS (2013) LLLT improves tendon healing through increase of MMP activity and collagen synthesis. Lasers Med Sci 28:1281–1288CrossRefGoogle Scholar
  48. 48.
    Kiritsi O, Tsitas K, Malliaropoulos N, Mikroulis G (2010) Ultrasonographic evaluation of plantar fasciitis after low-level laser therapy: results of a double-blind, randomized, placebo-controlled trial. Lasers Med Sci 25:275–281CrossRefGoogle Scholar
  49. 49.
    Cinar E, Saxena S, Uygur F (2018) Combination therapy versus exercise and orthotic support in the management of pain in plantar fasciitis: a randomized controlled trial. Foot Ankle Int 39(4):406–414CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Basic Science for Physical Therapy, Faculty of Physical TherapyCairo UniversityGizaEgypt

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