RESUMO
Introducción y objetivos: La Fascitis plantar (FP) es una causa frecuente de talalgia y discapacidad. Pretendemos valorar la efectividad del Tratamiento con Ondas de Choque (TOC) Focales Piezoeléctricas con apoyo ecográfico y mantenimiento del efecto a 3 y 6 meses. Material y Métodos: Estudio retrospectivo cuasi-experimental junio 2015 a Junio 2017, con 90 pacientes, 36,6% hombres y 63,3% mujeres, edad media 52 años, diagnosticados de FP. Se realizaron 3 sesiones (una semanal durante 3 semanas) de tratamiento con Ondas de Choque (Generador PiezoWave F10 G4), con apoyo ecográfico, con revisión semanal, a los 3 y 6 meses. Variables principales: dolor, cuantificado mediante Escala Visual Analógica (EVA) antes y después de cada sesión, a los 3 y 6 mesesy Escala de Roles y Maudsley al final del tratamiento y a los 3 y 6 meses. Se aplicaron 2000 pulsos por sesión, energía media 0,45 mJ/mm2, mediana de frecuencia 8 MHz y mediana de profundidad del foco 15 mm. Resultados: Se obtuvo mejoría estadísticamente significativa mediante EVA entre las 3 sesiones de tratamiento y al cabo de 3 y 6 meses post-tratamiento, obteniendo una mejoría estadísticamente significativa en todos los valores (p <0.05). Según la escala Roles y Maudsley, el 69,7% de los pacientes consideran el resultado bueno o excelente a los 3 meses y un 68,9% a los 6 meses; resultado estadísticamente significativo. Conclusión: El TOC piezoeléctricas focales con apoyo ecográfico puede constituir una buena opción terapéutica en FP. Reduce el dolor desde la primera sesión, y consigue una percepción subjetiva de la mejoría mantenida a los 6 meses post-tratamiento
Introduction: Plantar fasciitis (PF) is one of the most frequent causes of thalalgia and disability. The effectiveness of extracorporeal shock wave therapy is an ideal alternative to conservative treatments. Objetive: To evaluate the effectiveness of the treatment with Piezoelectric Focal Shock Waves with echographic support and maintenance of the effect at 3 and 6 months. Materials and Methods: Causi-experimental, retrospective statistical study,June 2015 to June 2017, of 90 patients, 36.6% men and 63.3% women, with a mean age of 52 years, diagnosed with PF. Three sessions (one weekly for 3 weeks) of shock wave therapy (PiezoWave F10 G4 generator) were performed, with echographic support and weekly revision and at 3 and 6 months. Main variables: pain,using Visual Analog Scale before and after each session and at 3 and 6 months and Roles and Maudsley Scale at the end of treatment and at 3 and 6 months. Results: 2000 pulses per session were applied, medium energy intensity 0.45 mJ /mm2, median frequency 8 MHz and median depth of focus of 15 mm. Statistically significant improvement was observed in the Visual Analog Scale between the 3 treatment sessions and after 3 and 6 months posttreatment,obtaining a statistically significant improvement in all values (p <0.05). Conclusion: Treatment with piezoelectric focal shock waves in PF may reduces pain from the first session and achieves a subjective perception of improvement, maintaining these results at 6 months post-treatment
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Fasciíte Plantar/cirurgia , Procedimentos Cirúrgicos Ultrassônicos/métodos , Manejo da Dor , Medição da Dor , Estudos Retrospectivos , Fatores de Tempo , Resultado do TratamentoRESUMO
INTRODUCTION: Plantar fasciitis (PF) is one of the most frequent causes of thalalgia and disability. The effectiveness of extracorporeal shock wave therapy is an ideal alternative to conservative treatments. OBJETIVE: To evaluate the effectiveness of the treatment with Piezoelectric Focal Shock Waves with echographic support and maintenance of the effect at 3 and 6 months. MATERIALS AND METHODS: Causi-experimental, retrospective statistical study,June 2015 to June 2017, of 90 patients, 36.6% men and 63.3% women, with a mean age of 52 years, diagnosed with PF. Three sessions (one weekly for 3 weeks) of shock wave therapy (PiezoWave F10 G4 generator) were performed, with echographic support and weekly revision and at 3 and 6 months. MAIN VARIABLES: pain,using Visual Analog Scale before and after each session and at 3 and 6 months and Roles and Maudsley Scale at the end of treatment and at 3 and 6 months. RESULTS: 2000 pulses per session were applied, medium energy intensity 0.45 mJ /mm2, median frequency 8 MHz and median depth of focus of 15 mm. Statistically significant improvement was observed in the Visual Analog Scale between the 3 treatment sessions and after 3 and 6 months posttreatment,obtaining a statistically significant improvement in all values (p <0.05). CONCLUSION: Treatment with piezoelectric focal shock waves in PF may reduces pain from the first session and achieves a subjective perception of improvement, maintaining these results at 6 months post -treatment.
