journal article·2022-03-10Open access

The Efficacy of Instrumental Physical Therapy through Extracorporeal Shock Wave Therapy in the Treatment of Plantar Fasciitis: An Umbrella Review

Francesco Agostini, Massimiliano Mangone, Nikolaos Finamore, Marta Di Nicola, Federico Papa, Giuliano Alessio, Luigi Vetrugno, Angelo Chiaramonte, Giorgia Cimbri, Andrea Bernetti, Marco Paoloni, Teresa Paolucci

Applied Sciences· Volume 12· Issue 6

Abstract

(1) Background: Plantar fasciitis (PF) is the most common cause of heel pain in adults. Extracorporeal shockwave therapy (ESWT) is a minimally invasive treatments commonly used for treating PF. Our aim is to provide a complete overview of which treatments have been compared to ESWT, with a focus on the modalities that have been used. (2) Methods: A thorough search of the literature was performed on Medline via Pubmed, Cochrane Database of Systematic Reviews (CDSR) of the Cochrane Library and Physiotherapy Evidence Databases (PEDro) up to 18 November 2021. In the study were included only systematic reviews and meta-analysis in English language, published from 2010 to date. (3) Results: A total of 14 systematic reviews and meta-analysis were included in the umbrella review. A total of eight studies compared the efficacy of ESWT treatment with placebo, three studies compared ESWT with another therapy (two studies compared ESWT and corticosteroids, one study ESWT and ultrasound therapy), and three studies had more than one comparison. (4) Conclusions: When compared to placebo, ESWT demonstrated to be effective. More randomized trials with specific comparisons between different types and intensity of SW are needed to obtain more precise information on SW effectiveness.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Tendon Structure and Treatment · Myofascial pain diagnosis and treatment · Shoulder Injury and Treatment

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Piazzale Aldo Moro 5, 00185 Rome, Italy

Laboratory of Biostatistics, G. D’Annunzio University of Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy

Physiotherapy, G. D’Annunzio University of Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy

Department of Anesthesia, Critical Care and Pain Medicine, SS. Annunziata Hospital, G. D’Annunzio University of Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy

Unit of Physical and Rehabilitation Medicine, Department of Medical, Oral and Biotechnological Sciences, G. D’Annunzio University of Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy

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