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Zare Bidoki, Marzieh, Vafaeei Nasab, Mohammad Reza, Khatibi Aghda, Amidodin. (1402). Comparison of High-intensity Laser Therapy with Extracorporeal Shock Wave Therapy in the Treatment of Patients with Plantar Fasciitis: A Double-blind Randomized Clinical Trial. سامانه مدیریت نشریات علمی, 49(3), 147-155. doi: 10.30476/ijms.2023.98042.2991
Marzieh Zare Bidoki; Mohammad Reza Vafaeei Nasab; Amidodin Khatibi Aghda. "Comparison of High-intensity Laser Therapy with Extracorporeal Shock Wave Therapy in the Treatment of Patients with Plantar Fasciitis: A Double-blind Randomized Clinical Trial". سامانه مدیریت نشریات علمی, 49, 3, 1402, 147-155. doi: 10.30476/ijms.2023.98042.2991
Zare Bidoki, Marzieh, Vafaeei Nasab, Mohammad Reza, Khatibi Aghda, Amidodin. (1402). 'Comparison of High-intensity Laser Therapy with Extracorporeal Shock Wave Therapy in the Treatment of Patients with Plantar Fasciitis: A Double-blind Randomized Clinical Trial', سامانه مدیریت نشریات علمی, 49(3), pp. 147-155. doi: 10.30476/ijms.2023.98042.2991
Zare Bidoki, Marzieh, Vafaeei Nasab, Mohammad Reza, Khatibi Aghda, Amidodin. Comparison of High-intensity Laser Therapy with Extracorporeal Shock Wave Therapy in the Treatment of Patients with Plantar Fasciitis: A Double-blind Randomized Clinical Trial. سامانه مدیریت نشریات علمی, 1402; 49(3): 147-155. doi: 10.30476/ijms.2023.98042.2991

Comparison of High-intensity Laser Therapy with Extracorporeal Shock Wave Therapy in the Treatment of Patients with Plantar Fasciitis: A Double-blind Randomized Clinical Trial

Iranian Journal of Medical Sciences
مقاله 2، دوره 49، شماره 3، خرداد 2024، صفحه 147-155    اصل مقاله (328.02 K)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2023.98042.2991
نویسندگان
Marzieh Zare Bidoki* ؛ Mohammad Reza Vafaeei Nasab؛ Amidodin Khatibi Aghda
Department of Physical Medicine and Rehabilitation, School of Medicine. Shahid Sadoughi University of Medical Sciences, Yazd, Iran
چکیده
Background: The most common cause of heel pain is plantar fasciitis (PF). Although conservative treatments relieve pain in more than 90% of patients, it may remain painful in some cases. This study aimed to compare High-intensity Laser Therapy (HILT) with Extracorporeal Shock Wave Therapy (ESWT) in patients with PF.
Methods: In this double-blinded randomized clinical trial (conducted in Yazd, Iran, from May 2020 to March 2021), patients were classified into two groups, including the ESWT and HILT, using online randomization. Nine sessions, three times a week for 3 weeks, were the treatment period in both groups. Visual Analogue Score (VAS), Heel Tenderness Index (HTI), and the SF36 questionnaire were compared and analyzed statistically at the beginning and 9 months after treatment. 
Results: 38 patients (19 in each group) completed the study. Results showed that pain and patient satisfaction improved significantly 3 months after treatment. The VAS and HTI decreased 3 months after treatment in both groups, which was statistically significant (P<0.001). The SF36 score in both groups increased 3 months after treatment, and this increase was statistically significant (P<0.001). Although the two modalities were effective based on VAS, HTI, and SF36, a significant statistical difference was observed between them (P=0.03, P=0.006, P=0.002, respectively), and the HILT was more effective.
Conclusion: ESWT and HILT decrease pain and increase patient satisfaction in PF. Besides, both methods are non-invasive and safe. However, there is a significant difference between them, and HILT is more effective.
Trial registration number: IRCT20210913052465N1.
کلیدواژه‌ها
Physical Therapy Modalities؛ Laser Therapy؛ Fasciitis Plantar؛ Conservative Treatment؛ Patient Satisfaction
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