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Extracorporeal shock wave therapy for plantar fasciitis: randomised controlled multicentre trial.

TitelExtracorporeal shock wave therapy for plantar fasciitis: randomised controlled multicentre trial.
Publication TypeJournal Article
Year of Publication2003
AuthorsHaake, M, Buch, M, Schoellner, C, Goebel, F, Vogel, M, Mueller, I, Hausdorf, J, Zamzow, K, Schade-Brittinger, C, Mueller, H-H
JournalBMJ
Volume327
Issue7406
Pagination75
Date Published2003 Jul 12
ISSN1756-1833
SchlüsselwörterFersensporn, Stoßwelle-Fersensporn
Abstract

OBJECTIVE: To determine the effectiveness of extracorporeal shock wave therapy compared with placebo in the treatment of chronic plantar fasciitis.

DESIGN: Randomised, blinded, multicentre trial with parallel group design.

SETTING: Nine hospitals and one outpatient clinic in Germany.

PARTICIPANTS: 272 patients with chronic plantar fasciitis recalcitrant to conservative therapy for at least six months: 135 patients were allocated extracorporeal shock wave therapy and 137 were allocated placebo.

MAIN OUTCOME MEASURES: Primary end point was the success rate 12 weeks after intervention based on the Roles and Maudsley score. Secondary end points encompassed subjective pain ratings and walking ability up to a year after the last intervention.

RESULTS: The primary end point could be assessed in 94% (n=256) of patients. The success rate 12 weeks after intervention was 34% (n=43) in the extracorporeal shock wave therapy group and 30% (n=39) in the placebo group (95% confidence interval - 8.0% to 15.1%). No difference was found in the secondary end points. Few side effects were reported.

CONCLUSIONS: Extracorporeal shock wave therapy is ineffective in the treatment of chronic plantar fasciitis.

DOI10.1136/bmj.327.7406.75
Alternate JournalBMJ
PubMed ID12855524
PubMed Central IDPMC164919
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