Comparing the Efficacy of Dry Needling and Extracorporeal Shock Wave Therapy in Treatment of Plantar Fasciitis

Background and purpose: Plantar fasciitis is the most common cause of metatarsus pain. The purpose of this study was to compare improvements in pain and function in patients treated with Extracorporeal Shock Wave Therapy (ESWT) and dry needling. Materials and methods: In a randomized controlled clin...

Full description

Bibliographic Details
Main Authors: Mohammad Rahbar, Ali Kargar, Fariba Eslamian, Neda Dolatkhah
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2018-09-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-10214-en.html
_version_ 1797943799293411328
author Mohammad Rahbar
Ali Kargar
Fariba Eslamian
Neda Dolatkhah
author_facet Mohammad Rahbar
Ali Kargar
Fariba Eslamian
Neda Dolatkhah
author_sort Mohammad Rahbar
collection DOAJ
description Background and purpose: Plantar fasciitis is the most common cause of metatarsus pain. The purpose of this study was to compare improvements in pain and function in patients treated with Extracorporeal Shock Wave Therapy (ESWT) and dry needling. Materials and methods: In a randomized controlled clinical trial, 72 patients with plantar fasciitis were randomly divided into two groups. The first group was treated with ESWT and the second group was treated by dry needling. Performance variables based on Foot Function Index (FFI) and pain based on Visual Analogue Scale (VAS) were evaluated before treatment, and 4 weeks and 8 weeks after treatment using SPSS V16. Results: There were 72 patients (mean age: 44.1±9.4) mainly females (n=54). Following 4 weeks and 8 weeks, both methods significantly reduced the pain index measured by VAS and FFI score compared with those before treatment. No significant difference was found between the two groups after 4 weeks of treatment in pain index measured by VAS and FFI score (P= 0.668 and P= 0.011, respectively). But, 8 weeks after the treatment, the rate of pain reduction, and FFI increased significantly in the group treated by dry needling (P= 0.011 and P=0.013). Conclusion: Both ESWT and dry needling were found to be effective in treatment of plantar fasciitis, but dry needling showed to be more efficient in 8 weeks after treatment.   (Clinical Trials Registry Number: IRCT201610014104N6)
first_indexed 2024-04-10T20:29:55Z
format Article
id doaj.art-b2bd043710d9471e923ad7e9c8da942a
institution Directory Open Access Journal
issn 1735-9260
1735-9279
language English
last_indexed 2024-04-10T20:29:55Z
publishDate 2018-09-01
publisher Mazandaran University of Medical Sciences
record_format Article
series Journal of Mazandaran University of Medical Sciences
spelling doaj.art-b2bd043710d9471e923ad7e9c8da942a2023-01-25T07:29:46ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792018-09-01281645362Comparing the Efficacy of Dry Needling and Extracorporeal Shock Wave Therapy in Treatment of Plantar FasciitisMohammad Rahbar0Ali Kargar1Fariba Eslamian2Neda Dolatkhah3 Assistant Prtofessor, Department of Physical Medicine and Rehabilitation, Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Assistant Professor, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran 3 Assistant Professor, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Background and purpose: Plantar fasciitis is the most common cause of metatarsus pain. The purpose of this study was to compare improvements in pain and function in patients treated with Extracorporeal Shock Wave Therapy (ESWT) and dry needling. Materials and methods: In a randomized controlled clinical trial, 72 patients with plantar fasciitis were randomly divided into two groups. The first group was treated with ESWT and the second group was treated by dry needling. Performance variables based on Foot Function Index (FFI) and pain based on Visual Analogue Scale (VAS) were evaluated before treatment, and 4 weeks and 8 weeks after treatment using SPSS V16. Results: There were 72 patients (mean age: 44.1±9.4) mainly females (n=54). Following 4 weeks and 8 weeks, both methods significantly reduced the pain index measured by VAS and FFI score compared with those before treatment. No significant difference was found between the two groups after 4 weeks of treatment in pain index measured by VAS and FFI score (P= 0.668 and P= 0.011, respectively). But, 8 weeks after the treatment, the rate of pain reduction, and FFI increased significantly in the group treated by dry needling (P= 0.011 and P=0.013). Conclusion: Both ESWT and dry needling were found to be effective in treatment of plantar fasciitis, but dry needling showed to be more efficient in 8 weeks after treatment.   (Clinical Trials Registry Number: IRCT201610014104N6)http://jmums.mazums.ac.ir/article-1-10214-en.htmlplantar fasciitisshock wave therapydry needling
spellingShingle Mohammad Rahbar
Ali Kargar
Fariba Eslamian
Neda Dolatkhah
Comparing the Efficacy of Dry Needling and Extracorporeal Shock Wave Therapy in Treatment of Plantar Fasciitis
Journal of Mazandaran University of Medical Sciences
plantar fasciitis
shock wave therapy
dry needling
title Comparing the Efficacy of Dry Needling and Extracorporeal Shock Wave Therapy in Treatment of Plantar Fasciitis
title_full Comparing the Efficacy of Dry Needling and Extracorporeal Shock Wave Therapy in Treatment of Plantar Fasciitis
title_fullStr Comparing the Efficacy of Dry Needling and Extracorporeal Shock Wave Therapy in Treatment of Plantar Fasciitis
title_full_unstemmed Comparing the Efficacy of Dry Needling and Extracorporeal Shock Wave Therapy in Treatment of Plantar Fasciitis
title_short Comparing the Efficacy of Dry Needling and Extracorporeal Shock Wave Therapy in Treatment of Plantar Fasciitis
title_sort comparing the efficacy of dry needling and extracorporeal shock wave therapy in treatment of plantar fasciitis
topic plantar fasciitis
shock wave therapy
dry needling
url http://jmums.mazums.ac.ir/article-1-10214-en.html
work_keys_str_mv AT mohammadrahbar comparingtheefficacyofdryneedlingandextracorporealshockwavetherapyintreatmentofplantarfasciitis
AT alikargar comparingtheefficacyofdryneedlingandextracorporealshockwavetherapyintreatmentofplantarfasciitis
AT faribaeslamian comparingtheefficacyofdryneedlingandextracorporealshockwavetherapyintreatmentofplantarfasciitis
AT nedadolatkhah comparingtheefficacyofdryneedlingandextracorporealshockwavetherapyintreatmentofplantarfasciitis