PMID- 18832341
OWN - NLM
STAT- MEDLINE
DCOM- 20081223
LR  - 20081103
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 36
IP  - 11
DP  - 2008 Nov
TI  - Radial extracorporeal shock wave therapy is safe and effective in the treatment 
      of chronic recalcitrant plantar fasciitis: results of a confirmatory randomized 
      placebo-controlled multicenter study.
PG  - 2100-9
LID - 10.1177/0363546508324176 [doi]
AB  - BACKGROUND: Radial extracorporeal shock wave therapy is an effective treatment 
      for chronic plantar fasciitis that can be administered to outpatients without 
      anesthesia but has not yet been evaluated in controlled trials. HYPOTHESIS: There 
      is no difference in effectiveness between radial extracorporeal shock wave 
      therapy and placebo in the treatment of chronic plantar fasciitis. STUDY DESIGN: 
      Randomized, controlled trial; Level of evidence, 1. METHODS: Three interventions 
      of radial extracorporeal shock wave therapy (0.16 mJ/mm(2); 2000 impulses) 
      compared with placebo were studied in 245 patients with chronic plantar 
      fasciitis. Primary endpoints were changes in visual analog scale composite score 
      from baseline to 12 weeks' follow-up, overall success rates, and success rates of 
      the single visual analog scale scores (heel pain at first steps in the morning, 
      during daily activities, during standardized pressure force). Secondary endpoints 
      were single changes in visual analog scale scores, success rates, Roles and 
      Maudsley score, SF-36, and patients' and investigators' global judgment of 
      effectiveness 12 weeks and 12 months after extracorporeal shock wave therapy. 
      RESULTS: Radial extracorporeal shock wave therapy proved significantly superior 
      to placebo with a reduction of the visual analog scale composite score of 72.1% 
      compared with 44.7% (P = .0220), and an overall success rate of 61.0% compared 
      with 42.2% in the placebo group (P = .0020) at 12 weeks. Superiority was even 
      more pronounced at 12 months, and all secondary outcome measures supported radial 
      extracorporeal shock wave therapy to be significantly superior to placebo (P < 
      .025, 1-sided). No relevant side effects were observed. CONCLUSION: Radial 
      extracorporeal shock wave therapy significantly improves pain, function, and 
      quality of life compared with placebo in patients with recalcitrant plantar 
      fasciitis.
FAU - Gerdesmeyer, Ludger
AU  - Gerdesmeyer L
AD  - Department of Orthopedic and Traumatology, Technical University Munich, Klinikum 
      Rechts der Isar, Germany. Gerdesmeyer@aol.com
FAU - Frey, Carol
AU  - Frey C
FAU - Vester, Johannes
AU  - Vester J
FAU - Maier, Markus
AU  - Maier M
FAU - Weil, Lowell Jr
AU  - Weil L Jr
FAU - Weil, Lowell Sr
AU  - Weil L Sr
FAU - Russlies, Martin
AU  - Russlies M
FAU - Stienstra, John
AU  - Stienstra J
FAU - Scurran, Barry
AU  - Scurran B
FAU - Fedder, Keith
AU  - Fedder K
FAU - Diehl, Peter
AU  - Diehl P
FAU - Lohrer, Heinz
AU  - Lohrer H
FAU - Henne, Mark
AU  - Henne M
FAU - Gollwitzer, Hans
AU  - Gollwitzer H
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20081001
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Activities of Daily Living
MH  - Adult
MH  - Fasciitis, Plantar/*therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain
MH  - Quality of Life
MH  - Treatment Outcome
MH  - Ultrasonic Therapy/adverse effects/*methods
EDAT- 2008/10/04 09:00
MHDA- 2008/12/24 09:00
CRDT- 2008/10/04 09:00
PHST- 2008/10/04 09:00 [pubmed]
PHST- 2008/12/24 09:00 [medline]
PHST- 2008/10/04 09:00 [entrez]
AID - 0363546508324176 [pii]
AID - 10.1177/0363546508324176 [doi]
PST - ppublish
SO  - Am J Sports Med. 2008 Nov;36(11):2100-9. doi: 10.1177/0363546508324176. Epub 2008 
      Oct 1.