Article Sidebar

PDF
Date Published: 28/03/2025
Abstract Views: 13
Views PDF: 5
DOI: https://doi.org/10.56535/jmpm.v50i3.1152
Issue
Vol. 50 No. 3 (2025): TẠP CHÍ Y DƯỢC HỌC QUÂN SỰ SỐ 3 - 2025
Section
Articles
How to Cite
Nguyễn, P. S., Nguyễn, Đ. Đ., & Lã, D. A. (2025). EFFECTIVENESS OF PULSE ULTRASOUND THERAPY IN THE TREATMENT OF CHRONIC PLANTAR FASCIITIS. Journal of Military Pharmaco-medicine, 50(3), 106-114. https://doi.org/10.56535/jmpm.v50i3.1152

EFFECTIVENESS OF PULSE ULTRASOUND THERAPY IN THE TREATMENT OF CHRONIC PLANTAR FASCIITIS

Phương Sinh Nguyễn1, , Đăng Đức Nguyễn2, Duy Anh Lã1
1 Trường Đại học Y - Dược, Đại học Thái Nguyên
2 Bệnh viện Bạch Mai

Main Article Content

Abstract

ABSTRACT


EFFECTIVENESS OF PULSE ULTRASOUND THERAPY


IN THE TREATMENT OF CHRONIC PLANTAR FASCIITIS


Objective: To evaluate the effectiveness of pulsed ultrasound therapy in the treatment of chronic plantar fasciitis.


Methods: A randomized controlled intervention study (RCT) was conducted on 59 patients diagnosed with unilateral chronic plantar fasciitis and divided into 2 groups. The intervention group of 29 patients was given with pulsed ultrasound therapy combined with static stretching for 4 weeks. The control group of 30 patients was given with stretching method 5 times a week for 4 weeks. Both groups were evaluated for VAS pain score, plantar fascia thickness on ultrasound and foot function index (FFI) score at admission and follow up 4 weeks. The data were analyzed and processed using statistical algorithms and the proposed statistical significance level was 5%.


Results: Mean difference (0-4) weeks: VAS pain scores were 6.6 ± 1.0 and 3.4 ± 1.4 respectively for the intervention group; 6.5 ± 1.0 and 6.2 ± 1.6 respectively for the control group. Plantar fascia thickness was 4.9 ± 0.6 and 4.1 ± 0.6 respectively for the intervention group; 5.0 ± 0.6 and 4.9 ± 0.7 respectively for the control group. FFI scores were 73.23 ± 4.71 and 34.25 ± 4.41 respectively for the intervention group; 72.81 ± 4.81 and 71.35 ± 11.13 respectively for the control group.


Conclusion: High-dose pulsed ultrasound therapy performed before stretching is effective in rapidly reducing pain and improving foot function in the treatment of chronic plantar fasciitis.


Keywords: Pulsed ultrasound therapy, chronic plantar fasciitis.

Article Details

Keywords

Pulsed ultrasound therapy, chronic plantar fasciitis.

References

1. Trojian T, Tucker AK. Plantar fasciitis. American Family Physician. 2019; 99(12):744-750.
2. Rabadi D, Seo S, Wong B, Chung D, Rai V, Agrawal DK. Immunopathogenesis, early detection, current therapies and prevention of plantar fasciitis: A concise review. International Immunopharmacology. 2022; 110:109023. DOI 10.1016/ j.intimp.2022.109023.
3. Rasenberg N, Bierma-Zeinstra SM, Bindels PJ, Van Der Lei J, Van Middelkoop M. Incidence, prevalence, and management of plantar heel pain: A retrospective cohort study in Dutch primary care. Br J Gen Pract. 2019 Oct 31; 69(688).
4. Latt LD, Jaffe DE, Tang Y, Taljanovic MS. Evaluation and treatment of chronic plantar fasciitis. Foot Ankle Orthop. 2020 Feb 13; 5(1):2473011419896763. DOI: 10.1177/ 2473011419896763.
5. Alhakami AM, Babkair RA, Sahely A, Nuhmani S. Effectiveness of therapeutic ultrasound on reducing pain intensity and functional disability in patients with plantar fasciitis: A systematic review of randomised controlled trials. PeerJ. 2024 Mar 22; 12:17147. DOI: 10.7717/peerj.17147.
6. Digiovanni BF, Nawoczenski DA, Malay DP, Graci PA, Williams TT, Wilding GE, Baumhauer JF. Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis. A prospective clinical trial with two-year follow-up. J Bone Joint Surg Am. 2006 Aug; 88(8):1775-1781. DOI: 10.2106/JBJS.E.01281. PMID: 16882901.
7. Budiman-Mak E, Conrad KJ, Roach KE. The foot function index: A measure of foot pain and disability. J Clin Epidemiol. 1991; 44(6):561-570. DOI: 10.1016/0895-4356(91)90220-4. PMID: 2037861.
8. Thomas A. Koc Jr, Christopher G. Bise, Christopher Neville, Dominic Carreira, Robroy L. Martin, and Christine M. McDonough. Heel pain - plantar fasciitis: Revision 2023. J Orthop Sports Phys Ther. 2023; 53(12):CPG1-CPG39. DOI:10.2519/jospt.2023.0303.
9. Slayton MH, Baravarian B, Amodei RC, Compton KB, Christensen DN, McNelly A, Latt LD. Intense therapeutic ultrasound for pain relief in the treatment for chronic plantar fasciopathy. Foot Ankle Orthop. 2019 Aug 20; 4(3).
10. Rakesh Kumar. Comparison between Effects of 1MHz versus 3MHz frequency of ultrasound on extensibility of tight plantar flexors. GJRA - Global Journal for Research Analysis. Vol-6, Issue-6, June-2017.
11. Cárdenas-Sandoval RP, Pastrana-Rendón HF, Avila A, et al. Effect of therapeutic ultrasound on the mechanical and biological properties of fibroblasts. Regen. Eng. Transl. Med. 2023; 9:263-278.