Academic Journal
Home Exercise With or Without High-Intensity Laser or Radial Shockwave Therapy for Plantar Fasciitis: A Randomized Controlled Trial.
| Τίτλος: | Home Exercise With or Without High-Intensity Laser or Radial Shockwave Therapy for Plantar Fasciitis: A Randomized Controlled Trial. |
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| Συγγραφείς: | Kosehasanogullari M; Adana City Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Türkiye., Büyükvural Şen S; Adana City Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Türkiye., Okur Yılmaz N; Adana City Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Türkiye., Aygün Bilecik N; Adana City Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Türkiye., Koçyiğit BF; Adana City Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Türkiye. |
| Πηγή: | Foot & ankle international [Foot Ankle Int] 2026 Mar; Vol. 47 (3), pp. 386-397. Date of Electronic Publication: 2026 Feb 10. |
| Τύπος έκδοσης: | Journal Article; Randomized Controlled Trial |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Sage Publications Country of Publication: United States NLM ID: 9433869 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1944-7876 (Electronic) Linking ISSN: 10711007 NLM ISO Abbreviation: Foot Ankle Int Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2013- : Thousand Oaks, CA : Sage Publications Original Publication: Baltimore, MD : Williams & Wilkins, c1994- |
| Ιατρικοί όροι (MeSH): | Exercise Therapy*/methods , Extracorporeal Shockwave Therapy*/methods , Fasciitis, Plantar*/diagnosis , Fasciitis, Plantar*/physiopathology , Fasciitis, Plantar*/therapy , High-Energy Shock Waves*/therapeutic use , Laser Therapy*/methods, Adult ; Female ; Humans ; Male ; Middle Aged ; Pain Measurement ; Treatment Outcome |
| Περίληψη: | Background: To investigate the efficacy of extracorporeal shock wave therapy (ESWT), high-intensity laser therapy (HILT), and exercise therapy in patients diagnosed with plantar fasciitis. Methods: A total of 84 patients diagnosed with plantar fasciitis were randomized into 3 groups: ESWT combined with a home exercise program (n = 28), HILT combined with a home exercise program (n = 30), and a home exercise program alone (control) (n = 26). The ESWT group underwent a total of 3 ESWT sessions, performed once a week, whereas the HILT group underwent a total of 15 HILT sessions over 3 weeks. All 3 groups were evaluated at the beginning of the treatment, at the end of the treatment (week 3), and at the 12th week for pain levels (measured using the visual analog scale [VAS]), plantar fascia thickness, and the Foot Function Index (FFI). Because of the nature of the interventions, participant masking was not possible; however, assessor masking was strictly adhered to. Results: Eighty-four patients completed the study. Significant reductions in plantar fascia thickness, VAS scores, and FFI values were observed in all 3 groups (P < .05). However, baseline-adjusted analyses detected no meaningful between-group differences at 12 weeks (P > .05; small effect sizes). Conclusion: Our study demonstrated that ESWT, HILT, and exercise therapy each effectively reduced pain levels and improved functional capacity in the treatment of plantar fasciitis. Adding ESWT or HILT to a structured home exercise program did not provide an incremental clinical benefit during the follow-up period. The findings support exercise therapy as a practical first-line option. |
| Competing Interests: | Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Disclosure forms for all authors are available online. |
| Contributed Indexing: | Keywords: ESWT; HILT; exercise; plantar fasciitis |
| Entry Date(s): | Date Created: 20260210 Date Completed: 20260707 Latest Revision: 20260724 |
| Update Code: | 20260725 |
| DOI: | 10.1177/10711007251408439 |
| PMID: | 41664959 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1944-7876 |
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| DOI: | 10.1177/10711007251408439 |