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http://dx.doi.org/10.15268/ksim.2021.9.4.237

Comparison of the Effects of Physiotherapy vs. Corticosteroid Injection in Patients with Chronic Plantar Fasciitis  

Choo, Yeon-Ki (Dept. of Rehabilitation Therapy, Guposungshim Hospital)
Kim, Hyeon-Su (Dept. of Physical Therapy, Kyungnam College of Information & Technology)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.9, no.4, 2021 , pp. 237-249 More about this Journal
Abstract
Purpose : This study was to compare the effect changes after physical therapy (extracorporeal shock wave therapy + high-load strengthening exercise) or corticosteroid injection in patients diagnosed with chronic plantar fasciitis. Methods : A total of 40 patients were randomly assigned to each group of 20. According to the intervention method, "Group 1. Physiotherapy" was performed for 12 weeks, and "Group 2. Corticosteroid injection" was performed only once. As a pre-intervention test, plantar fascia thickness, pain intensity I, II (What is the most painful moment of the day?, How painful is the first step in the morning?), and functional performance were measured. To compare the effects of each group, the tests 3, 6, and 12 weeks after were also performed using the same measurement method. Also, after 12 weeks, patient satisfaction was also compared. Results : There was no significant difference between the groups in the change in the thickness of the plantar fascia during all periods. However, pain intensity I, II was significantly lower in Group 1 than in Group 2 at only 12 weeks and functional performance was also significantly increased in Group 1 compared to Group 2 at only 12 weeks. Also, there was no significant difference between groups in patient satisfaction. Conclusion : The physiotherapy protocol, which consisted of extracorporeal shock wave therapy and high-load strengthening exercise, showed excellent results, especially after 12 weeks, compared to corticosteroid injection. It is recommended as a more effective treatment method as it is possible to safely return to daily life by reducing pain and improving functional performance.
Keywords
chronic plantar fasciitis; corticosteroid injection; extracorporeal shock wave therapy; high-load strengthening exercise; physiotherapy;
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