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Publication
Eficácia da aplicação da terapia de ondas de choques na fascite plantar: uma revisão bibliográfica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_34048 | 424.6 KB | Adobe PDF |
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Advisor(s)
Abstract(s)
Introdução: A fascite plantar é definida como um encurtamento da fáscia plantar devido a uma
alteração degenerativa do colagénio no ponto da sua inserção e que vai causar dor e mudanças
funcionais da marcha. Objetivo: Analisar os efeitos de diversos protocolos das ondas de choque
em pacientes com fascite plantar. Metodologia: A pesquisa computorizada foi realizada nas
bases de dados PubMed, PEDro, Web of Knowledge e EBSCO, para identificar estudos que
avaliassem os efeitos das ondas de choque no tratamento da fascite plantar. Resultados: Foram
incluídos 9 estudos randomizados controlados, com uma classificação média de 8,33 na escala
de PEDro, num total de 1242 participantes. Na maioria dos estudos analisados, os autores
concluíram que as ondas de choque reduzem a dor e melhora a funcionalidade do paciente. No
entanto, apenas dois estudos provaram que as ondas de choque têm uma taxa de eficácia
relevante para tratar fascite plantar crónica. Conclusão: Ainda existe controvérsia quanto à
evidência estatisticamente significativa deste tratamento mas, no entanto, aqueles que
utilizaram as ondas de choque radiais obtiveram melhores resultados.
Abstract: Plantar fasciitis is identified as a plantar fascia shortening due to degenerative changes in the collagen at its insertion point which induces pains and functional alteration of walking. Objective: Comparative analysis of different protocols of shock waves on patients affected with plantar fasciitis. Methods: the analysis was carried out on databases (PubMed, PEDro, Web of Knowledge and EBSCO), to identify studies which assess the effects of shock waves for plantar fasciitis therapy. Results: 9 randomized controlled studies have been taken into account, with a credit rating of 8,33 on the PEDro scale, with a total of 1242 participants. From the majority of studies reviewed, the authors found that shock waves ease pain and improve patients' ability to walk. However, only 2 studies proved that the shock waves have a relevant effective rate for the treatment of chronic plantar fasciitis. Conclusion: Although there is a controversy to the statistically significant evidence of this therapy, nevertheless when radial shock waves are used, we find better health outcomes.
Abstract: Plantar fasciitis is identified as a plantar fascia shortening due to degenerative changes in the collagen at its insertion point which induces pains and functional alteration of walking. Objective: Comparative analysis of different protocols of shock waves on patients affected with plantar fasciitis. Methods: the analysis was carried out on databases (PubMed, PEDro, Web of Knowledge and EBSCO), to identify studies which assess the effects of shock waves for plantar fasciitis therapy. Results: 9 randomized controlled studies have been taken into account, with a credit rating of 8,33 on the PEDro scale, with a total of 1242 participants. From the majority of studies reviewed, the authors found that shock waves ease pain and improve patients' ability to walk. However, only 2 studies proved that the shock waves have a relevant effective rate for the treatment of chronic plantar fasciitis. Conclusion: Although there is a controversy to the statistically significant evidence of this therapy, nevertheless when radial shock waves are used, we find better health outcomes.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Fascite plantar Ondas de choque Fisioterapia Plantar fasciitis Shock waves Physiotherapy