Semptomatik&Kalkaneal&Spurlularda&Ekstrakorporeal&Şok&Dalga& Terapisi&(ESWT)&Tedavisinin&Erken&Dönem&Sonuçlarını& Etkileyen&İntrensek&Faktörler

Intrinsic&Factors&Affecting&Early&Results&of&Extracorporeal& Shock&Wave&Therapy&(ESWT)&Treatment&in&Patients&With& Symptomatic&Calcaneal&Spur&

Özet

Median values of spur length were higher in females and older patients (above 40 years of age) (p 0.7) when there was a low negative correlation between body height (r = M0.31, p >0.05) and moderate negative correlation between body weight (r = M0.4, p 0,05). Semptomatik kalkaneal spurlu hastalarda spur boyunun, tedavi öncesi ve tedavi başlangıcından bir hafta sonraki VAS skoru ile orta düzeyde pozitif yönlü ilişkili olduğu saptandı. Diğer faktörler ile klinik takip verileri arasında ilişki bulunamadı (p>0,05). Spur boyu ortanca değerlerinin kadınlarda ve 40 yaş üstündeki bireylerde daha yüksek olduğu saptanırken (p 0.7). Sonuç: Ekstrakorporeal şok dalga terapisi uygulaması epin kalkanei tedavisinde etkilidir. Spur boyunun birinci haftadaki klinik sonuçlarla pozitif yönlü ilişkisi vardır. Spur boyu fazla olan bireylerde tek seans EWST tedavisi uygulanması hasta memnuniyetini düşürebilecektir. Bu sebeple, bu hastalarda ESWT tedavisi, birden çok seans uygulanmak üzere planlanmalıdır.

Abstract

Objective: Extracorporeal!shock!wave!therapy! (ESWT)!is!a!commonly!used!treatment!modality! in!the!treatment!of!epin!calcanei.!The!aim!of!this!study!was!to!investigate!the!factors!that!were! influencing!the!results!of!ESWT!treatment!on!the!patients!with!symptomatic!calcaneal!spurs.! Material& and&Methods: 54! patients!with! symptomatic! calcaneal! spur!who!were!administered! ESWT! treatment! out! of! ninetyMtwo! patients! who! admitted! to! our! clinic! with! heel! pain! were! included! in! this! study.! The! initial! post! treatment! VAS! scores,! Roles! and!Maudsley! score,! age,! height,! body!weight,! body!mass! index,!gender,! calcaneal! spur! size! (mm)! of! the! patients!were! examined.! The! effects! of! gender,! body! mass! index! (BMI),! age! and! spur! length! on! efficacy! of! ESWT!treatment!have!been!investigated.! Results: At! the!end!of!ESWT! treatment,! the!VAS!score!and! the!Roles!and!Maudsley!Pain!Scale! scores!were! significantly! decreased! (p!!0.05). In patients!with!symptomatic!calcaneal!spur,!spur!length!was!found!to!be!moderately!positively! correlated!with!VAS!score!before!treatment!and!one!week!after!treatment.!No!correlation!was! found!between!other!factors!and!clinical!followMup!data!(p>0,05).Median!values!of!spur!length!were!higher!in!females!and!older!patients!(above!40!years!of!age)! (p!<0.05).!It!was!shown!that!there!was!a!moderate!positive!correlation!between!gender!and!age! (r!=!0.4,!p!! 0.7)!when! there!was!a!low! negative! correlation! between! body! height! (r!=!M0.31,! p!>0.05)!and! moderate!negative!correlation!between!body!weight!(r!=!M0.4,!p!<0.02). Conclusion: Extracorporeal!shock!wave!therapy!treatment!is!effective in!the!treatment!of!epin! calcanei.!There!is!a!positive!relationship!between!the!spur!length!and!clinical!results!at!the!first! week.!SingleMsession!ESWT!treatment!in!individuals!with!longer!spur!size!may!decrease!patient! satisfaction.! Therefore,! ESWT! treatment! in! these! patients! should! be! planned! as! multiple! Sessions.