體外衝擊波治療跟痛症的臨床療效觀察

Clinical observation of extracorporeal shock wave therapy for patients with calcanodynia

目的探討體外衝擊波治療跟痛症的臨床療效。方法回顧分析本院康復科門診97例跟痛症患者,隨機分為短波治療組38例、體外衝擊波治療組59例。兩組患者連續3個療程治療,每個療程短波治療組每週5次,衝擊波治療組每週3次,於治療前與治療30天後進行視覺模擬評分法(visual analogue scale,VAS)評定。結果治療30天後,對比兩組患者治療,發現療效差異有統計學意義(P<0.05),體外衝擊波治療組優於短波治療組。結論體外衝擊波治療跟痛症,臨床療效較短波治療更加明顯。

Objective To investigate the effectiveness of Extracorporeal Shock Wave Therapy(ESWT)in Calcanodynia patients.Methods We conducted a retrospective analysis of clinical data collected from 97 patients with calcanodynia in Kiang Wu hospital rehabilitation outpatient clinic.Ninety-seven patients were randomly divided into two groups:ESWT group(n=59)and Short wave diathermy(SWD)group(n=38).Each group received 3 treatment sessions.Each ESWT session consisted of 3 ESWT treatments each week and each SWD session consisted of 5 SWD treatments each week.The outcome was measured by Visual Analogue Scale(VAS)just before and 30 days after intervention.Results Thirty days after intervention,the two groups showed significant improvement in VAS(p<0.05).ESWT group showed better outcomes than SWD group.Conclusion ESWT is an effective treatment for calcanodynia with better outcomes than SWD.