A comparison of the acute effects of radial extracorporeal shockwave therapy, ultrasound therapy, and exercise therapy in plantar fasciitis

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JOURNAL OF EXERCISE REHABILITATION, vol.14, no.2, pp.306-312, 2018 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 2
  • Publication Date: 2018
  • Doi Number: 10.12965/jer.1836048.024
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.306-312
  • Hacettepe University Affiliated: Yes


This study was conducted to compare the acute effects of radial extracorporeal shockwave therapy (r-ESWT), ultrasound (US) therapy and home exercise therapy on pain, fatigue, performance and walking distance in women with plantar fasciitis (PF). Fifty-four female patients diagnosed with PF participated in the study. The patients were randomly divided into 3 groups as r-ESWT and home exercise groups, US and home exercise groups, and only home exercise groups. Patients' pain and fatigue levels were assessed by using a visual analog scale. Also walking distances, walking speed and plantar flexor muscles performance were assessed. Patients' pain at night before bedtime and leg fatigue after the 6-min walking test decreased in the US therapy group in comparison to the other two groups (P < 0.05). The 20-m walking speed improved in the US and r-ESWT therapy groups following the treatments (P < 0.05) and there was no difference between the groups. After treatment, while the 20-m walking speed was increasing in US and r-ESWT groups (P < 0.05), no increase was observed in exercise group. But there was no difference between the 20-m walking speed of 3 groups after treatment (P > 0.05). However, all three groups' complaints decreased after treatment. Our study results illustrated that r-ESWT, US, and home exercise therapy have acute effects on the PF treatment and when there is no possibility of practising any treatment to patients, home exercises such as r-ESWT, US treatment are effective therapies for decreasing pain and fatigue levels and improving performance and walking distance.