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

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

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

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.

Kaynakça

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