Učinki zunajtelesne terapije z udarnimi valovi na bolečino pri bolnikih s plantarnim fascitisom - pregled literature : diplomsko delo

Perenič, Matej (avtor), Umek, Nejc (mentor), Vauhnik, Renata (recenzent)

IZVLEČEK Uvod: Plantarni fascitis je eden najpogostejših vzrokov za bolečino v petnem predelu stopala in pomembno vpliva na hojo, funkcionalno sposobnost, ter kakovost življenja. Pri določenem delu bolnikov težave, kljub konservativnemu zdravljenju vztrajajo in preidejo v kronično obliko, za katero se v literaturi uporablja izraz plantarna fascioptija. V takih primerih se kot eno izmed neinvazivnih metod uporablja zunajtelesna terapija z udarnimi valovi. Namen: Namen diplomskega dela je bil pregledati obstoječo literaturo o učinkovitosti zunajtelesne terapije z udarnimi valovi pri bolnikih s kroničnim fascitisom v primerjavi s placebo oziroma navidezno terapijo. Metode dela: Pregledana literatura je bila izbrana v podatkovnih bazah PubMed, Cochrane Library in PEDro. V pregled so bile vključene randomizirane kontrolirane raziskave v angleškem jeziku, v katerih so pri odraslih s kroničnim fascitisom primerjali terapijo z udarnimi valovi s placebo terapijo. Vključene raziskave smo primerjali glede značilnosti preiskovancev, uporabljene terapevtske protokole, merilna orodja ter ugotovitve. Rezultati: V pregled je bilo vključenih šest raziskav, v katerih so primerjali učinek terapije z udarnimi valovi v primerjavi s placebo terapijo pri bolnikih s kroničnim plantarnim fascitisom. V petih raziskavah je bila terapija z udarnimi valovi učinkovitejša od placebo terapije pri zmanjšanju bolečine. Medtem ko ena raziskava takšne prednosti ni potrdila. Posamezne raziskave so poročale tudi o izboljšanju sposobnosti hoje, funkcije stopala, kakovosti življenja ter drugih sekundarnih izidov, vendar so se razlikovale glede na uporabljena merilna orodja in terapevtske protokole, kar otežuje neposredno primerjavo rezultatov. Razprava in zaključek: Zunajtelesna terapija z udarnimi valovi lahko pri delu bolnikov s kroničnim plantarnim fascitisom prispeva k večjemu zmanjšanju bolečine kot placebo, vendar njena prednost ni potrjena povsem dosledno v vseh raziskavah. Zaradi metodoloških razlik med raziskavami in heterogenosti terapevtskih protokolov ne moremo zanesljivo določiti optimalnega načina zdravljenja ali podati trdne sklepe o dolgoročni učinkovitosti terapije. Kljub temu se terapija z udarnimi valovi uporablja kot ena od možnih oblik pri zdravljenju plantarnega fascitisa, pri bolnikih, kjer konservativni ukrepi niso bili uspešni.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, fizioterapija, plantarni fascitis, bolečina v peti, terapija z udarnimi valovi, placebo terapija, funkcionalni izidi
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [M. Perenič]
• Leto izida: 2026
• Št. strani: VIII, 25 str.
• PID: 20.500.12556/RUL-183086
• UDK: 615.8
• COBISS.SI-ID: 280417539
• Datum objave v RUL: 04.06.2026

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: The effects of extracorporeal shockwave therapy on pain in patients with plantar fasciitis - literature review : diploma work

Izvleček

ABSTRACT Introduction: Plantar fasciitis is one of the most common causes of pain in the heel region of the foot and significantly affects walking, functional ability and quality of life. In some patients, symptoms persist despite conservative treatment and progress to a chronic form, for which the term plantar fasciopathy is also frequently used in the literature. In such cases, extracorporeal shockwave therapy is used as one of the non-invasive treatment options. Purpose: The purpose of this thesis was to review the literature on the efficacy of extracorporeal shockwave therapy in patients with chronic plantar fasciitis compared with placebo or sham therapy. Methods: The literature was selected from the PubMed, Cochrane Library and PEDro databases. The review included randomized controlled trials in English that compared extracorporeal shockwave therapy with placebo or sham therapy in adults with chronic plantar fasciitis. The included studies were compared in terms of participant characteristics, therapeutic protocols, assessment tools and findings. Results: Six studies were included in the review. In most included studies, extracorporeal shockwave therapy was associated with greater pain reduction than placebo or sham therapy, whereas one study did not confirm such an advantage. Individual studies also reported improvements in walking ability, foot function, quality of life and other secondary outcomes; however, they differed in terms of the measurement tools and therapeutic protocols used, making a direct comparison of results difficult. Discussion and conclusion: Extracorporeal shockwave therapy may contribute to a greater reduction in pain than placebo in some patients with chronic plantar fasciitis, but its efficacy was not consistently confirmed across all studies. Due to methodological differences between studies and the heterogeneity of treatment protocols, the optimal treatment protocol cannot be reliably determined and firm conclusions about long-term efficacy cannot be drawn. Nevertheless, extracorporeal shockwave therapy is used as one of the possible treatment options for plantar fasciitis in patients in whom conservative measures have not been successful.

• Ključne besede: diploma theses, physiotherapy, plantar fasciitis, heel pain, shockwave therapy, placebo therapy, functional outcomes