AIM: To assess the ultrasound features in patients with plantar fasciopathy before and after extracorporeal shock waves therapy (ESWT), using conventional grey-scale imaging and both strain (SE) and shear wave (SWE) elastosonographic evaluation. MATERIAL AND METHOD: Consecutive patients of both sexes attending our outpatient's clinic, with diagnosis of unilateral plantar fasciopathy, were enrolled. Patients were treated with 3 sessions of ESWT once a week, and underwent clinical and ultrasound evaluation at baseline and at one and three months after treatment. Roles and Maudsley score (RM), visual analog scale (VAS) and 17-Italian Foot Function Index (FFI), were used to assess pain and functional improvement. RESULTS: Twenty patients (11 female and 9 male) were enrolled in the study. Contralateral asymptomatic healthy plantar fascia was used as a control. At baseline, SWE velocity (SWEv) showed statistically significant difference between affected 3.8 (1.5; 5.1) m/s and healthy side 4.7 (4.07; 7.04) m/s, (p=0.006); no significant difference was found for strain ratio values (p=0.656). SWEv post hoc test results showed a significant difference from baseline 3.8 (1.5-5.1) m/s and three month 5.23 (4.55-6.74) m/s follow up visit (p=0.003). Significant statistical negative correlation was found between the SWEv and VAS (p=0.001) and positive correlation between the SWEv and FFI (p=0.012). CONCLUSION: SWE was effective in assessing plantar fascia elasticity and its alteration in fasciopathy. Furthermore, on the basis of the correlation with pain and functional scales, this technique appears to be a useful additional technique to conventional ultrasound for monitoring the efficacy of treatment.

Elastosonographic evaluation after extracorporeal shockwave treatment in plantar fasciopathy / Alviti, F.; D'Ercole, C.; Schillizzi, G.; Mangone, M.; Bernetti, A.; Ioppolo, F.; Di Sante, L.; Minafra, P.; Santilli, V.; Elia, D.; Vallone, G.; D'Ambrosio, F.; Cantisani, V.. - In: MEDICAL ULTRASONOGRAPHY. - ISSN 1844-4172. - 21:4(2019), pp. 399-404. [10.11152/mu-1976]

Elastosonographic evaluation after extracorporeal shockwave treatment in plantar fasciopathy

Alviti F.;D'Ercole C.;Schillizzi G.;Mangone M.;Bernetti A.;Ioppolo F.;Di Sante L.;Santilli V.;D'ambrosio F.;Cantisani V.
2019

Abstract

AIM: To assess the ultrasound features in patients with plantar fasciopathy before and after extracorporeal shock waves therapy (ESWT), using conventional grey-scale imaging and both strain (SE) and shear wave (SWE) elastosonographic evaluation. MATERIAL AND METHOD: Consecutive patients of both sexes attending our outpatient's clinic, with diagnosis of unilateral plantar fasciopathy, were enrolled. Patients were treated with 3 sessions of ESWT once a week, and underwent clinical and ultrasound evaluation at baseline and at one and three months after treatment. Roles and Maudsley score (RM), visual analog scale (VAS) and 17-Italian Foot Function Index (FFI), were used to assess pain and functional improvement. RESULTS: Twenty patients (11 female and 9 male) were enrolled in the study. Contralateral asymptomatic healthy plantar fascia was used as a control. At baseline, SWE velocity (SWEv) showed statistically significant difference between affected 3.8 (1.5; 5.1) m/s and healthy side 4.7 (4.07; 7.04) m/s, (p=0.006); no significant difference was found for strain ratio values (p=0.656). SWEv post hoc test results showed a significant difference from baseline 3.8 (1.5-5.1) m/s and three month 5.23 (4.55-6.74) m/s follow up visit (p=0.003). Significant statistical negative correlation was found between the SWEv and VAS (p=0.001) and positive correlation between the SWEv and FFI (p=0.012). CONCLUSION: SWE was effective in assessing plantar fascia elasticity and its alteration in fasciopathy. Furthermore, on the basis of the correlation with pain and functional scales, this technique appears to be a useful additional technique to conventional ultrasound for monitoring the efficacy of treatment.
2019
shear wave elastography; strain elastography; strain ratio; plantar fasciitis; extracorporeal shock waves therapy
01 Pubblicazione su rivista::01a Articolo in rivista
Elastosonographic evaluation after extracorporeal shockwave treatment in plantar fasciopathy / Alviti, F.; D'Ercole, C.; Schillizzi, G.; Mangone, M.; Bernetti, A.; Ioppolo, F.; Di Sante, L.; Minafra, P.; Santilli, V.; Elia, D.; Vallone, G.; D'Ambrosio, F.; Cantisani, V.. - In: MEDICAL ULTRASONOGRAPHY. - ISSN 1844-4172. - 21:4(2019), pp. 399-404. [10.11152/mu-1976]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1339981
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