Show simple item record

dc.rights.licenseAtribución-NoComercial-SinDerivadas 4.0 Internacional
dc.contributor.advisorDíaz Ruiz, Jorge Arturo
dc.contributor.authorGonzález Alvarado, Nathali Carolina
dc.identifier.citationGonzález Alvarado, N. C. (2020). Evaluación del cambio del dolor y la funcionalidad con la aplicación de terapia de ondas de choque radiales en pacientes con diagnóstico de fascitis plantar en una IPS de la ciudad de Bogotá [Tesis de especialidad, Universidad Nacional de Colombia]. Repositorio Institucional.
dc.description.abstractObjetivo: Evaluar el cambio en el dolor y la funcionalidad con la aplicación de TOCRE en pacientes con diagnóstico de FP en una IPS de la ciudad de Bogotá. Materiales y metodología: Estudio retrospectivo, observacional y descriptivo. Se seleccionaron 105 pacientes con diagnóstico de Fascitis Plantar remitidos a CIFEL para terapias con ondas de choque. Se determinió intensidad de dolor utilizando la Escala Numérica de dolor y cambios en la funcionalidad con la escala AOFAS. Resultados: El promedio de de sesiones por paciente fue de 3,6; protocolo inicial: número de ondas 2120, frecuencia 10,7 Hz e intensidad 3,4 Bar. El protocolo en sesión final fue: número de ondas 2274, frecuencia 9,6 Hz e intensidad 3,5 Bar. En la valoración inicial se encontró un promedio en la AOFAS de 51,3 e intensidad del dolor END de 8,1 y en la final la puntuación en AOFAS fue 67,2 con intensidad de dolor de 4,9. Se determinó que los cambios fueron estadísticamente significativas en las dos medidas. Conclusiones: El uso de la TOCRE en pacientes con fascitis plantar de curso crónico es efectiva, produciendo disminución significativa de la intensidad del dolor además de cambios favorables en la funcionalidad. Se considera que es una buena opción de manejo no quirúrgico en pacientes con síntomas crónicos sin respuesta al manejo conservador.
dc.description.abstractObjective: To evaluate the change in pain and functionality with the application of TOCRE in patients diagnosed with PF in an medical center in Bogotá. Metodology: Retrospective, observational and descriptive study. 105 patients with a diagnosis of Plantar Fasciitis were selected and referred to CIFEL for radial shock wave therapy. Pain intensity was determined using the Numerical Pain Scale and changes in functionality with the AOFAS scale before and after the intervention. Results: The average number of sessions per patient was 3.6; in the initial protocol the means of the following data were: waves number 2120, frequency 10.7 Hz and intensity 3.4 Bar. In the final evaluation the average for these parameters were: number of waves 2274, frequency 9.6 Hz and intensity 3.5 Bar. In the first session we obtain an average of AOFAS score: 51.3 and END pain intensity of 8.1. After the intervention the AOFAS score was 67.2 with a pain intensity of 4.9. The changes were statistically significant in the two measurements. Conclusions: The use of TOCRE in patients with chronic plantar fasciitis is effective, producing a significant decrease in pain intensity as well as favorable changes in functionality. It is considered to be a good nonsurgical management option in patients with chronic symptoms that do not respond to conservative management.
dc.rightsDerechos reservados - Universidad Nacional de Colombia
dc.subject.ddc616 - Enfermedades
dc.titleEvaluación del cambio del dolor y la funcionalidad con la aplicación de terapia de ondas de choque radiales en pacientes con diagnóstico de fascitis plantar en una IPS de la ciudad de Bogotá
dc.title.alternativeEvaluation of change in pain and functionality with the application of radial shock wave therapy in patients with plantar fasciitis in an IPS in Bogotá
dc.rights.spaAcceso abierto
dc.description.additionalLínea de investigación: Rehabilitación Laboral.
dc.publisher.programBogotá - Medicina - Especialidad en Medicina Física y Rehabilitación
dc.contributor.researchgroupCIFEL Centro de Investigación en Fisiatría y Electrodiagnóstico
dc.description.degreelevelEspecialidades Médicas
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotá
dc.relation.referencesBuck, R., Wynne-Jones, G., Varnava, A., Main, C. J., & Phillips, C. J. (2009). Working with Musculoskeletal Pain. In Reviews in Pain (Vol. 3, Issue 1, pp. 6–10).
dc.relation.referencesChang, K.-V., Chen, S.-Y., Chen, W.-S., Tu, Y.-K., & Chien, K.-L. (2012). Comparative effectiveness of focused shock wave therapy of different intensity levels and radial shock wave therapy for treating plantar fasciitis: a systematic review and network meta-analysis. Archives of Physical Medicine and Rehabilitation, 93(7), 1259–1268.
dc.relation.referencesCinar, E., Saxena, S., Akkurt, H. E., & Uygur, F. (2020). Extracorporeal shockwave therapy in the management of plantar fasciitis: A randomized controlled trial. Foot , 44, 101679.
dc.relation.referencesCook, J. J., Cook, E. A., Rosenblum, B. I., Landsman, A. S., & Roukis, T. S. (2011). Validation of the American College of Foot and Ankle Surgeons Scoring Scales. In The Journal of Foot and Ankle Surgery (Vol. 50, Issue 4, pp. 420–429).
dc.relation.referencesCsászár, N. B. M., Angstman, N. B., Milz, S., Sprecher, C. M., Kobel, P., Farhat, M., Furia, J. P., & Schmitz, C. (2015). Radial Shock Wave Devices Generate Cavitation. PloS One, 10(10), e0140541.
dc.relation.referencesGoff, J. D., & Crawford, R. (2011). Diagnosis and treatment of plantar fasciitis. American Family Physician, 84(6), 676–682.
dc.relation.referencesHawker, G. A., Mian, S., Kendzerska, T., & French, M. (2011). Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF. In Arthritis Care & Research (Vol. 63, Issue S11, pp. S240–S252).
dc.relation.referencesHuffer, D., Hing, W., Newton, R., & Clair, M. (2017). Strength training for plantar fasciitis and the intrinsic foot musculature: A systematic review. Physical Therapy in Sport: Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 24, 44–52.
dc.relation.referencesIbrahim, M. I., Donatelli, R. A., Hellman, M., Hussein, A. Z., Furia, J. P., & Schmitz, C. (2017). Long-term results of radial extracorporeal shock wave treatment for chronic plantar fasciopathy: A prospective, randomized, placebo-controlled trial with two years follow-up. Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society, 35(7), 1532–1538.
dc.relation.referencesKakwani, R., & Siddique, M. (2014). Clinical Rating Systems for the Ankle-Hindfoot, Midfoot, Hallux, and Lesser Toes. In Classic Papers in Orthopaedics (pp. 217–219).
dc.relation.referencesKarcioglu, O., Topacoglu, H., Dikme, O., & Dikme, O. (2018). A systematic review of the pain scales in adults: Which to use? The American Journal of Emergency Medicine, 36(4), 707–714.
dc.relation.referencesKitaoka, H. B., Alexander, I. J., Adelaar, R. S., Nunley, J. A., Myerson, M. S., & Sanders, M. (1994). Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot & Ankle International. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society, 15(7), 349–353.
dc.relation.referencesKorakakis, V., Whiteley, R., Tzavara, A., & Malliaropoulos, N. (2018). The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of patient-rated pain reduction. British Journal of Sports Medicine, 52(6), 387–407.
dc.relation.referencesLi, X., Zhang, L., Gu, S., Sun, J., Qin, Z., Yue, J., Zhong, Y., Ding, N., & Gao, R. (2018). Comparative effectiveness of extracorporeal shock wave, ultrasound, low-level laser therapy, noninvasive interactive neurostimulation, and pulsed radiofrequency treatment for treating plantar fasciitis. In Medicine (Vol. 97, Issue 43, p. e12819).
dc.relation.referencesLuffy, L., Grosel, J., Thomas, R., & So, E. (2018). Plantar fasciitis. In Journal of the American Academy of Physician Assistants (Vol. 31, Issue 1, pp. 20–24).
dc.relation.referencesMalliaropoulos, N., Crate, G., Meke, M., Korakakis, V., Nauck, T., Lohrer, H., & Padhiar, N. (2016). Success and Recurrence Rate after Radial Extracorporeal Shock Wave Therapy for Plantar Fasciopathy: A Retrospective Study. BioMed Research International, 2016, 9415827.
dc.relation.referencesMalviya, A., Makwana, N., & Laing, P. (2007). Correlation of the AOFAS scores with a generic health QUALY score in foot and ankle surgery. Foot & Ankle International. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society, 28(4), 494–498.
dc.relation.referencesOgden, J. A., Tóth-Kischkat, A., & Schultheiss, R. (2001). Principles of shock wave therapy. Clinical Orthopaedics and Related Research, 387, 8–17.
dc.relation.referencesReilly, J. M., Bluman, E., & Tenforde, A. S. (2018). Effect of Shockwave Treatment for Management of Upper and Lower Extremity Musculoskeletal Conditions: A Narrative Review. PM & R: The Journal of Injury, Function, and Rehabilitation, 10(12), 1385–1403.
dc.relation.referencesRoerdink, R. L., Dietvorst, M., van der Zwaard, B., van der Worp, H., & Zwerver, J. (2017). Complications of extracorporeal shockwave therapy in plantar fasciitis: Systematic review. International Journal of Surgery , 46, 133–145.
dc.relation.referencesRompe, J. D., Furia, J., Cacchio, A., Schmitz, C., & Maffulli, N. (2015). Radial shock wave treatment alone is less efficient than radial shock wave treatment combined with tissue- specific plantar fascia-stretching in patients with chronic plantar heel pain. International Journal of Surgery , 24(Pt B), 135–142.
dc.relation.referencesSchneider, W., & Jurenitsch, S. (2016). Normative data for the American Orthopedic Foot and Ankle Society ankle-hindfoot, midfoot, hallux and lesser toes clinical rating system. In International Orthopaedics (Vol. 40, Issue 2, pp. 301–306).
dc.subject.proposalPlantar fasciitis
dc.subject.proposalFascitis plantar
dc.subject.proposalShock waves therapy
dc.subject.proposalTerapia de ondas de choque
dc.subject.proposalEscala numérica del dolor
dc.subject.proposalNumerical pain scale

Files in this item


This item appears in the following Collection(s)

Show simple item record

Atribución-NoComercial-SinDerivadas 4.0 InternacionalThis work is licensed under a Creative Commons Reconocimiento-NoComercial 4.0.This document has been deposited by the author (s) under the following certificate of deposit