{"id":114503,"date":"2013-12-07T00:00:00","date_gmt":"2013-12-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ortesis-plantares-ra%c2%adgidas-conformadas-y-ondas-de-choque-extracorporeas-en-el-tratamiento-de-la-fascitis-plantar\/"},"modified":"2013-12-07T00:00:00","modified_gmt":"2013-12-07T00:00:00","slug":"ortesis-plantares-ra%c2%adgidas-conformadas-y-ondas-de-choque-extracorporeas-en-el-tratamiento-de-la-fascitis-plantar","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-clinica\/ortesis-plantares-ra%c2%adgidas-conformadas-y-ondas-de-choque-extracorporeas-en-el-tratamiento-de-la-fascitis-plantar\/","title":{"rendered":"Ortesis plantares r\u00edgidas conformadas y ondas de choque extracorp\u00f3reas en el tratamiento de la fascitis plantar"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Antonio Martinez Lozano <\/strong><\/h2>\n<p>Resumen objetivos:  la fascitis plantar es un proceso degenerativo doloroso y frecuente, con diversos tratamientos poco sustentados por la evidencia. S\u00ed lo est\u00e1n la adaptaci\u00f3n de ortesis plantares semirr\u00edgidas y las ondas de choque extracorp\u00f3reas (oce).  queremos establecer los beneficios cl\u00ednicos y funcionales para las actividades de la vida diaria (avd) al acabar el tratamiento y a lo largo de tres meses de seguimiento cuando se asocian plantillas semirr\u00edgidas individualizadas al tratamiento de la fascitis plantar con oce. Detectaremos y cuantificaremos adem\u00e1s los efectos secundarios. metodolog\u00eda:  estudio prospectivo aleatorizado. Hemos reclutado cuarenta pacientes diagnosticados de fascitis plantar. Treinta han sido tratados con ortesis asociadas a oce, y diez con oce exclusivamente. Hemos medido el dolor a la palpaci\u00f3n en la tuberosidad interna del calc\u00e1neo y el dolor al comienzo de la marcha despu\u00e9s de un periodo de reposo por medio de la escala anal\u00f3gico visual (eva). La funcionalidad para las avd la hemos medido con el cuestionario faam (foot and ankle ability measure). Hemos determinado los resultados al acabar el tratamiento, al mes y tres meses despu\u00e9s. resultados:  ha mejorado el dolor en ambos grupos tras tres meses de seguimiento, aunque s\u00f3lo se  consigue que la mejor\u00eda sea progresiva a lo largo de esos tres meses cuando se asocian ortesis semirr\u00edgidas a oce. La funcionalidad para las avd s\u00f3lo ha mejorado asociando ambos tratamientos.  el efecto secundario m\u00e1s frecuente ha sido el dolor durante la administraci\u00f3n de oce, aunque en ning\u00fan caso ha sido causa de abandono de la terapia. Hemos detectado adem\u00e1s un caso de algodistrofia simp\u00e1tico refleja, que hasta ahora no hab\u00eda sido documentado en la literatura despu\u00e9s del tratamiento con oce.   abstract  objetives:  plantar fasciitis is a common and painful degenerative condition. There are commonly used treatments, but the evidence base underpinning these treatment strategies is often unknown. Customized functional orthosis and extracorporeal shock waves (esw) are evidence based.  we want to determine the clinical and functional daily life activity benefits once the treatment has finished and along the three-month follow-up when associating both therapies, and to detect the main side effects.  methods:  prospective and randomized study. Forty patients with plantar fasciitis were treated. Thirty were treated with customized foot orthosis associated to esw. Ten were treated with esw only. We measured both pain upon palpation in the internal calcaneal tuberosity and pain in the first footsteps after resting by means of the ten-point analogic visual scale. Functional daily life activities were measured by the faam questionnaire (foot and ankle ability measure). All measures were acquired when therapies finished, with follow-ups one month and three months afterwards.  results:  pain improved in all patients after three months of follow-up, although that improvement was only evident throughout those three months when both treatments were combined. Likewise, function improved only when both treatments were associated. No relevant adverse events occurred in either intervention group. pain was the most frequently secondary event while esw were administered, although it was not necessary to abandon treatment in any case. We detected one single case of complex regional pain syndrome. This event was unknown in the literature after treatment with esw.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ortesis plantares r\u00edgidas conformadas y ondas de choque extracorp\u00f3reas en el tratamiento de la fascitis plantar<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ortesis plantares r\u00edgidas conformadas y ondas de choque extracorp\u00f3reas en el tratamiento de la fascitis plantar <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Antonio Martinez Lozano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/07\/2013<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>gil Garcia Martin<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Alcaraz ba\u00f1os <\/li>\n<li>\u00e1frica L\u00f3pez illescas (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Climent barber\u00e1 (vocal)<\/li>\n<li>Mar\u00eda Carrasco poyatos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Antonio Martinez Lozano Resumen objetivos: la fascitis plantar es un proceso degenerativo doloroso y frecuente, con 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