The relationship between ultrasonography with or without contrast and the clinical outcome in plantar fasciitis
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The relationship between ultrasonography with or without contrast and the clinical outcome in plantar fasciitis. / Johannsen, Finn; Magnusson, Stig Peter.
I: Scandinavian Journal of Medicine and Science in Sports, Bind 32, Nr. 11, 2022, s. 1660-1667.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - The relationship between ultrasonography with or without contrast and the clinical outcome in plantar fasciitis
AU - Johannsen, Finn
AU - Magnusson, Stig Peter
N1 - Publisher Copyright: © 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2022
Y1 - 2022
N2 - Background: Plantar fasciitis (PF) is a common disorder without objective parameters for disease severity. Purpose: To investigate whether structural changes in the plantar fascia and heel fat pad determined by ultrasound scanning with or without contrast are related to outcome measures in patients with symptomatic PF and to investigate whether there is an association between changes in US findings and improvement in pain and function. Methods: All patients (n = 90) in a randomized controlled trial treated with training and/or glucocorticosteroid injection were assessed for morning pain, function pain, Foot Function Index (FFI), and ultrasound measured thickness of the fascia and heel fat pad at entry and after 6 months. Thirty patients were included in a longitudinal study that assessed pain, function, and microvascular volume (MV) by contrast-enhanced ultrasound at entry and after 5 months of treatment. Results: None of the ultrasound parameters at the initial examination were related to clinical outcomes at 5–6 months. Changes in US measured thickness of the fascia but not the fat pad correlated with improvement in all outcome measures at 6 months (FFI: r = 0.30, p = 0.005, morning pain: r = 0.21, p = 0.046, function pain: r = 0.28, p = 0.007). MV did not change despite significant improvement in symptoms. Conclusion: Changes in ultrasound measured fascia thickness are associated with clinical improvement in PF patients.
AB - Background: Plantar fasciitis (PF) is a common disorder without objective parameters for disease severity. Purpose: To investigate whether structural changes in the plantar fascia and heel fat pad determined by ultrasound scanning with or without contrast are related to outcome measures in patients with symptomatic PF and to investigate whether there is an association between changes in US findings and improvement in pain and function. Methods: All patients (n = 90) in a randomized controlled trial treated with training and/or glucocorticosteroid injection were assessed for morning pain, function pain, Foot Function Index (FFI), and ultrasound measured thickness of the fascia and heel fat pad at entry and after 6 months. Thirty patients were included in a longitudinal study that assessed pain, function, and microvascular volume (MV) by contrast-enhanced ultrasound at entry and after 5 months of treatment. Results: None of the ultrasound parameters at the initial examination were related to clinical outcomes at 5–6 months. Changes in US measured thickness of the fascia but not the fat pad correlated with improvement in all outcome measures at 6 months (FFI: r = 0.30, p = 0.005, morning pain: r = 0.21, p = 0.046, function pain: r = 0.28, p = 0.007). MV did not change despite significant improvement in symptoms. Conclusion: Changes in ultrasound measured fascia thickness are associated with clinical improvement in PF patients.
KW - contrast-enhanced ultrasound
KW - corticosteroid injection
KW - heel fat pad
KW - microvascular volume
KW - plantar fascia thickness
KW - plantar fasciitis
KW - ultrasound scanning
U2 - 10.1111/sms.14221
DO - 10.1111/sms.14221
M3 - Journal article
C2 - 35908203
AN - SCOPUS:85135555930
VL - 32
SP - 1660
EP - 1667
JO - Scandinavian Journal of Medicine & Science in Sports
JF - Scandinavian Journal of Medicine & Science in Sports
SN - 0905-7188
IS - 11
ER -
ID: 329287526