{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T20:56:53Z","timestamp":1792443413984,"version":"4.5.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2008,9,1]],"date-time":"2008-09-01T00:00:00Z","timestamp":1220227200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2008,9]]},"abstract":"<jats:p> Objective: To describe and compare two extracorporeal shock wave therapy techniques for the treatment of painful subcalcaneal spur. <\/jats:p><jats:p> Design: Random assignment to two groups of treatment with two and eight months follow-up. <\/jats:p><jats:p> Setting: The data were collected in outpatients. <\/jats:p><jats:p> Subjects: Forty-five subjects with a history of at least six months of heel pain were studied. <\/jats:p><jats:p> Interventions: Each subject received a three-session ultrasound-guided extracorporeal shock wave therapy (performed weekly). Perpendicular technique was used in group A (n=22, mean age 59.3 \u00b1 12 years) and tangential technique was used in group B (n= 23, mean age 58.8 \u00b1 12.3 years). <\/jats:p><jats:p> Main outcome measures: Mayo Clinical Scoring System was used to evaluate each subject before the treatment and at two and eight months follow-up. <\/jats:p><jats:p> Results: Mayo Clinical Scoring System pretreatment scores were homogeneous between the groups (group A 55.2 \u00b118.7; group B 53.5 \u00b1 20; P&gt;0.05). In both groups there was a significant (P&lt;0.05) increase in the Mayo Clinical Scoring System score at two months (group A 83.9 \u00b1 13.7; group B 80 \u00b1 15,8) and eight months (group A 90 \u00b1 10.5; group B 90.2 \u00b18.7) follow-up. No significant differences were obtained comparing the Mayo Clinical Scoring System scores of the two groups at two and eight months follow-up. <\/jats:p><jats:p> Conclusions: There was no difference between the two techniques of using extracorporeal shock wave therapy. The tangential technique was found to be better tolerated as regards treatment-induced pain, allowing higher energy dosages to be used. <\/jats:p>","DOI":"10.1177\/0269215508092819","type":"journal-article","created":{"date-parts":[[2008,8,26]],"date-time":"2008-08-26T15:29:00Z","timestamp":1219764540000},"page":"780-787","source":"Crossref","is-referenced-by-count":15,"title":["Comparison of two extracorporeal shock wave therapy techniques for the treatment of painful subcalcaneal spur. A randomized controlled study"],"prefix":"10.1177","volume":"22","author":[{"given":"Davide","family":"Tornese","sequence":"first","affiliation":[{"name":"Galeazzi Orthopedics Institute - Center for Sports Rehabilitation, Milan, Italy,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Mattei","sequence":"additional","affiliation":[{"name":"Galeazzi Orthopedics Institute - Center for Sports Rehabilitation, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giampaolo","family":"Lucchesi","sequence":"additional","affiliation":[{"name":"Galeazzi Orthopedics Institute - Center for Sports Rehabilitation, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Bandi","sequence":"additional","affiliation":[{"name":"Galeazzi Orthopedics Institute - Center for Sports Rehabilitation, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Ricci","sequence":"additional","affiliation":[{"name":"Galeazzi Orthopedics Institute - Center for Sports Rehabilitation, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Melegati","sequence":"additional","affiliation":[{"name":"Galeazzi Orthopedics Institute - Center for Sports Rehabilitation, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,9,1]]},"reference":[{"key":"atypb1","first-page":"202","volume":"171","author":"Schafer U.","year":"1995","journal-title":"Strahlenther Onkol"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00573445"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.21.2711-JFD00010-2-1"},{"key":"atypb4","first-page":"192","volume":"306","author":"Prichasuk S.","year":"1994","journal-title":"Clin Orthop"},{"key":"atypb5","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1007\/s00132-002-0323-z","volume":"31","author":"Buch M.","year":"2002","journal-title":"Orthopade"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310021901"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.11.1364"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7406.75"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1191\/0269215502cr555oa"},{"key":"atypb10","unstructured":"US Department of Health and Human Services. 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