Effet du dry needling Versus injection de stéroïdes sur aponévrosites plantaires.
Cette étude publiée dans le International Orthopaedics en janvier 2018 a été réalisée dans le but de comparer la "nouvelle" thérapeutique qu'est le dry needling avec les injections de stéroïdes sur les aponévrosites plantaires. C'est étude a été réalisée en 2017.
Méthodes: 66 patients ont été sélectionnés pour cet essai clinique en simple aveugle.
Groupe 1: les participants reçoivent un ml de Depo-Medrol
Groupe 2: traitement par dry-needling.
Les patients ont été suivis douze mois. Leur douleur a été analysée à l'aide de la "visual analogue scale" (VAS),à trois et six semaines et à trois, six et douze mois après le traitement.
Résultats: Le groupe ayant reçu des stéroïdes à montré une réduction de la douleur rapidement et jusqu'à trois semaines après le traitement en comparaison avec le groupe ayant effectué des séances de dry-needling. Cependant à la fin du suivi (12 mois) le groupe 2 présente une réduction de la douleur (82,5%) plus importante que celle obtenue par le groupe 1 (17.6%).
Conclusions: Les injections de stéroïdes permettent une réduction rapide des douleurs liées aux aponévrosites plantaires. Néanmoins le dry-needling apporte un effet plus intéressant sur le long terme.
Article complet sur https://link.springer.com/article/10.1007%2Fs00264-017-3681-1
Julien ENCAOUA - Kiné A Kiné - Revue Scientifique de Kinésithérapie
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