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Plantar Fascial Pain - Extracorporeal Shock Wave Therapy

Treatment of chronic plantar fasciopathy with extracorporeal shock waves (review)

1. When chronic, PF is an inflammatory condition.

A. True B. False

2. Patients not responding to conservative treatment for _____ are candidates for more aggressive treatment such as extracorporeal shock wave therapy.

A. 1 to 2 months B. 2 to 4 months C. 4 to 6 months D. 6 to 12 months

3. Which of the following is a direct effect of shock waves on treated tissues?

A. The result of the energy of the shock wave being transferred to the targeted tissues. B. The result of the production of cavitation bubbles in the treated tissue. C. Both (A) and (B). D. None of the above.

4. Which type of effect produces a biological response in the treated tissues?

A. Direct B. Indirect C. Both (A) and (B) D. None of the above

5. It is generally recommended to apply shock waves without local anesthesia to the musculoskeletal system.

A. True B. False

6. In general, radial extracorporeal shock wave therapy is better tolerated than focused SWT because:

A. Radial shock waves have their point of highest pressure and highest energy flux density at the center of their focus which is positioned within the treated tissue. B. Radial shock waves have their point of highest pressure and highest energy flux density at the tip of the applicator and, thus, outside the tissue. C. Both (A) and (B). D. None of the above.

Success and Recurrence Rate after Radial Extracorporeal Shock Wave Therapy for Plantar Fasciopathy: A Retrospective Study

7. Which of the following is a risk factor leading to an increased risk of PF?

A. High body mass index B. Prolonged standing C. Reduced ankle dorsiflexion D. All of the above

8. fESWT has been found to be of more benefit than rESWT because the treatment area is larger, which is more beneficial for superficial injuries such as tendinopathies.

A. True B. False

9. All of the following are key factors for PF recurrence, except for:

A. Male sex B. Pretreatment pain duration C. The number of ESWT sessions received D. All of the above are key factors for recurrence

10. It is thought that recalcitrant PF could be caused by plantar fascia thickening and loss of normal tissue elasticity, that is, tissue degeneration over a period of time.

A. True B. False

Extracorporeal shock wave therapy of gastroc-soleus trigger points in patients with plantar fasciitis: A randomized, placebo-controlled trial

11. The proposed mechanism for ESWT is cavitation of the deep tissue, which causes:

A. Micro rupture of capillaries B. Leakage of chemical mediators C. Promotion of neovascularization of the damaged tissue D. All of the above

12. It can be stated that a combination of ESWT for both plantar fasciitis and gastroc-soleus trigger points in treating patients with plantar fasciitis is more effective than utilizing it solely for plantar fasciitis.

A. True B. False


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