[en] INTRODUCTION: plantar fasciopathy (PF) is usually accompanied by the pain of the hell´s interior area and it particularly affects workers and athletes who practice activities which imply great impacts with the foot. For the treatment of this pathology it is used a wide range of therapy modalities. But there are few quality studies that support its efficiency. PURPOSE: comparing the effectiveness of the separately use, or in a combined way, of the stretchings and/or the shockwaves on the treatment of the pain associated to the PF. It is also expected to analyse the methodological quality of the available studies up to the moment. If there are positive results, it will be studied the time which this results maintain themselves referring to the pain and the improvement on the function. MATERIAL AND METHODS: a systematic search for information was developed on the Cochrane, PubMed, PEDro and Scopus databases, between the first of March and 21th May of 2016. The management of the bibliography found was developed with Refwork tool. The methodological quality of the studies included was measured with the PEDro scale. RESULTS: 7 articles were found which accomplished the criteria inclusion, with a high methodological quality (6/10 on the PEDro scale). Shock Waves (SW) and stretching were effective on the reduction of pain. The combination of Radial Shock Waves (RSW) with plantar fascia specific stretching (PFSS) and PFSS as an unic treatment got the best results both short term and long term. The most employed stretching was the SSPF and the SW mostly used are the RSW. Body Mass Index (BMI) and females were found to be closely related to the incidence of this disease. CONCLUSIONS: although the level of evidence found is limited, it seems that the combination of PFSS with RSW is the best choice for the reduction of pain in this type of patients.

[gl] INTRODUCIÓN: a fasciosis plantar (FP) está acompañada frecuentemente de dor na zona inferior do talón e afecta principalmente a traballadores e atletas que practican actividades que implican grandes impactos co pé. No tratamento desta patoloxía utilízanse unha ampla modalidade de terapias. Pero hai escasos estudos de calidade que respalden a súa eficacia. OBXECTIVO: comparar a efectividade do uso por separado, ou de forma combinada, dos estiramentos e/ou das ondas de choque (OC) no tratamento da dor asociada á FP. Tamén se pretende analizar a calidade metodolóxica dos estudos dispoñibles ata o momento. Investigarase cal e tipo de OC e estiramento máis usado. De existir resultados positivos, estudarase o tempo que se manteñen finalizado o tratamento tendo en conta as variables dor e mellora da función. MATERIAL E MÉTODOS: realizouse unha busca sistemática de información entre o 1 de marzo e o 29 de abril de 2016 nas bases de datos Cochrane, PubMed, PEDro e Scopus. A xestión da bibliografía encontrada realizouse coa ferramenta RefWorks. A calidade metodolóxica dos estudos incluídos foi medida coa escala PEDro. RESULTADOS: atopáronse 7 artigos que cumpriron os criterios de inclusión, con unha calidade metodolóxica alta (6/10 na escala PEDro). Tanto as ondas de choque (OC) como os estiramentos foron efectivos para a redución da dor. A combinación das ondas de choque radiais (OCR) con estiramento específico da fascia plantar (EEFP) e o EEFP como método de tratamento único conseguiron os mellores resultados tanto a corto como a longo prazo. Os estiramentos máis usados foron os EEFP, e o tipo de OC máis utilizado foron as OCR. Tanto o índice de masa corporal (IMC) como o sexo feminino resultaron estar en estreita relación coa incidencia desta patoloxía. CONCLUSIÓNS: parece que a combinación dos EEFP coas OCR é a mellor alternativa para a redución da dor nos casos de fasciosis plantar, aínda que o nivel de evidencia encontrado é limitado.