Atkins D, Crawford F, Edwards J, Lambert M
Department of Rheumatology, University College, London, UK.
Rheumatology (Oxford). 1999 Oct;38(10):968-73. doi: 10.1093/rheumatology/38.10.968.
To establish the efficacy for treatments of pain on the plantar aspect of the heel.
Systematic review of the published and unpublished literature. Electronic search of Medline, BIDS and the Cochrane database of clinical trials. An assessment of the quality of the reporting was made of studies included in the review.
patients' pain scores.
randomized controlled trials, published or unpublished, that evaluated treatments used for plantar heel pain. Foreign language papers were excluded.
Eleven randomized controlled trials were included in the review. These evaluated some of the most frequently described treatments (steroid injections and orthoses) and some experimental therapies (extracorporeal shock wave therapy and directed electrons). The methodological assessment scores of the published trials were low; small sample sizes and failure to conceal the treatment allocation from study participants prevents more definitive statements about the efficacy of treatments. In 10 of the included trials, patients in both the intervention and control arms reported improved pain scores at the final outcome measure.
Although much has been written about the treatment of plantar heel pain, the few randomized controlled trials involve small populations of patients and do not provide robust scientific evidence of treatment efficacy.
确定治疗足跟足底疼痛的疗效。
对已发表和未发表的文献进行系统评价。通过电子检索Medline、BIDS和Cochrane临床试验数据库。对纳入评价的研究报告质量进行评估。
患者疼痛评分。
已发表或未发表的随机对照试验，评估用于足跟足底疼痛的治疗方法。排除外语论文。
该评价纳入了11项随机对照试验。这些试验评估了一些最常描述的治疗方法（类固醇注射和矫形器）以及一些实验性疗法（体外冲击波疗法和定向电子疗法）。已发表试验的方法学评估得分较低；样本量小以及未对研究参与者隐瞒治疗分配情况，使得无法就治疗效果作出更明确的说明。在纳入的10项试验中，干预组和对照组的患者在最终观察指标时均报告疼痛评分有所改善。
尽管关于足跟足底疼痛的治疗已有大量著述，但少数随机对照试验涉及的患者群体较小，并未提供治疗效果的确凿科学证据。
