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使用矫形器是否能改善足底筋膜炎患者自我报告的疼痛和功能指标?一项荟萃分析。

Does the use of orthoses improve self-reported pain and function measures in patients with plantar fasciitis? A meta-analysis.

作者信息

Lee Sae Yong, McKeon Patrick, Hertel Jay

机构信息

Exercise and Sport Injury Laboratory, Sports Medicine Program, University of Virginia, VA 22904-4407, USA.

出版信息

Phys Ther Sport. 2009 Feb;10(1):12-8. doi: 10.1016/j.ptsp.2008.09.002. Epub 2008 Nov 20.

DOI:10.1016/j.ptsp.2008.09.002
PMID:19218074
Abstract

OBJECTIVES

To perform a meta-analysis examining the effects of foot orthoses on self-reported pain and function in patients with plantar fasciitis.

DATA SOURCES

MEDLINE, SPORTDiscus, and CINAHL were searched from their inception until December 2007 using the terms "foot", "plantar fascia", "arch", "orthotic", "orthoses" and "plantar fasciitis".

STUDY SELECTION

Original research studies which met these criteria were included: (1) randomised controlled trials or prospective cohort designs, (2) the patients had to be suffering from plantar fasciitis at the time of recruitment, (3) evaluated the efficacy of foot orthoses with self-reported pain and/or function, (4) means, standard deviations, and sample size of each group had to be reported.

RESULTS

We utilised the Roos, Engstrom, and Soderberg (Roos, E., Engstrom, M., & Soderberg, B. (2006). Foot orthoses for the treatment of plantar fasciitis. Foot and Ankle International, 8, 606-611) night splint condition to compare our pooled orthoses results. The meta-analysis results showed significant reductions in pain after orthotic intervention. The Roos et al.' (Roos, E., Engstrom, M., & Soderberg, B. (2006). Foot orthoses for the treatment of plantar fasciitis. Foot and Ankle International, 8, 606-611) study also showed significant reduction in pain after night splint treatment. The meta-analysis results also showed significant increases in function after orthotic use. In contrast, the Roos et al.' (Roos, E., Engstrom, M., & Soderberg, B. (2006). Foot orthoses for the treatment of plantar fasciitis. Foot and Ankle International, 8, 606-611) study did not show a significant increase in function after night splinting for 12 weeks.

CONCLUSION

The use of foot orthoses in patients with plantar fasciitis appears to be associated with reduced pain and increased function.

摘要

目的

进行一项荟萃分析,以研究足部矫形器对足底筋膜炎患者自我报告的疼痛和功能的影响。

数据来源

检索MEDLINE、SPORTDiscus和CINAHL数据库,从建库至2007年12月,检索词为“足部”“足底筋膜”“足弓”“矫形器”“足部矫形器”和“足底筋膜炎”。

研究选择

纳入符合以下标准的原始研究:(1)随机对照试验或前瞻性队列设计;(2)患者在招募时必须患有足底筋膜炎;(3)评估足部矫形器对自我报告的疼痛和/或功能的疗效;(4)必须报告每组的均值、标准差和样本量。

结果

我们采用了罗斯、恩斯特伦和索德伯格(罗斯,E.,恩斯特伦,M.,&索德伯格,B.(2006年)。用于治疗足底筋膜炎的足部矫形器。《足与踝关节国际》,8,606 - 611)夜间夹板治疗情况来比较我们汇总的矫形器结果。荟萃分析结果显示,矫形器干预后疼痛显著减轻。罗斯等人(罗斯,E.,恩斯特伦,M.,&索德伯格,B.(2006年)。用于治疗足底筋膜炎的足部矫形器。《足与踝关节国际》,8,606 - 611)的研究还显示,夜间夹板治疗后疼痛也显著减轻。荟萃分析结果还显示,使用矫形器后功能显著改善。相比之下,罗斯等人(罗斯,E.,恩斯特伦,M.,&索德伯格,B.(2006年)。用于治疗足底筋膜炎的足部矫形器。《足与踝关节国际》,8,606 - 611)的研究未显示夜间夹板治疗12周后功能有显著改善。

结论

在足底筋膜炎患者中使用足部矫形器似乎与疼痛减轻和功能改善有关。

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