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[不同物理治疗方法在足底筋膜炎保守治疗中的有效性:系统评价]

[Effectiveness of different physical therapy in conservative treatment of plantar fasciitis: systematic review].

作者信息

Díaz López Ana María, Guzmán Carrasco Patricia

出版信息

Rev Esp Salud Publica. 2014 Jan-Feb;88(1):157-78. doi: 10.4321/S1135-57272014000100010.

Abstract

BACKGROUND

Plantar fasciitis is the most common disease of non-traumatic pain in the ankle-foot. It is more common in women aged 40-70 years and diffuse progressive start the foot or ankle that gradually worsens preventing progress. The aim of this work is to determine whether different physical therapies used in the conservative treatment of plantar fasciitis of at least one month duration in adults are effective individually and / or in combination.

METHODS

A systematic review databases in The Cochrane Library, Medline, Lilacs, IBECS, IME, PEDro and ENFISPO no date restriction, in Spanish and English languages. Randomized controlled trials were included of adult patients diagnosed with plantar fasciitis, intervention studies, prospective and systematic reviews. Assessment of study eligibility was developed by two reviewers independently and unblinded standardized. To classify, we used the PEDro scale critical, form of methodological quality plus a critical review of each summary and if this was not conclusive assessment of the full text.

RESULTS

32 full-text articles were reviewed. Most used techniques are the stretches and shock waves, although the best results are obtained by combining several techniques. Shock waves are effective when other techniques have failed.

CONCLUSION

Physical therapies used in the various studies have proven effective to varying degrees either to reduce pain or relieve the symptoms of plantar fasciitis.

摘要

背景

足底筋膜炎是足踝部非创伤性疼痛最常见的疾病。多见于40 - 70岁女性,起病隐匿且呈进行性发展,累及足部或踝部,病情逐渐加重。本研究旨在确定在成人足底筋膜炎保守治疗中使用至少一个月的不同物理治疗方法单独和/或联合使用是否有效。

方法

对Cochrane图书馆、Medline、Lilacs、IBECS、IME、PEDro和ENFISPO数据库进行系统检索,无日期限制,语言为西班牙语和英语。纳入诊断为足底筋膜炎的成年患者的随机对照试验、干预研究、前瞻性研究和系统评价。由两名评价者独立且非盲法标准化地进行研究纳入评估。为进行分类,我们使用PEDro量表进行关键评价、方法学质量形式评价,以及对每个摘要进行关键评价,若结果不明确则对全文进行评价。

结果

共检索到32篇全文文章。最常用的技术是拉伸和冲击波,不过多种技术联合使用可取得最佳效果。当其他技术无效时,冲击波有效。

结论

各项研究中使用的物理治疗方法已被证明在不同程度上对减轻足底筋膜炎的疼痛或缓解症状有效。

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