Waclawski E R, Beach J, Milne A, Yacyshyn E, Dryden D M
Department of Medicine-Preventive Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta T6G 1K4, Canada,
Department of Medicine-Preventive Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta T6G 1K4, Canada.
Occup Med (Lond). 2015 Mar;65(2):97-106. doi: 10.1093/occmed/kqu177. Epub 2015 Feb 17.
Plantar fasciitis (PF) is one of the most common causes of foot pain. Work can involve factors that may predispose to foot pain.
To systematically review the evidence of the association between weight bearing (walking or standing) and PF among workers.
Literature search of relevant indexing databases from inception to May 2012, grey literature, websites of relevant organizations and reference lists for all identified articles. Two reviewers independently selected studies for full review, assessed methodological quality and graded evidence. Findings were summarized qualitatively.
Four studies were included; all were assessed as high or unclear risk of bias. Three studies were case-control studies; two used clinic populations and one used volunteers. The other study was cross-sectional involving the workforce of an assembly plant. A number of associations between PF and risk factors were identified including sex, obesity, foot biomechanics and job factors (e.g. job tenure). Two case-control studies and the cross-sectional study found an association with weight bearing, but the assessment of weight bearing varied (e.g. time on feet, time walking or standing). There was low-quality evidence to confirm a causal relationship (Royal College of General Practitioners (RCGP) * grade).
This systematic review found low-quality evidence of an association between PF and weight-bearing tasks such as walking and standing on hard surfaces. The only occupations specifically identified as having higher risk were those associated with the engine assembly plant. Further research is required to fully determine the association between weight bearing and PF.
足底筋膜炎（PF）是足部疼痛最常见的原因之一。工作中可能存在一些易引发足部疼痛的因素。
系统评价负重（行走或站立）与工人足底筋膜炎之间关联的证据。
检索从建库至2012年5月的相关索引数据库、灰色文献、相关组织网站以及所有已识别文章的参考文献列表。两名综述作者独立选择研究进行全面审查，评估方法学质量并对证据进行分级。研究结果进行定性总结。
纳入四项研究；所有研究均被评估为高偏倚风险或偏倚风险不明确。三项研究为病例对照研究；两项使用临床人群，一项使用志愿者。另一项研究为横断面研究，涉及一家装配厂的工人。确定了足底筋膜炎与风险因素之间的一些关联，包括性别、肥胖、足部生物力学和工作因素（如工作年限）。两项病例对照研究和横断面研究发现与负重有关，但对负重的评估各不相同（如站立时间、行走时间或站立时间）。有低质量证据证实因果关系（皇家全科医师学院（RCGP）分级）。
本系统评价发现低质量证据表明足底筋膜炎与在硬地面上行走和站立等负重任务之间存在关联。唯一明确被确定为风险较高的职业是与发动机装配厂相关的职业。需要进一步研究以充分确定负重与足底筋膜炎之间的关联。
