Grieve Rob, Palmer Shea
Department of Allied Health Professions, Faculty of Health and Applied Sciences, University of the West of England, Glenside Campus, Blackberry Hill, Bristol BS16 1DD, United Kingdom.
Department of Allied Health Professions, Faculty of Health and Applied Sciences, University of the West of England, Glenside Campus, Blackberry Hill, Bristol BS16 1DD, United Kingdom.
Physiotherapy. 2017 Jun;103(2):193-200. doi: 10.1016/j.physio.2016.02.002. Epub 2016 Feb 12.
To identify how United Kingdom (UK) physiotherapists currently diagnose, assess and manage plantar fasciitis in routine practice.
Online questionnaire survey.
Practising physiotherapists across the UK who treat patients with plantar fasciitis.
Physiotherapists were approached via 'interactive Chartered Society of Physiotherapy (CSP)' online networks and an email database of clinical educators in South West England. An online questionnaire was developed by reviewing similar existing physiotherapy surveys and consultation with experienced musculoskeletal researchers/clinicians. Descriptive statistics were used to analyse the data.
285 physiotherapists responded, with 257 complete survey responses. Pain on palpation and early morning pain were the most common diagnostic criteria, with some physiotherapists using no formal test criteria. Advice (237/257, 92%), plantar fasciitis pathology education (207/257, 81%) and general stretching exercises (189/257, 74%) were most routinely used. Prefabricated orthotics, custom made orthotics and night splints were seldom always used. For the manual therapy approach, the most frequently used modalities were massage, myofascial release, specific soft tissue mobilisations and myofascial trigger point therapy. Commonly used outcome measures were pain assessment, functional tests and range of movement.
Physiotherapists appeared to follow most of the established diagnostic criteria for PF, but have not followed established outcome measure guidelines. Advice as well as education with an emphasis on self-management including calf/hamstring stretching was the most commonly reported treatment approach. There was uncertainty whether this approach accurately reflected clinical practice used throughout the UK, owing to potential response bias/unknown response rate and the low number of patients with PF treated by the respondents.
确定英国物理治疗师在日常实践中如何诊断、评估和管理足底筋膜炎。
在线问卷调查。
英国各地治疗足底筋膜炎患者的执业物理治疗师。
通过“物理治疗师特许协会（CSP）互动”在线网络以及英格兰西南部临床教育工作者的电子邮件数据库联系物理治疗师。通过回顾现有的类似物理治疗调查并与经验丰富的肌肉骨骼研究人员/临床医生协商，制定了一份在线问卷。使用描述性统计分析数据。
285名物理治疗师做出回应，其中257份问卷回复完整。触诊疼痛和清晨疼痛是最常见的诊断标准，一些物理治疗师未使用任何正式测试标准。最常采用的是建议（237/257，92%）、足底筋膜炎病理教育（207/257，81%）和一般伸展运动（189/257，74%）。预制矫形器、定制矫形器和夜间夹板很少被一直使用。对于手法治疗方法，最常用的方式是按摩、肌筋膜放松、特定软组织松动术和肌筋膜触发点疗法。常用的疗效指标是疼痛评估、功能测试和活动范围。
物理治疗师似乎遵循了大多数既定的足底筋膜炎诊断标准，但未遵循既定的疗效指标指南。建议以及强调自我管理（包括小腿/腘绳肌伸展）的教育是最常报告的治疗方法。由于潜在的回应偏差/未知回应率以及受访者治疗的足底筋膜炎患者数量较少，不确定这种方法是否准确反映了英国各地的临床实践。
