手法物理治疗对足底足跟痛的症状及功能影响：一项系统评价
The symptomatic and functional effects of manual physical therapy on plantar heel pain: a systematic review.
作者信息
Mischke John J, Jayaseelan Dhinu J, Sault Josiah D, Emerson Kavchak Alicia J
机构信息
Department of Physical Therapy, University of Montana, Missoula, MT, USA.
Department of Physical Therapy and Health Care Sciences, The George Washington University, Washington, DC, USA.
出版信息
J Man Manip Ther. 2017 Feb;25(1):3-10. doi: 10.1080/10669817.2015.1106818. Epub 2016 Apr 26.
OBJECTIVES
Plantar heel pain is common and can be severely disabling. Unfortunately, a gap in the literature exists regarding the optimal intervention for this painful condition. Consequently, a systematic review of the current literature regarding manual therapy for the treatment of plantar heel pain was performed.
METHODS
A computer-assisted literature search for randomized controlled trials in MEDLINE, EMBASE, Cochrane, CINAHL, and Rehabilitation & Sports Medicine Source, was concluded on 7 January 2014. After identification of titles, three independent reviewers selected abstracts and then full-text articles for review.
RESULTS
Eight articles were selected for the final review and underwent PEDro scale assessment for quality. Heterogeneity of the articles did not allow for quantitative analysis. Only two studies scored ≥7/10 on the PEDro scale and included joint, soft tissue, and neural mobilization techniques. These two studies showed statistically greater symptomatic and functional outcomes in the manual therapy group.
DISCUSSION
This review suggests that manual therapy is effective in the treatment of plantar heel pain; however, further research is needed to validate these findings given the preponderance of low quality studies.
目的
足跟足底疼痛很常见，且可能严重致残。遗憾的是，关于这种疼痛状况的最佳干预措施，文献中存在空白。因此，对当前有关手法治疗足跟足底疼痛的文献进行了系统综述。
方法
于2014年1月7日完成了在MEDLINE、EMBASE、Cochrane、CINAHL以及康复与运动医学数据库中对随机对照试验的计算机辅助文献检索。在确定标题后，三名独立评审员挑选摘要，然后挑选全文进行评审。
结果
八篇文章被选入最终评审，并接受PEDro量表质量评估。文章的异质性不允许进行定量分析。仅两项研究在PEDro量表上得分≥7/10，且纳入了关节、软组织和神经松动技术。这两项研究表明，手法治疗组在症状和功能方面的结果在统计学上更优。
讨论
本综述表明手法治疗对足跟足底疼痛有效；然而，鉴于低质量研究占多数，需要进一步研究来验证这些结果。
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