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按摩疗法对跖骨痛患者的疗效与安全性:一项系统评价和荟萃分析方案

Effects and safety of massage therapy for patients with metatarsal pain: A protocol for systematic review and meta-analysis.

作者信息

Zhou Ke-Lin, Dong Shuo, Bai Xiao, Dai Xiao-Hui, Guo Sheng, Guan Qing, Wei Pei-Dong, Mi Bao-Lai, Ren Mei-Ling, Yang Yong

机构信息

Dongfang Hospital of Beijing University of Chinese Medicine.

School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.

出版信息

Medicine (Baltimore). 2020 Dec 4;99(49):e23484. doi: 10.1097/MD.0000000000023484.

DOI:10.1097/MD.0000000000023484
PMID:33285753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7717819/
Abstract

BACKGROUND

Metatarsalgia refers to localized or generalized forefoot pain in the region of the metatarsal heads. Often this pain is plantar, beneath the metatarsal heads, and arises from either mechanical or iatrogenic causes. The treatment of metatarsalgia remains controversial. A thorough understanding of the biomechanics of the forefoot and the underlying pathology of the particular type of metatarsalgia affecting the patient is a prerequisite to selecting the proper treatment. In recent years, massage therapy has been increasingly accepted by patients due to its lower costs, fewer unwanted side effects, and safety for clinical use. In this systematic review, we aim to evaluate the effectiveness and safety of massage therapy for patients with metatarsal pain.

METHODS

We will search the following electronic databases for randomized controlled trials to evaluate the effectiveness and safety of massage therapy in treating metatarsal pain: Wanfang and PubMed Database, CNKI, CENTRAL, CINAHL, and EMBASE. Each database will be searched from inception to October 2020. The entire process will include study selection, data extraction, risk of bias assessment, and meta-analyses.

RESULTS

This proposed study will evaluate the effectiveness and safety of massage therapy for patients with metatarsal pain. The outcomes will include changes in metatarsal pain relief and adverse effect.

CONCLUSIONS

This proposed systematic review will evaluate the existing evidence on the effectiveness and safety of massage therapy for patients with metatarsalgia.

DISSEMINATION AND ETHICS

The results of this review will be disseminated through peer-reviewed publication. Because all of the data used in this systematic review and meta-analysis has been published, this review does not require ethical approval. Furthermore, all data will be analyzed anonymously during the review process.

OSF REGISTRATION NUMBER

DOI 10.17605/OSF.IO/C6KFJ.

摘要

背景

跖痛症是指跖骨头区域局部或全身性的前足疼痛。这种疼痛通常位于跖骨头下方的足底,由机械性或医源性原因引起。跖痛症的治疗仍存在争议。全面了解前足的生物力学以及影响患者的特定类型跖痛症的潜在病理是选择合适治疗方法的前提。近年来,按摩疗法因其成本较低、不良副作用较少且临床使用安全而越来越为患者所接受。在本系统评价中,我们旨在评估按摩疗法对跖痛症患者的有效性和安全性。

方法

我们将检索以下电子数据库以评估按摩疗法治疗跖痛症的有效性和安全性:万方数据库、PubMed数据库、中国知网、Cochrane系统评价数据库、护理学与健康领域数据库(CINAHL)以及荷兰医学文摘数据库(EMBASE)。每个数据库将从创建至2020年10月进行检索。整个过程将包括研究选择、数据提取、偏倚风险评估和荟萃分析。

结果

本拟议研究将评估按摩疗法对跖痛症患者的有效性和安全性。结果将包括跖痛缓解情况的变化和不良反应。

结论

本拟议的系统评价将评估现有关于按摩疗法对跖痛症患者有效性和安全性的证据。

传播与伦理

本评价结果将通过同行评审出版物进行传播。由于本系统评价和荟萃分析中使用的所有数据均已发表,因此本评价无需伦理批准。此外,在评审过程中所有数据将进行匿名分析。

开放科学框架(OSF)注册号:DOI 10.17605/OSF.IO/C6KFJ。

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J Palliat Care. 2019 Jul;34(3):164-167. doi: 10.1177/0825859718810727. Epub 2018 Nov 22.
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Percutaneous Surgery for Metatarsalgia and the Lesser Toes.跖痛症和小趾的经皮手术
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Outcome of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Lesser Toe Metatarsalgia.微创远端跖骨干骺端截骨术(DMMO)治疗小趾跖痛症的疗效
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Mobility of the first ray in various foot disorders.第一跖骨在各种足病中的活动度。
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