Therapeutic Exercise in Plantar Fasciitis: A Systematic Review with Meta-Analysis

G. Flor, Bertolini, Renata Anddresa Stachelski, Beatriz Torrilhas, Franciele Foschiera Camboin, Dartel Ferrari de Lima, Cristiane Buzanello Donin, Márcia Rosângela Buzanello
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Abstract

Purpose. Plantar fasciitis (PF) is a degeneration of the plantar fascia. There are different forms of treatment for PF. Conservative treatment stands out as the main method of choice. The aim was to review in the literature the effectiveness of therapeutic exercise (TE) on pain and functionality in PF. Methods. The search was carried out in the databases: PubMed, Web of Science, Embase and Lilacs, and in the gray literature: Google Scholar, Open Grey, LIVIVO and Brazilian Library of Theses and Dissertations. A Cochrane tool was used to assess the quality of the studies. The primary outcome was pain, and the secondary outcomes were range of motion (ROM) and functionality. The assessments were performed by two reviewers and a third reviewer resolved conflicts. Randomized controlled trials using therapeutic exercise compared with placebo, no treatment, phototherapy, ther-motherapy, and electrotherapy. There was no restriction on time or language. Results. The references of 2,984 studies were identified, 2,832 from major databases and 152 from gray literature . A total of 10 articles were included in this review. Nine studies assessed pain, and all had positive results in decreasing pain levels. All 10 studies used to stretch exercises, but only one used strengthening exercises. Conclusions. It is concluded that TE, mainly through plantar fascia and triceps sural stretching, is effective in reducing pain and functionality when associated with other therapies in PF. Study registration. The study is registered with the International Prospective Register of Systematic Review (PROSPERO) under protocol CRD42021296710.
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足底筋膜炎的治疗性运动:系统回顾与元分析
目的。足底筋膜炎(PF)是足底筋膜的退化。足底筋膜炎有不同的治疗方法。保守治疗是首选的主要方法。本文旨在回顾治疗性运动(TE)对足底筋膜炎患者疼痛和功能的有效性。方法。在以下数据库中进行了搜索:PubMed、Web of Science、Embase 和 Lilacs,以及灰色文献:Google Scholar、Open Grey、LIVIVO 和巴西论文图书馆。评估研究质量时使用了 Cochrane 工具。主要结果是疼痛,次要结果是活动范围(ROM)和功能。评估由两名审稿人进行,第三名审稿人负责解决冲突。采用治疗性运动与安慰剂、无治疗、光疗、理疗和电疗进行比较的随机对照试验。时间和语言不限。结果。共找到 2,984 篇研究的参考文献,其中 2,832 篇来自主要数据库,152 篇来自灰色文献。本综述共纳入 10 篇文章。九项研究对疼痛进行了评估,所有研究在降低疼痛水平方面都取得了积极的效果。所有 10 项研究都使用了伸展运动,但只有一项研究使用了强化运动。结论。结论是,TE 主要通过足底筋膜和肱三头肌硬膜拉伸,在与其他疗法相结合的情况下,可有效减轻 PF 患者的疼痛并提高其功能。研究注册。该研究已在国际前瞻性系统综述注册中心(PROSPERO)注册,注册协议为 CRD42021296710。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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