体外冲击波联合运动治疗足底跟痛的疗效:系统综述

Ian Burton, Aisling McCormack
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摘要

足底跟痛(PHP)是一种常见的肌肉骨骼疾病,可通过体外冲击波疗法(ESWT)和运动有效治疗。本综述旨在评估联合ESWT和运动与其他干预措施治疗PHP的有效性。遵循PRISMA指南,对有效性进行了系统审查。在5个数据库中检索了2000年1月至2021年9月间发表的研究,其中12项研究(n = 861)符合纳入标准,将ESWT和拉伸与各种其他治疗进行了比较。高质量的证据表明,联合ESWT和拉伸干预比单独使用或注射肉毒杆菌毒素更有效,而低质量的证据表明其优于超声和拉伸。有中等质量的证据表明,联合ESWT和拉伸并不比皮质类固醇注射更有效,高质量的证据表明,联合ESWT和拉伸并不比血液源性注射疗法、定制矫形器或低水平激光治疗结合拉伸更有效。有高质量的证据表明,局部皮质类固醇或激光治疗联合ESWT和拉伸可以增加其有效性,中等质量的证据表明干针的附加效果。总的来说,ESWT和拉伸联合处理是有效的,在可行和可行的情况下可以推荐使用。需要进一步的高质量研究来比较PHP的联合干预措施,包括不同的运动活动,如阻力训练。普洛斯彼罗注册号:CRD42020213286
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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The Effectiveness of Combined Extracorporeal Shockwave Therapy and Exercise for Plantar Heel Pain: A Systematic Review

Plantar heel pain (PHP) is a common musculoskeletal disorder that is effectively treated with extracorporeal shockwave therapy (ESWT) and exercise. This review aimed to evaluate the effectiveness of combined ESWT and exercise versus other interventions in treating PHP. A systematic review of effectiveness was conducted, adhering to the PRISMA guidelines. Five databases were searched for studies published between January 2000 and September 2021 with 12 studies (n = 861) meeting the inclusion criteria, which compared ESWT and stretching to various other treatments. High-quality evidence indicates that combined ESWT and stretching interventions are more effective than their individual use or botulinum toxin injections, and low-quality evidence of superiority versus ultrasound and stretching. There was moderate quality evidence that combined ESWT and stretching is no more effective than corticosteroid injection, and high-quality evidence that the combination is no more effective than blood-derived injection therapies, custom orthotics, or low-level laser therapy combined with stretching. There is high-quality evidence that topical corticosteroid or laser therapy in combination with ESWT and stretching increases its effectiveness and moderate-quality evidence for the additive effective of dry needling. Overall, combined ESWT and stretching treatments are effective and may be recommended where they are available and practical to implement. Further high-quality studies comparing combined interventions for PHP, including different exercise activities like resistance training, are required. PROSPERO registration number: CRD42020213286

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