足部矫形器和鞋类干预对髋关节疼痛患者损伤和生活质量的影响:一项系统综述。

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-10-12 DOI:10.1002/msc.1826
Rita Kinsella, Anthony Nasser, Hylton B Menz, Tania Pizzari, Natalie J Collins, Adam I Semciw
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引用次数: 0

摘要

背景:足部矫形器和鞋类干预措施被提倡用于治疗包括髋关节在内的下肢肌肉骨骼疾病,但大部分研究都集中在膝关节疾病上。这篇系统综述的目的是综合研究髋关节相关疼痛患者使用足部矫形器或鞋类的文献。方法:检索MEDLINE、EMBASE、CINAHL、AMED和SPORTDiscus,检索期为2023年3月。在髋关节相关疼痛的参与者中,随机对照试验(RCT)、队列和前后研究报告了鞋类和足部矫形器干预措施,有资格入选。结果包括疼痛、身体功能和生活质量。在有足够数据的情况下计算效果大小。使用Cochrane偏倚风险工具(Rob-2)和Joanna Briggs研究所检查表评估报告质量。证据的总体质量是根据建议、评估、发展和评价框架进行评级的。结果:在7项纳入的研究(n=266名参与者)中,有一项随机对照试验、一个队列和5项单组前后设计。干预措施包括定制和非定制足弓支撑、脚跟抬高和鞋类改良,用于以下髋关节疾病:大转子疼痛、非特异性髋关节疼痛、髋关节骨性关节炎和全髋关节置换术后的腿长功能障碍。两项研究的结果可以进行荟萃分析,证明使用足矫形器后疼痛有适度改善。证据的总体确定性从很低到很低不等。结论:单组研究前后设计描述了足部矫形器和鞋类使用之间的积极关系,以及髋关节疼痛、功能和生活质量的改善。然而,这些结果并没有得到唯一可用的随机对照试验的支持。鉴于这是一种相对便宜且无创的治疗方法,有必要进行进一步的严格研究。
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Effects of foot orthoses and footwear interventions on impairments and quality of life in people with hip pain: A systematic review.

Background: Foot orthoses and footwear interventions are advocated for the management of lower limb musculoskeletal conditions including the hip, but much of the research is focused on knee disorders. The aim of this systematic review was to synthesise the literature that investigates the use of foot orthoses or footwear in people with hip-related pain.

Methods: MEDLINE, EMBASE, CINAHL, AMED and SPORTDiscus were searched from inception to March 2023. Randomised controlled trials (RCT), cohort and pre-post studies reporting on footwear and foot orthoses interventions, in participants with hip-related pain, were eligible for inclusion. Outcomes included pain, physical function, and quality of life (QoL). Effect sizes were calculated where sufficient data were available. Reporting quality was assessed using the Cochrane Risk of Bias Tool (Rob-2) and the Joanna Briggs Institute Checklist. The overall quality of evidence was rated according to the Grading of Recommendations, Assessment, Development, and Evaluations framework.

Results: Of the seven included studies (n = 266 participants), there was one RCT, one cohort and five single-group pre-post designs. Interventions included customised and non-customised arch supports, heel lifts, and footwear modifications, used in the following hip conditions: trochanteric pain, non-specific hip pain, hip osteoarthritis, and leg length dysfunction following total hip arthroplasty. Meta-analysis was possible for outcomes in two studies, demonstrating moderate improvement in pain following foot orthoses use. Overall certainty of evidence ranged from very low to low.

Conclusion: Single-group pre-post study designs describe positive relationships between foot orthoses and footwear use and improvements in hip pain, function, and QoL. However, these results were not supported by the only available RCT. Given this is a relatively inexpensive and non-invasive treatment approach, further rigorous studies are warranted.

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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
期刊最新文献
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