针对足底皮肤受体的干预措施在改善慢性踝关节不稳定姿势控制中的作用：一项荟萃分析系统综述。

Q2 Health Professions Foot Pub Date : 2023-09-01 DOI:10.1016/j.foot.2023.102034

Anand Kumar Singh , Maninder Shah Singh , Meena Makhija

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引用次数: 1

摘要

引言：慢性踝关节不稳定（CAI）是一种发生在一次或多次急性踝关节扭伤后的疾病，其特征是持续的症状，包括不稳定感、复发性踝关节扭伤和功能缺陷。尽管有有效的治疗策略，但仍需要一种全面的方法来打破这种连续的残疾并改善姿势控制。一项系统综述和荟萃分析，评估针对足底皮肤受体的干预措施对改善慢性踝关节不稳定患者姿势控制的有效性。方法：按照PRISMA指南进行荟萃分析系统回顾。用于评估改善的结果测量，其中静态姿势控制在SLBT（单肢平衡测试）和COP（压力中心）上进行评估，而动态姿势控制在SEBT（星形偏移平衡测试）上进行了评估，并使用平均值±SD和随机效应模型表示得分，并使用I2统计计算研究之间的异质性。结果：荟萃分析中选择的8项研究共包括168个CAI人群。其中，评估了5项使用足底按摩的研究和3项使用鞋垫的研究，在Pedro量表（范围4-7）上具有中等至高质量。单次和六次足底按摩对SLBT COP的影响不显著，而单次定制成型FO对SEBT的影响不明显。结论：荟萃分析显示，当根据姿势结果测量进行评估时，足底按摩和足部矫形器在静态和动态姿势控制方面的汇总结果不显著。需要进一步的高质量循证试验来强调感觉靶向方法治疗CAI患者姿势不稳定的重要性。

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Role of interventions targeting plantar cutaneous receptors in improving postural control in chronic ankle instability: A systematic review with meta-analysis

Introduction

Chronic ankle instability (CAI) is a disorder that occurs after one or more acute ankle sprains and is characterised by persistent symptoms which include episodes of ‘‘giving way’’ a sensation of instability, recurrent ankle sprains, and functional deficits. Despite of effective treatment strategies a comprehensive approach is needed that can break this continuum of disability and improve the postural control. A systematic review with meta-analysis assessing the effectiveness of interventions targeting plantar cutaneous receptors for improving postural control in individuals with chronic ankle instability.

Methods

The systematic review with meta-analysis was performed following PRISMA guidelines. Outcome measure used to evaluate the improvement in which static postural control was assessed on SLBT (Single limb balance test) and COP (Centre of pressure) whereas dynamic postural control was assessed on SEBT (star excursion balance test) and scores expressed as mean ± SD and random-effects model were performed, and heterogeneity between the studies was calculated using the I² statistic.

Results

A total of 168 CAI populations were included among the 8 selected studies in the meta-analysis. In which,5 studies using Plantar massage and 3 studies using foot insole were assessed, with moderate to high quality on the Pedro scale (range 4–7). For single and six-sessions of plantar massage showed insignificant effect on SLBT COP and for the single session of custom moulded FO showed insignificant effect on SEBT.

Conclusion

The meta-analysis showed non-significant pooled results for plantar massage and foot orthotics on static and dynamic postural control when assessed on postural outcome measures. Further high-quality evidence-based trials would be required to highlight the importance of sensory targeted approaches to treat the postural instability in CAI patients.

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来源期刊

Foot Health Professions-Podiatry

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： The Foot is an international peer-reviewed journal covering all aspects of scientific approaches and medical and surgical treatment of the foot. The Foot aims to provide a multidisciplinary platform for all specialties involved in treating disorders of the foot. At present it is the only journal which provides this inter-disciplinary opportunity. Primary research papers cover a wide range of disorders of the foot and their treatment, including diabetes, vascular disease, neurological, dermatological and infectious conditions, sports injuries, biomechanics, bioengineering, orthoses and prostheses.