A systematic review of treatments for the painful heel
A systematic review of treatments for the painful heel
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DOI：
10.1093/rheumatology/38.10.968
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发表时间：
1999-10-01
期刊：
影响因子：
5.5
通讯作者：
Lambert, M
中科院分区：
文献类型：
--
作者：
Atkins, D;Crawford, F;Lambert, M
目标。目的：探讨治疗足跟疼痛的疗效。系统回顾已发表和未发表的文献。Medline、BIDS和Cochrane临床试验数据库的电子检索。对审查中所包括的研究报告的两面性进行了评估。主要观察指标：患者疼痛评分。研究选择：评估足底跟痛治疗方法的随机对照试验，已发表或未发表。外语论文被排除在外。本综述纳入了11项随机对照试验。这些评估了一些最常用的治疗方法（类固醇注射和矫形器）和一些实验性治疗方法（体外冲击波治疗和定向电子）。已发表试验的方法学评估得分较低；小样本量和对研究参与者隐瞒治疗分配的失败阻碍了对治疗效果的更明确的陈述。在纳入的10项试验中，干预组和对照组的患者在最终结果测量中都报告了疼痛评分的改善。尽管已经有很多关于足底跟痛治疗的文章，但少数随机对照试验涉及的患者人数较少，并没有提供治疗效果的有力科学证据。
Objective. To establish the efficacy for treatments of pain on the plantar aspect of the heel.Methods. Systematic review of the published and unpublished literature. Electronic search of Medline, BIDS and the Cochrane database of clinical trials. An assessment of the duality of the reporting was made of studies included in the review. Main outcome measure: patients' pain scores. Study selection: randomized controlled trials, published or unpublished, that evaluated treatments used for plantar heel pain. Foreign language papers were excluded.Results. Eleven randomized controlled trials were included in the review. These evaluated some of the most frequently described treatments (steroid injections and orthoses) and some experimental therapies (extracorporeal shock wave therapy and directed electrons). The methodological assessment scores of the published trials were low; small sample sizes and failure to conceal the treatment allocation from study participants prevents more definitive statements about the efficacy of treatments. In 10 of the included trials, patients in both the intervention and control arms reported improved pain scores at the final outcome measure.Conclusions. Although much has been written about the treatment of plantar heel pain, the few randomized controlled trials involve small populations of patients and do not provide robust scientific evidence of treatment efficacy.