TAILIEUCHUNG - Báo cáo y học: "The effectiveness of manual stretching in the treatment of plantar heel pain: a systematic review"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The effectiveness of manual stretching in the treatment of plantar heel pain: a systematic review. | Sweeting et al. Journal of Foot and Ankle Research 2011 4 19 http content 4 1 19 JOURNAL OF FOOT AND ANKLE RESEARCH REVIEW Open Access The effectiveness of manual stretching in the treatment of plantar heel pain a systematic review David Sweeting1 2 Ben Parish1 2 Lee Hooper1 and Rachel Chester1 3 Abstract Background Plantar heel pain is a commonly occurring foot complaint. Stretching is frequently utilised as a treatment yet a systematic review focusing only on its effectiveness has not been published. This review aimed to assess the effectiveness of stretching on pain and function in people with plantar heel pain. Methods Medline EMBASE CINAHL AMED and The Cochrane Library were searched from inception to July 2010. Studies fulfilling the inclusion criteria were independently assessed and their quality evaluated using the modified PEDro scale. Results Six studies including 365 symptomatic participants were included. Two compared stretching with a control one study compared stretching to an alternative intervention one study compared stretching to both alternative and control interventions and two compared different stretching techniques and durations. Quality rating on the modified Pedro scale varied from two to eight out of a maximum of ten points. The methodologies and interventions varied significantly between studies making meta-analysis inappropriate. Most participants improved over the course of the studies but when stretching was compared to alternative or control interventions the changes only reached statistical significance in one study that used a combination of calf muscle stretches and plantar fascia stretches in their stretching programme. Another study comparing different stretching techniques showed a statistically significant reduction in some aspects of pain in favour of plantar fascia stretching over calf stretches in the short term. Conclusions There were too few studies to assess whether stretching is effective compared to

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