Physiotherapy for plantar fasciitis: a UK-wide survey of current practice

Grieve, Robert; Palmer, Shea

doi:10.1016/j.physio.2016.02.002

Cited by 35 publications

(26 citation statements)

References 27 publications

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“…We evaluated each identified RCT against the following predetermined selection criteria: Study population : adults, aged 18 years and older with PHP (including plantar fasciitis, plantar fasciopathy, plantar fasciosis) as diagnosed by clinical examination and/or diagnostic imaging. Interventions: the review focused on four therapeutic interventions (ie, exercise therapy, corticosteroid injections, non-steroidal anti-inflammatory drugs (NSAIDs) and orthoses) that are commonly used in the management of PHP in the UK19 and an additional treatment (ie, ESWT), which is commonly reported in the literature.Due to an envisaged lack of suitable data on dosage and procedural variations of treatment options, this systematic review and NMA focused primarily on comparisons of the specified core therapeutic interventions (exercise therapy, corticosteroid injections, orthoses, NSAIDs and ESWT). Comparator: direct comparisons between any of the five core therapeutic interventions (ie, exercise therapy, corticosteroid injections, NSAIDs, orthoses and ESWT) or comparisons with usual care/placebo/sham for PHP in any healthcare setting (community, primary healthcare or secondary healthcare), and without restrictions regarding duration, frequency or intensity of treatment. Studies only comparing different procedural techniques of the same intervention (eg, focal vs radial shockwave) were excluded.…”

Section: Methodsmentioning

confidence: 99%

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Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis

et al. 2018

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ObjectiveTo evaluate the comparative effectiveness of current treatment options for plantar heel pain (PHP).DesignSystematic review and network meta-analysis (NMA).Data sourcesMedline, EMBASE, CINAHL, AMED, PEDro, Cochrane Database, Web of Science and WHO Clinical Trials Platform were searched from their inception until January 2018.Study selectionRandomised controlled trials (RCTs) of adults with PHP investigating common treatments (ie, corticosteroid injection, non-steroidal anti-inflammatory drugs, therapeutic exercise, orthoses and/or extracorporeal shockwave therapy (ESWT)) compared with each other or a no treatment, placebo/sham control.Data extraction and analysisData were extracted and checked for accuracy and completeness by pairs of reviewers. Primary outcomes were pain and function. Comparative treatment effects were analysed by random effects NMA in the short term, medium term and long term. Relative ranking of treatments was assessed by surface under the cumulative ranking probabilities (0–100 scale).ResultsThirty-one RCTs (total n=2450 patients) were included. There was no evidence of inconsistency detected between direct and indirect treatment comparisons in the networks, but sparse data led to frequently wide CIs. Available evidence does not suggest that any of the commonly used treatments for the management of PHP are better than any other, although corticosteroid injections, alone or in combination with exercise, and ESWT were ranked most likely to be effective for the management of short-term, medium-term and long-term pain or function; placebo/sham/control appeared least likely to be effective; and exercise appeared to only be beneficial for long-term pain or function.ConclusionsCurrent evidence is equivocal regarding which treatment is the most effective for the management of PHP. Given limited understanding of long-term effects, there is need for large, methodologically robust multicentre RCTs investigating and directly comparing commonly used treatments for the management of PHP.PROSPERO registration numberCRD42016046963.

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Section: Methodsmentioning

confidence: 99%

“…Interventions: the review focused on four therapeutic interventions (ie, exercise therapy, corticosteroid injections, non-steroidal anti-inflammatory drugs (NSAIDs) and orthoses) that are commonly used in the management of PHP in the UK19 and an additional treatment (ie, ESWT), which is commonly reported in the literature.…”

Section: Methodsmentioning

confidence: 99%

Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis

et al. 2018

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“…A survey was undertaken of 285 UK based Physiotherapists questioning their management of plantar fasciopathies (Greive and Palmer, 2015), and reported to the World Confederation for Physical Therapy. The most common approach was reportedly a 'hands off' management approach consisting of advice (92%), plantar fasciopathy pathology education (81%), general stretching exercises (74%), more specific stretches to the calf muscles (69%) and plantar fascia (66%).…”

Section: How Well Are Plantar Fasciopathies Treated By Physical Theramentioning

confidence: 99%

Plantar heel pain

McNeill¹,

Silvester²

2017

Journal of Bodywork and Movement Therapies

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“…Los síntomas vinculados a ella son la causa más común de dolor en el talón, afectando aproximadamente al 10% de la población en algún momento de su vida. [1][2][3] Se estima que se producen alrededor de un millón de visitas médicas anuales en EEUU diagnosticadas como FP. [1][2][3][4] En este mismo país constituye entre el 11% y el 15% de todas las visitas a profesionales médicos por dolor en el pie.…”

Section: Introductionunclassified

“…[1][2][3] Se estima que se producen alrededor de un millón de visitas médicas anuales en EEUU diagnosticadas como FP. [1][2][3][4] En este mismo país constituye entre el 11% y el 15% de todas las visitas a profesionales médicos por dolor en el pie. 5 La edad media de presentación suele hallarse en la sexta década de vida, siendo más frecuente en mujeres 6,7 , aunque este pico de edad es menor en la población deportista.…”

Section: Introductionunclassified

Valor del Test de Silfverskiöld para el diagnóstico de la fascitis plantar

García-Vidal

Palazón²,

Alcaraz

et al. 2019

Rev. Int. Cienc. Podol.

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Fecha de recepción: 4 de abril de 2018 / Fecha de aceptación: 11 de septiembre de 2018 Resumen. Introducción: La fascitis plantar (FP) está descrita como la causa más común de dolor en el talón. Aunque se considera una patología multifactorial, la limitación de la dorsiflexión del tobillo es uno de los factores más determinantes, predisponiendo al desarrollo de patologías en el miembro inferior. Objetivo: Determinar la exactitud del test de Silfverskiöld como herramienta diagnóstica de la FP a partir del análisis de varios indicadores (sensibilidad, especifidad, valor predictivo positivo y negativo, y razones de verosimilitud positiva y negativa). Método: Se realizó un estudio de validez transversal en 16 sujetos (9 mujeres y 7 hombres) diagnosticados de fascitis plantar unilateral de al menos 3 meses de evolución. Un fisioterapeuta se encargó de evaluar el déficit de dorsiflexión en ambos tobillos mediante el Test de Silfverskiöld. Resultados: Fueron descartados aquellos pies sin problemas de movilidad en dorsiflexión de tobillo, por lo que finalmente fueron analizados 14 pies afectos y 8 sanos. los indicadores de eficacia diagnóstica del test de Silfverskiöld en la FP. Al determinar la eficacia del test de Silfverskiöld como predictor de FP encontramos una sensibilidad de 93,7%, especificidad del 75%, valor predictivo positivo (VPP) de 86,6% y valor predictivo negativo (VPN) de 85,7%. La razón de verosimilitud positiva (RV+) fue de 3,74, mientras que la negativa (RV-) resultó 12,5. Conclusión: El test de Silfverskiöld puede ser considerado una prueba eficaz para el diagnóstico de la FP. Existe una importante asociación entre la limitación en la dorsiflexión de tobillo por restricción de gemelos y la probabilidad de padecer FP.

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Physiotherapy for plantar fasciitis: a UK-wide survey of current practice

Cited by 35 publications

References 27 publications

Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis

Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis

Plantar heel pain

Valor del Test de Silfverskiöld para el diagnóstico de la fascitis plantar

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