scholarly journals The Effectiveness of Acupuncture for Plantar Heel Pain: A Systematic Review

2012 ◽  
Vol 30 (4) ◽  
pp. 298-306 ◽  
Author(s):  
Richard James Clark ◽  
Maria Tighe
Keyword(s):  
Systematic Review ◽  
Pressure Pain Threshold ◽  
Acupuncture Point ◽  
Heel Pain ◽  
Future Research ◽  
Controlled Trials ◽  
Plantar Heel Pain ◽  
Randomised Controlled ◽  
Complex Phenomena ◽  
And Function

Introduction Plantar heel pain (PHP) is a common complaint, yet there are no definitive guidelines for its treatment. Acupuncture is increasingly used by podiatrists, and there is a need for evidence to validate this practice. It is acknowledged that PHP and acupuncture are both complex phenomena. Method A systematic review (PROSPERO no. CRD42012001881) of the effectiveness of acupuncture for PHP is presented. Quality of the studies was assessed by independent assessors with reference to Quality Index (QI), ‘STandards for Reporting Interventions in Controlled Trials of Acupuncture’ (STRICTA) and ‘CONsolidated Standards Of Reporting Trials’ (CONSORT) criteria. Pooling of data, or even close comparison of studies, was not performed. Results Five randomised controlled trials and three non-randomised comparative studies were included. High quality studies report significant benefits. In one, acupuncture was associated with significant improvement in pain and function when combined with standard treatment (including non-steroidal anti-inflammatory drugs). In another, acupuncture point PC7 improved pain and pressure pain threshold significantly more than LI4. Other papers were of lower quality but suggest benefits from other acupuncture approaches. Conclusions There is evidence supporting the effectiveness of acupuncture for PHP. This is comparable to the evidence available for conventionally used interventions, such as stretching, night splints or dexamethasone. Therefore acupuncture should be considered in recommendations for the management of patients with PHP. Future research should recognise the complexity of PHP, of acupuncture and of the relationship between them, to explore the optimum use and integration of this approach. There is a need for more uniformity in carrying out and reporting such work and the use of STRICTA is recommended.

scholarly journals Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis

2018 ◽  
Vol 52 (16) ◽  
pp. 1040-1046 ◽  
Author(s):  
Nadine Rasenberg ◽  
Henrik Riel ◽  
Michael S Rathleff ◽  
Sita M A Bierma-Zeinstra ◽  
Marienke van Middelkoop
Keyword(s):  
Systematic Review ◽  
Conservative Treatment ◽  
Meta Analysis ◽  
Heel Pain ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Foot Orthoses ◽  
Short Term ◽  
Eligibility Criteria ◽  
Plantar Heel Pain

BackgroundPlantar heel pain (PHP) is common. Foot orthoses are often applied as treatment for PHP, even though there is little evidence to support this.ObjectiveTo investigate the effects of different orthoses on pain, function and self-reported recovery in patients with PHP and compare them with other conservative interventions.DesignSystematic review and meta-analysis.Data sourcesA systematic literature search was conducted in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL and Google Scholar up to January 2017.Eligibility criteria for selecting studiesRandomised controlled trials comparing foot orthoses with a control (defined as no intervention, sham or other type of conservative treatment) reporting on pain, function or self-reported recovery in patients with PHP.ResultsTwenty studies investigating eight different types of foot orthoses were included in the review. Most studies were of high quality. Pooled data from six studies showed no difference between prefabricated orthoses and sham orthoses for pain at short term (mean difference (MD) of 0.26 (95% CI −0.09 to 0.60)). No difference was found between sham orthoses and custom orthoses for pain at short term (MD 0.22 (95% CI −0.05 to 0.50)), nor was there a difference between prefabricated orthoses and custom orthoses for pain at short term (MD 0.03 (95% CI −0.15 to 0.22)). For the majority of other interventions, no significant differences were found.ConclusionsFoot orthoses are not superior for improving pain and function compared with sham or other conservative treatment in patients with PHP.PROSPERO registration numberCRD42015029659.

scholarly journals A systematic review of pharmacists’ interventions to support medicines optimisation in patients with visual impairment

2019 ◽  
Vol 41 (6) ◽  
pp. 1400-1407 ◽  
Author(s):  
Basma Y. Kentab ◽  
Heather E. Barry ◽  
Sinaa A. Al-Aqeel ◽  
Carmel M. Hughes
Keyword(s):  
Systematic Review ◽  
Visual Impairment ◽  
Randomised Controlled Trials ◽  
Grey Literature ◽  
Cochrane Library ◽  
Future Research ◽  
Controlled Trials ◽  
Medicines Optimisation ◽  
Randomised Controlled ◽  
The Impact

Abstract Background People with visual impairment often report poorer health and encounter many challenges when using medicines. Pharmacists can play a significant role in optimising medicines use for these patients. However, little is known about pharmacists’ current practices when providing services to this population nor the impact of such services, if any, on medicines optimisation-related outcomes. Aim of the review This systematic review aims to identify the types, and assess the effectiveness of, interventions provided by pharmacists on medicines optimisation-related outcomes. Method Systematic searches of the following electronic databases were carried out from date of inception to March 2018: Cochrane Library; MEDLINE; EMBASE; International Pharmaceutical Abstracts; Scopus; and Cumulative Index to Nursing and Allied Health Literature. Several trial registries and grey literature resources were also searched. Any randomised controlled trials, non-randomised controlled trials, controlled before-and-after studies, or interrupted time series analyses reporting on interventions provided by pharmacists to adult visually impaired patients and/or their caregivers in order to improve medicines optimisation-related outcomes of medicine safety, adherence, patient satisfaction, shared decision making, or quality of life were included. Results A total of 1877 titles/abstracts were screened, and 27 full text articles were assessed for eligibility. On examination of full texts, no studies met the inclusion criteria for this review. Conclusion This review highlights the need for future research that would be vital for promoting the safe and effective use of medicines and the delivery of pharmaceutical care services to people with visual impairment.

scholarly journals The Effectiveness of Combined Shockwave Therapy and Exercise for Plantar Heel Pain: A Systematic Review Protocol

2020 ◽  
Author(s):  
Ian Burton
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Heel Pain ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Systematic Review Methodology ◽  
Treatment Protocols ◽  
Shockwave Therapy ◽  
Plantar Heel Pain ◽  
Wide Range

Review Objective: To synthesize the best available evidence on the effectiveness of interventions that have used a combination of extracorporeal shockwave therapy and any type of exercise to treat plantar heel pain compared to any other treatment intervention. Introduction: Recent evidence suggests combining shockwave therapy and exercise may be more effective than other treatments for plantar heel pain. However, no systematic reviews have been conducted on the topic and optimal treatment protocols and clinical recommendations are lacking.Inclusion criteria: Randomised controlled trials assessing the effectiveness of combined shockwave therapy and exercise for plantar heel pain in adults will be included. Methods: The authors will search for a wide range of sources to find both published and unpublished studies via EBSCOhost, including, but not limited to, MEDLINE, SPORTDiscus, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), and Allied and Complementary Medicine Database (AMED). Studies published in a language other than English will only be considered if a translation is available. The JBI systematic review methodology will be followed when conducting the review. Data synthesis will be conducted using meta-analysis or narrative synthesis, where appropriate. Systematic review registration number: CRD42020213286

scholarly journals Chair-Based Exercises for Frail Older People: A Systematic Review

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Kevin Anthony ◽  
Katie Robinson ◽  
Philippa Logan ◽  
Adam L. Gordon ◽  
Rowan H. Harwood ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Evidence Base ◽  
Controlled Trials ◽  
Frail Older People ◽  
Exercise Programmes ◽  
Randomised Controlled ◽  
And Function ◽  
Harmful Effects

Introduction. Frail older people are often unable to undertake high-intensity exercise programmes. Chair-based exercises (CBEs) are used as an alternative, for which health benefits are uncertain.Objective. To examine the effects of CBE programmes for frail older people through a systematic review of existing literature.Method. A systematic search was performed for CBE-controlled trials in frail populations aged ≥65 years published between 1990 and February 2011 in electronic databases. Quality was assessed using the Jadad method.Results. The search identified 164 references: with 42 duplicates removed, 122 reviewed, 116 excluded, and 6 analysed. 26 outcome measures were reported measuring 3 domains: mobility and function, cardiorespiratory fitness, mental health. All studies were of low methodological quality (Jadad score ≤2; possible range 0–5). Two studies showed no benefit, and four reported some evidence of benefit in all three domains. No harmful effects were reported; compliance was generally good.Conclusion. The quality of the evidence base for CBEs is low with inconclusive findings to clearly inform practice. A consensus is required on the definition and purpose of CBEs. Large well-designed randomised controlled trials to test the effectiveness of CBE are justified.

scholarly journals Biomarkers of Dietary Patterns: A Systematic Review of Randomised Controlled Trials

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 878-878
Author(s):  
Shuang Liang ◽  
Reeja Nasir ◽  
Michael Skilton ◽  
Clemence Toniutti ◽  
Kim Bell-Anderson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
Randomised Controlled Trials ◽  
World Health ◽  
Future Research ◽  
Controlled Trials ◽  
Food Groups ◽  
Dietary Biomarkers ◽  
Randomised Controlled

Abstract Objectives We undertook a systematic review of clinical trials to identify a) dietary biomarkers being used to assess dietary pattern compliance, and b) novel biomarkers that are affected by intake of distinct dietary patterns. Methods The search strategy was developed in Medline and adapted for four additional databases: EMBASE, Cochrane CENTRAL, PreMedline, and CINAHL. Two independent reviewers extracted data and assessed risk of bias using the Cochrane tool. Results Literature search retrieved 3930 records; 450 full texts were assessed, and 30 articles reporting randomised controlled trials met the inclusion criteria. The most studied dietary patterns were the Mediterranean diet, healthy Nordic diet, Dietary Approaches to Stop Hypertension (DASH) diet, followed by low glycaemic-load diet, vegetarian diet, diets based on national and international guidelines (i.e., United Kingdom and World Health Organization Eating Guidelines), Korean diet and prudent diet. Of these, 13 articles incorporated prospectively identified dietary biomarkers, the most common being omega-3 index from erythrocytes or whole blood, 24-h urinary electrolytes, and serum or plasma carotenoids. Seventeen articles identified novel metabolomic biomarkers associated with dietary patterns, the most frequently identified being those associated with protein, lipid, and fish intakes. Conclusions Using dietary biomarkers of single nutrients, individual foods and food groups is commonly used to assess dietary compliance to dietary pattern interventions in controlled settings. However, identifying an individual's specific or broad dietary pattern, based on their biomarker profile, remains an area for future research. A framework that incorporates multiple biomarkers of individual dietary characteristics is likely necessary to accurately capture the complexity of dietary patterns. Funding Sources N/A.

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