【論文摘要】The Effects of Manual Therapy in Patients With Plantar Fasciitis: A Systematic Review and Meta-Analysis

【論文摘要】徒手治療對足底筋膜炎患者之療效：統合分析與系統性回顧

高閔威(Min-Wei Kao) ； 李怡甄(Yi-Zhen Li) ； 曾郁祺(Yu-Qi Zeng) ； 林吟亮(Yin-Liang Lin)

《物理治療》 46卷4期 (2021/12) Pp. 326-326

https://doi.org/10.6215/FJPT.202112.P43

摘要

Background and Purpose: Plantar fasciitis is one of the most common foot orthopedic complaints. Previous studies have shown that manual therapy could decrease pain and improve function by restoring soft tissue flexibility and joint mobility. Different types of manual therapy have been used, and manual therapy has been applied in combination with other therapy. It is not well understood whether all types of manual therapy are effective and whether manual therapy provides additional therapeutic effects in patients with plantar fasciitis. Therefore, the purposes of this systematic review and meta-analysis were to determine which types of manual therapy is an effective treatment for plantar fasciitis in comparison with other physical therapy and to examine the additional effects of manual therapy. Methods: A systematic search of the randomized controlled trials was conducted in databases of PubMed, Physiotherapy Evidence Database (PEDro), Cochrane Library and, Airiti Library until May 31, 2021. Three researchers critically appraised studies with the PEDro scale. The outcomes included pain intensity and foot function. Results: After the screening, 11 studies with the range of PEDro scores from 3 to 8 were included. The results of meta-analysis showed that manual therapy had better effects on pain than the control therapy with a standardized mean difference (SMD) of 1.41 (p = 0.001). When specific types of manual therapy were analyzed, we found that myofascial release resulted in better improvement in pain intensity and foot function than the control group (SMD: 1.17, p = 0.032; SMD: 2.54, p = 0.025). For those studies that could not be pooled to conduct meta-analysis, two studies with high quality (PEDro scores: 6) indicated that when combined with conventional physical therapy, both soft tissue mobilization and joint mobilization could have additional effects on pain intensity and functional outcomes. Conclusions: Manual therapy, particularly myofascial release, could help decrease pain intensity and improve functional performance in people with plantar fasciitis. Treatment programs including soft tissue mobilization or joint mobilization could also provide better effects than those without manual therapy. Clinical Relevance: To provide better treatment effects, manual therapy is an essential component of treatment protocols for individuals with plantar fasciitis.