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Titre : | Effectiveness of Hypertonic Dextrose Injection (Prolotherapy) in Plantar Fasciopathy: A Systematic Review and Meta-analysis of Randomized Controlled Trials (2023) |
Auteurs : | Hugo P.Y. Fong ; Meng-Ting Zhu ; David P. Rabago ; Kenneth D. Reeves ; Vincent C.H. Chung ; Regina W.S. Sit |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 11, 2023) |
Article en page(s) : | p. 1941-1953.e9 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.03.027 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur ; Fasciite plantaire ; Méta-analyse ; Prolothérapie ; Réadaptation ; Revue systématique |
Résumé : | Objective To systematically review the effectiveness of hypertonic dextrose prolotherapy (DPT) in plantar fasciopathy (PF) compared with other non-surgical treatments. Data Sources PubMed/MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, Allied and Complementary Medicine Database, Global Health, Ovid Nursing Database, Dimensions, and WHO ICTRP were searched from inception to April 30th, 2022. Study Selection Two independent reviewers selected randomized controlled trials (RCTs) that evaluated the effectiveness of DPT in PF compared with non-surgical treatments. Outcomes included pain intensity, foot and ankle function, and plantar fascia thickness. Data Extraction Two independent reviewers conducted data extraction. Risk of bias (RoB) assessment was conducted using the Cochrane Risk of Bias 2 (RoB 2) tool, and certainty of evidence was assessed with Grading of Recommendation Assessment, Development, and Evaluation (GRADE). Data Synthesis Eight RCTs (n=469) met the inclusion criteria. Pooled results favored the use of DPT versus normal saline (NS) injections in reducing pain (weighted mean difference [WMD] -41.72; 95% confidence interval [CI] -62.36 to -21.08; P<.01 low certainty evidence and improving function ci to p in the medium term. pooled results also showed corticosteroid injections was superior dpt reducing pain short term mean difference moderate overall rob varied from concerns of presented ranges very based on assessment with grade approach. conclusion demonstrated that ns but it inferior cs further high-quality rcts standard protocol longer-term follow-up adequate sample size are needed confirm its role clinical practice.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323002265 |