Rationales and treatment approaches underpinning the use of acupuncture and related techniques for plantar heel pain: a critical interpretive synthesis원문보기
Clark, Maria T
(Institute of Clinical Sciences, University of Birmingham, , Birmingham, UK)
,
Clark, Richard J
(Integrative Healthcare, , Birmingham, UK)
,
Toohey, Shane
(Podiatric Medicine Unit, School of Surgery, University of Western Australia, , Perth, Western Australia, Australia)
,
Bradbury-Jones, Caroline
(Institute of Clinical Sciences, University of Birmingham, , Birmingham, UK)
BackgroundAcupuncture shows promise as a treatment for plantar heel pain (PHP) or plantar fasciitis (PF), but data heterogeneity has undermined demonstration of efficacy. Recognising that acupuncture is a diverse field of practice, the aim of this study was to gain a broader, global perspective on t...
BackgroundAcupuncture shows promise as a treatment for plantar heel pain (PHP) or plantar fasciitis (PF), but data heterogeneity has undermined demonstration of efficacy. Recognising that acupuncture is a diverse field of practice, the aim of this study was to gain a broader, global perspective on the different approaches and rationales used in the application of acupuncture in PHP.MethodsWe built upon an earlier systematic review (which was limited by the necessity of a methodological focus on efficacy) using the critical interpretive synthesis (CIS) method to draw upon a wider international sample of 25 clinical sources, including case reports and case series. Multiple tracks of analysis led to an emergent synthesis.ResultsFindings are presented at three levels: primary (summarised data); secondary (patterns observed); and tertiary (emergent synthesis). Multiple treatments and rationales were documented but no single approach dominated. Notable contradictions emerged such as the application of moxibustion by some authors and ice by others. Synthesis of findings revealed a ‘patchwork’ of factors influencing the approaches taken.ConclusionsThe complexity of the field of acupuncture was illustrated through the ‘lens’ of PHP. The ‘patchwork’ metaphor provides a unifying framework for a previously divergent community of practice and research. Several directions for future research were identified, such as: importance of prior duration; existence of diagnostic subgroups; and how practitioners make clinical decisions and report their findings. CIS was found to provide visibility for multiple viewpoints in developing theory and modelling the processes of ‘real world’ practice by acupuncturists addressing the problem of PHP.
BackgroundAcupuncture shows promise as a treatment for plantar heel pain (PHP) or plantar fasciitis (PF), but data heterogeneity has undermined demonstration of efficacy. Recognising that acupuncture is a diverse field of practice, the aim of this study was to gain a broader, global perspective on the different approaches and rationales used in the application of acupuncture in PHP.MethodsWe built upon an earlier systematic review (which was limited by the necessity of a methodological focus on efficacy) using the critical interpretive synthesis (CIS) method to draw upon a wider international sample of 25 clinical sources, including case reports and case series. Multiple tracks of analysis led to an emergent synthesis.ResultsFindings are presented at three levels: primary (summarised data); secondary (patterns observed); and tertiary (emergent synthesis). Multiple treatments and rationales were documented but no single approach dominated. Notable contradictions emerged such as the application of moxibustion by some authors and ice by others. Synthesis of findings revealed a ‘patchwork’ of factors influencing the approaches taken.ConclusionsThe complexity of the field of acupuncture was illustrated through the ‘lens’ of PHP. The ‘patchwork’ metaphor provides a unifying framework for a previously divergent community of practice and research. Several directions for future research were identified, such as: importance of prior duration; existence of diagnostic subgroups; and how practitioners make clinical decisions and report their findings. CIS was found to provide visibility for multiple viewpoints in developing theory and modelling the processes of ‘real world’ practice by acupuncturists addressing the problem of PHP.
Clark, Richard James, Tighe, Maria.
The Effectiveness of Acupuncture for Plantar Heel Pain: A Systematic Review.
Acupuncture in medicine : journal of the British Medical Acupuncture Society,
vol.30,
no.4,
298-306.
Tillu, A, Gupta, S.
Effect of Acupuncture Treatment on Heel Pain Due to Plantar Fasciitis.
Acupuncture in medicine : journal of the British Medical Acupuncture Society,
vol.16,
no.2,
66-68.
Evid Based Complement Alternat Med Zhang SP 23 23 2009
Orellana Molina, A., Hernández Díaz, A., Larrea Cox, P.J., Fernández Yanes, S., González Méndez, B.M..
Láser infrarrojo frente a acupuntura en el tratamiento del espolón calcáneo.
Revista de la Sociedad Española del Dolor,
vol.17,
no.2,
69-77.
Kumnerddee, Wipoo, Pattapong, Nitsara.
Efficacy of Electro-Acupuncture in Chronic Plantar Fasciitis: A Randomized Controlled Trial.
The American journal of Chinese medicine,
vol.40,
no.6,
1167-1176.
Li, Shuming, Shen, Tong, Liang, Yongshan, Zhang, Ying, Bai, Bo.
Miniscalpel-Needle versus Steroid Injection for Plantar Fasciitis: A Randomized Controlled Trial with a 12-Month Follow-Up.
Evidence-based Complementary and Alternative Medicine : eCAM,
vol.2014,
164714-.
Cotchett, Matthew P., Munteanu, Shannon E., Landorf, Karl B..
Effectiveness of Trigger Point Dry Needling for Plantar Heel Pain: A Randomized Controlled Trial.
Physical therapy,
vol.94,
no.8,
1083-1094.
AI-Helper
※ AI-Helper는 부적절한 답변을 할 수 있습니다.