What Is The Evidence For The Effectiveness Of Manual Therapy Interventions For Improving Pain And Function In Plantar Fasciitis?
(2013) What Is The Evidence For The Effectiveness Of Manual Therapy Interventions For Improving Pain And Function In Plantar Fasciitis?, no. 108.
Abstract Background: Plantar fasciitis (PF) is the most frequent source of heel pain among the adult population and it is estimated that 10% of the general population develop PF at some stage during life. The systematic review aimed to investigate the effective of manual therapy (MT) on pain ad function in people with PF. Methods: The eight identify articles, an electronic literature search was conducted of the six databases; MEDLINE, CINAHL, SPORTDiscus, SCOPUS, PEDro, COCHRANE, using selected keywords selected form the United States National Library of Medicine's Medical Subject Headings (MeSH) from 1994 up to April 2013. Selection criteria: All study designs, available in English and published from 1994 up to April 2013 were included. Participants had to be aged 18 years or older and clinically diagnosed with PF, where MT (either self-applied, or applied by a therapist) was compared to an alternative intervention or a placebo. Study outcomes that related to both pain and function were permitted. Findings: Six included studies reported a statistical significant (P<0.001-0.05) improvement in pain following MT interventions combined with exercise therapy or when MT was investigated as a sole intervention, whilst five of the included studies reported statically significant improvement in function (P<0.001-0.05) following completion of their respective MT interventions. However, the methodological quality of the included studies was poor throughout with only one study meeting the criteria to be considered as 'high quality' research. Conclusion: There remains inadequate evidence in which to determine the effectiveness of MT interventions as stand-alone treatment for improving pain and function in patients with PF. Although, there appears to be strong evidence to support the use of impairment based manual therapy and exercise for improve pain and function in patients with PF. However, In light of the various research limitations, it would be imprudent to employ MT interventions in clinical practice without further evidential research.