Différences
Ci-dessous, les différences entre deux révisions de la page.
| Les deux révisions précédentes Révision précédente Prochaine révision | Révision précédente | ||
|
acupuncture:evaluation:rhumatologie - orthopedie:19. algies plantaires et talagies [31 May 2022 18:27] Goret Olivier |
acupuncture:evaluation:rhumatologie - orthopedie:19. algies plantaires et talagies [25 Oct 2025 11:34] (Version actuelle) Nguyen Johan [1.2.1.1. Rao 2019] |
||
|---|---|---|---|
| Ligne 1: | Ligne 1: | ||
| + | /*Auteurs: Olivier Goret, Johan Nguyen, Claude Pernice*/ | ||
| /*English:Plantar Fasciitis / Heel Pain */ | /*English:Plantar Fasciitis / Heel Pain */ | ||
| Ligne 9: | Ligne 10: | ||
| ===== Systematic Reviews and Meta-Analysis===== | ===== Systematic Reviews and Meta-Analysis===== | ||
| - | |☆☆☆ |Evidence for effectiveness and a specific effect of acupuncture. | | + | |
| - | |☆☆| Evidence for effectiveness of acupuncture.| | + | |
| - | | ☆ |Evidence for effectiveness of acupuncture mais limitées qualitativement et/ou quantitativement.| | + | |
| - | |Ø |No evidence or insufficient evidence.| | + | |
| ==== Generic Acupuncture ==== | ==== Generic Acupuncture ==== | ||
| + | === Asokumaran 2024 (Plantar Fasciitis, Network Meta-Analysis) === | ||
| + | |||
| + | Asokumaran I, Verasamy BS, Hasan MIB, Wong DKC, Ong SS, Ng SC. Comparative Effectiveness of Acupuncture Versus Non-surgical Modalities for Treating Plantar Fasciitis: A Network Meta-Analysis. Cureus. 2024 Sep 8;16(9):e68959. https://doi.org/10.7759/cureus.68959 | ||
| + | ^Background|Plantar fasciitis, or plantar heel pain, causes inflammation of the plantar fascia due to various causes, with no clear consensus on the treatment protocol. Standard first-line treatment includes non-steroidal anti-inflammatory drugs and physiotherapy. Second-line treatment prior to surgery includes extracorporeal shockwave therapy (ESWT), ultrasound-guided (USG) therapy, corticosteroid injection (CSI), and platelet-rich plasma (PRP) injection. Recently, the use of acupuncture treatment has been gaining popularity, with increasing published evidence showing its effectiveness in treating plantar fasciitis.| | ||
| + | ^Objective and Methos| The objective of this study was to determine whether acupuncture intervention was a viable alternative treatment method for managing plantar fasciitis when compared to ESWT, USG therapy, CSI, and PRP injection. Data sources from PubMed, Google Scholar, Scopus, Science Direct, and China National Knowledge Infrastructure were reviewed. Clinical trials were searched from their inception over the period of January 2000 to October 2020. | | ||
| + | ^Results|A total of **32 relevant paper**s were included for analysis, totaling 2390 samples. Visual Analog Scale (VAS) scores measuring pain were analyzed in terms of outcome after one and three months of treatment. Each time point was analyzed separately through a network meta-analysis using the frequentist approach. VAS scores for each intervention at baseline and the two-time points (i.e., one and three months) were included in the comprehensive meta-analysis. Then, differences in VAS scores were calculated in R studio (V4.1.2; RStudio: Integrated Development for R, RStudio, Inc., Boston, USA) using the netmeta package. The netmeta package was also used to perform the network meta-analysis and generate corresponding figures. Direct and indirect effects were assessed and visualized through a direct evidence plot and a node-splitting forest plot. Randomized controlled trials (RCTs) and non-RCTs involving treatments of acupuncture, ESWT, USG therapy, CSI, or PRP injection, either in comparison with each other or with a placebo, were included in our review. Our meta-analysis showed that at one month, VAS scores for acupuncture treatment had the highest mean difference (MD) of -1.33 (95% confidence interval (95% CI) = -2.19 to -0.46) compared to placebo, indicating that acupuncture treatment was more effective than other treatment arms when compared to placebo. Analysis at threemonths showed that the highest-ranked treatment was PRP injection, with an MD of -2.67 (95% CI = -6.23 to 0.89). However, the CI for the net effect of all treatments crossed the null effect on the forest plot, indicating no statistically significant difference between the treatment and placebo. | | ||
| + | ^Conclusions|Acupuncture treatment should be considered as a second-line treatment for treatment of plantar fasciitis together with other common treatment options such as ESWT, PRP injection, CSI, and USG therapy. Further long-term studies measuring acupuncture treatment outcomes would be beneficial in the future.| | ||
| Ligne 60: | Ligne 65: | ||
| === Acupotomy === | === Acupotomy === | ||
| + | |||
| + | |||
| + | == Li 2025 (+ fumigation) == | ||
| + | |||
| + | Li C, Sun ZW, Ma JX, Gao X, Lou HJ, Li CY. The curative effect of traditional Chinese medicine fumigation combined with acupotomy in the treatment of heel pain: A meta-analysis. Medicine (Baltimore). 2025 Aug 22;104(34):e43249. https://doi.org/10.1097/MD.0000000000043249 | ||
| + | . | ||
| + | |||
| + | ^Background| To evaluate the clinical therapeutic effect of traditional Chinese medicine (TCM) fumigation combined with acupotomy for treatment of heel pain.| | ||
| + | ^Methods| After a comprehensive search of large databases globally, a meta-analysis was performed on the results of randomized controlled trials conforming to the inclusion criteria using Review Manager 5.4 software, and the quality of the evidence rated using the Grading of Recommendations Assessment, Development and Evaluation profiler 3.2.2 software.| | ||
| + | ^Results| A total of 1095 patients were included in 12 studies, with 548 in the treatment group and 547 in the control group. Heterogeneity test analysis showed no statistical heterogeneity among the 12 studies; therefore, a fixed-effects model combined with effect size analysis was used. The results of the meta-analysis showed that the clinical difference between the experimental and control groups was statistically significant. Grading of Recommendations Assessment, Development and Evaluation system evidence grading showed that the evidence grade of TCM fumigation combined with acupotomy for heel pain was low.| | ||
| + | ^Conclusion| The curative effect of TCM fumigation combined with acupotomy in the treatment of heel pain was better than that of medicine alone. The evidence quality level of this conclusion was not high, and the research conclusion should be treated with caution and further confirmed using large samples and high-quality clinical trials.| | ||
| + | |||
| == Rao 2019 == | == Rao 2019 == | ||
| Ligne 221: | Ligne 238: | ||
| + | */ | ||
