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Effectiveness of non-surgical interventions for hallux valgus: a systematic review and meta-analysis
±Û¾´ÀÌ : °ü¸®ÀÚ ³¯Â¥ : 2021-10-19 (È­) 11:03 Á¶È¸ : 868
02_Effectiveness of non-surgical interventions for hallux valgus.docx (299.3K), Down : 0, 2021-10-19 11:03:19

Effectiveness of non-surgical interventions for hallux valgus: a systematic review and meta-analysis

Sheree E. Hurn, Barry G. Matthews, Shannon E. Munteanu, Hylton B. Menz

Arthritis Care Res (Hoboken)

2021 Mar 25. doi: 10.1002/acr.24603. Online ahead of print.

 

¸ñÀû : hallux valgus (HV)ÀÇ ºñ¼ö¼úÀû Ä¡·áµéÀÇ È¿°ú¸¦ Áõ¸íÇϱâ À§ÇØ Ã¼°èÀû °íÂû°ú ¸ÞŸºÐ¼®À» ½Ç½ÃÇÑ´Ù.

 

¹æ¹ý: MEDLINE, Cochrane Library, Scopus, Web of Science ¹× EM BASE µî »çÀÌÆ®¿¡¼­ Æ÷°ýÀûÀÎ ¹®Çå °Ë»öÀ» ÅëÇؼ­ 2020.4. ÀÌÀü¿¡ ÃâÆÇµÈ HV ºñ¼ö¼úÀûÄ¡·á °ü·Ã ¸ðµç °ü·Ã ¿¬±¸¸¦ °Ë»öÇÏ¿´´Ù. PICO´Â ¾Æ·¡ box¿Í °°´Ù.

P - population of human participants diagnosed with HV (clinical or radiographic diagnosis);

I - any non-surgical intervention aiming to improve outcomes in HV;

C - any other comparative treatment or no treatment (e.g. wait-list or placebo);

O – any measure of treatment effects, including self-reported pain and function, or quantitative measures involving the foot

 

°á°ú : 18°³ÀÇ Á¶°Ç¿¡ ºÎÇÕÇÏ´Â RCT ¹× Cross-over ¿¬±¸°¡ È®ÀεǾúÀ¸³ª, ´ëºÎºÐÀº Ç¥º»Å©±â°¡ ÀÛ¾Ò°í, risk of bias¿ì·Á°¡ ÀÖ¾ú´Ù. Foot orthoses, splint, manual therapy, foot exercise, taping ¿¡ ´ëÇÑ 5°¡Áö °³º° ¸ÞŸ ºÐ¼®Àº 1Â÷À¯È¿¼º°á°ú(HV°¢µµ,¹ßÅëÁõ)¿¡ À¯ÀǹÌÇÑ ¿µÇâÀÌ È®ÀεÇÁö ¾Ê¾Ò´Ù. ±×·¯³ª 8°ÇÀÇ °³º° ¿¬±¸¿¡¼­ foot orthoses, night splints, dynamic splints, manual therapy, taping added to foot exercises, multifaceted physical therapy program. Botox injections »ç¿ëÀ¸·Î »ó´çÇÑ ÅëÁõ °¨¼Ò°¡ ³ªÅ¸³µ´Ù. 4°ÇÀÇ °³º° ¿¬±¸¿¡¼­ night splints, foot exercises, multifaceted physical therapy, Botox injections Ä¡·á·Î HV °¢µµ°¡ ÀÓ»óÀûÀ¸·Î À¯ÀÇÇÏ°Ô °¨¼ÒÇß´Ù°í º¸°íÇß½À´Ï´Ù.

 


Figure 3. Forest plot showing individual study effect estimates and meta-analyses for HV angle. CI = confidence interval; DS = dynamic splints; FE = foot exercises; MD = mean difference; NS = night splints. Figure symbols: * (Meta-analysis based on 3 studies

 

 


Figure 4. Forest plot showing individual study effect estimates and meta-analyses for foot pain. CI, confidence interval; DS, dynamic splints; FE, foot exercises; MD, mean difference; NS, night splints. Figure symbols: * (Meta-analysis based on 2 studies

 

°á·Ð: HV¿¡ ´ëÇÑ ºñ¼ö¼úÀû ÁßÀçÀÇ È¿°ú¿¡ ´ëÇؼ­´Â ³·Àº ¼öÁØÀÇ Áõ°Å·Î È®ÀεǾú´Ù. ±×·¯³ª, HV °¢µµÀÇ °³¼±º¸´Ù´Â ÅëÁõ °¨¼Ò¿¡ È¿°ú(short- to intermediate-term)ÀûÀÎ °ÍÀ¸·Î È®ÀεǾú´Ù.

 

Comment : ¹«Áö ¿Ü¹Ý ¹ß º¯Çü¿¡¼­ foot orthoses, night splints, dynamic splints, manual therapy, taping added to foot exercises, multifaceted physical therapy program. Botox injections µîÀÇ ºñ¼ö¼úÀû Ä¡·á°¡ ¿Ü¹Ý°¢µµÈ£Àü ¹× ÅëÁõ¿ÏÈ­¿¡ È¿°ú°¡ ÀÖ´ÂÁö ½ÃÇàµÈ ü°èÀû °íÂû³í¹®ÀÌ´Ù. ±×·¯³ª, »ó±â forest plot¿¡¼­µµ º¸ÀÌµí °á°úÀÇ ÀÏ°ü¼ºÀÌ ¶³¾îÁö°í, ´õ¿íÀÌ ´ëÁ¶±ºÀÌ ¹«Ä¡·á, ¼ö¼úÀûÄ¡·á, Å×ÀÌÇÎ µîÀ¸·Î ´Ù¾çÇÏ°í, outcomeÀ» ÃøÁ¤ÇÑ ½ÃÁ¡µµ short termºÎÅÍ long term±îÁö ¸ðµÎ ´Þ¶ó, ÀÌÁú¼ºÀÌ ³ôÀº ¿¬±¸¸¦ ÇÔ²² ºÐ¼®ÇÏ´Â ÇÑ°è°¡ ÀÖ¾ú´Ù. ÀÓ»óÀûÀ¸·Î´Â HV¿¡¼­ ºñ¼ö¼úÀû º¸Á¸ÀûÄ¡·á°¡ °¢µµ È£ÀüÀ» ±â´ëÇϱ⠾î·Á¿ì³ª, HVÀÇÇÑ ÅëÁõ¿ÏÈ­¿¡´Â È¿°ú¸¦ º¸ÀÏ ¼ö ÀÖ´Â °ÍÀ¸·Î Á¤¸®ÇØ º¼ ¼ö ÀÖ´Â ³í¹®ÀÌ´Ù.

 


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