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

 

: hallux valgus (HV) ġ ȿ ϱ ü Ÿм ǽѴ.

 

: MEDLINE, Cochrane Library, Scopus, Web of Science  EM BASE  Ʈ ˻ ؼ 2020.4. ǵ HV ġ ˻Ͽ. PICO Ʒ box .

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

 

: 18 ǿ ϴ RCT Cross-over ȮεǾ, κ ǥũⰡ ۾Ұ, risk of bias ־. Foot orthoses, splint, manual therapy, foot exercise, taping 5 Ÿ м 1ȿ(HV,) ǹ Ȯε ʾҴ. ׷ 8 foot orthoses, night splints, dynamic splints, manual therapy, taping added to foot exercises, multifaceted physical therapy program. Botox injections Ұ Ÿ. 4 night splints, foot exercises, multifaceted physical therapy, Botox injections ġ HV ӻ ϰ ߴٰ ߽ϴ.

 


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

 

: HV ȿ ؼ ŷ ȮεǾ. ׷, HV ٴ ҿ ȿ(short- to intermediate-term) ȮεǾ.

 

Comment :  ܹ foot orthoses, night splints, dynamic splints, manual therapy, taping added to foot exercises, multifaceted physical therapy program. Botox injections ġᰡ ܹݰȣ ȭ ȿ ִ ü ̴. ׷, forest plot ̵ ϰ , ġ, ġ, پϰ, outcome short term long term ޶, Բ мϴ Ѱ谡 ־. ӻδ HV ġᰡ ȣ ϱ , HV ȭ ȿ ִ ִ ̴.

 


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