Effects of physical interventions on pain and disability in chronic low back pain with pronated feet: a systematic review and meta-analysis.

IF 1.6 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2025-02-01 Epub Date: 2024-03-03 DOI:10.1080/09593985.2024.2325581

Md Farhan Alam, Sumbul Ansari, Saima Zaki, Saurabh Sharma, Shibili Nuhmani, Abdullah Alnagmoosh, Mohammed Essa Alsubaiei

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引用次数: 0

Abstract

Background: A link between pronated feet (PF) and chronic low back pain (CLBP) has been reported in the literature. However, physical interventions (PI) like physiotherapy and orthotics mainly target the lower back, neglecting the broader biomechanical impacts of PF that affect the feet, ankles, and overall posture. Currently, there is a lack of comprehensive meta-analyses or systematic reviews on this subject.

Objectives: This systematic review with a meta-analysis aimed to evaluate the effects of PI on pain and disability in patients having CLBP with PF.

Methods: From inception until October 15, 2023, Medline/PubMed, Web of Science, and Scopus databases were searched using the desired keywords for randomized control trials (RCTs). The quality of the RCTs was evaluated using the PEDro scale and risk of bias tool.

Results: Four studies involving 268 patients were identified, two compared custom-made foot orthoses to non-biomechanical foot insoles, while the other two used exercises. The meta-analysis included four studies for pain and three for disability. The results showed a significant change in pain [-2.43 (95% CI -2.73 to -2.13, p < .001)] and disability of -6.69 (95% CI -8.04 to -5.33, p < .001)].

Conclusions: This systematic review and meta-analysis of four RCTs elucidates that PI, specifically targeting PF, significantly alleviate pain and reduce disability in patients having CLBP with PF. These findings advocate for integrating foot-based PI within the treatment protocols for patients suffering from CLBP accompanied by PF.

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物理干预对伴有代偿足的慢性腰背痛患者的疼痛和残疾的影响：系统综述和荟萃分析。

背景：文献报道，代偿足（PF）与慢性腰背痛（CLBP）之间存在联系。然而，物理治疗和矫形器等物理干预措施（PI）主要针对下背部，而忽视了代偿性足部运动对足部、脚踝和整体姿势的广泛生物力学影响。目前，这方面还缺乏全面的荟萃分析或系统综述：本系统性综述和荟萃分析旨在评估 PI 对伴有 PF 的 CLBP 患者的疼痛和残疾的影响：方法：从开始到2023年10月15日，使用所需的关键词在Medline/PubMed、Web of Science和Scopus数据库中检索随机对照试验（RCTs）。使用 PEDro 量表和偏倚风险工具对 RCT 的质量进行了评估：结果：共发现了四项研究，涉及 268 名患者，其中两项研究比较了定制足部矫形器和非生物力学足部鞋垫，另外两项研究则使用了锻炼方法。荟萃分析包括四项关于疼痛的研究和三项关于残疾的研究。结果显示，疼痛有明显的变化[-2.43（95% CI -2.73至-2.13，p p 结论：这项对四项 RCT 进行的系统回顾和荟萃分析阐明，PI（特别是针对 PF）可显著减轻伴有 PF 的 CLBP 患者的疼痛并减少残疾。这些研究结果主张将以足部为基础的 PI 纳入伴有 PF 的 CLBP 患者的治疗方案中。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.