Ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis.

<h4>Background</h4>It is controversial whether ultrasound-guided injection of corticosteroid is superior to palpation-guided injection for plantar fasciitis. This meta-analysis was performed to compare the effectiveness of ultrasound-guided and palpation-guided injection of corticosteroi...

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Autores principales:	Zonghuan Li, Chengyan Xia, Aixi Yu, Baiwen Qi
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1dffcb9b1f3f44aca0fad508b67468b6
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spelling	oai:doaj.org-article:1dffcb9b1f3f44aca0fad508b67468b62021-11-18T08:26:50ZUltrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis.1932-620310.1371/journal.pone.0092671https://doaj.org/article/1dffcb9b1f3f44aca0fad508b67468b62014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24658102/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>It is controversial whether ultrasound-guided injection of corticosteroid is superior to palpation-guided injection for plantar fasciitis. This meta-analysis was performed to compare the effectiveness of ultrasound-guided and palpation-guided injection of corticosteroid for the treatment of plantar fasciitis.<h4>Methods</h4>Databases (MEDLINE, Cochrane library and EMBASE) and reference lists were searched from their establishment to August 30, 2013 for randomized controlled trials (RCTs) comparing ultrasound-guided with palpation-guided injection for plantar fasciitis. The Cochrane risk of bias (ROB) tool was used to assess the methodological quality. Outcome measurements were visual analogue scale (VAS), tenderness threshold (TT), heel tenderness index (HTI), response rate, plantar fascia thickness (PFT), hypoechogenicity and heel pad thickness (HPT). The statistical analysis was performed with software RevMan 5.2 and Stata 12.0. When I2<50%, the fixed-effects model was adopted. Otherwise the randomized-effects model was adopted. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to assess the quality of evidence.<h4>Results</h4>Five RCTs with 149 patients were identified and analyzed. Compared with palpation-guided injection, ultrasound-guided injection was superior with regard to VAS, TT, response rate, PFT and hypoechogenicity. However, there was no statistical significance between the two groups for HPT and HTI.<h4>Conclusion</h4>Ultrasound-guided injection of corticosteroid tends to be more effective than palpation-guided injection. However, it needs to be confirmed by further research.Zonghuan LiChengyan XiaAixi YuBaiwen QiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 3, p e92671 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Zonghuan Li Chengyan Xia Aixi Yu Baiwen Qi Ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis.
description	<h4>Background</h4>It is controversial whether ultrasound-guided injection of corticosteroid is superior to palpation-guided injection for plantar fasciitis. This meta-analysis was performed to compare the effectiveness of ultrasound-guided and palpation-guided injection of corticosteroid for the treatment of plantar fasciitis.<h4>Methods</h4>Databases (MEDLINE, Cochrane library and EMBASE) and reference lists were searched from their establishment to August 30, 2013 for randomized controlled trials (RCTs) comparing ultrasound-guided with palpation-guided injection for plantar fasciitis. The Cochrane risk of bias (ROB) tool was used to assess the methodological quality. Outcome measurements were visual analogue scale (VAS), tenderness threshold (TT), heel tenderness index (HTI), response rate, plantar fascia thickness (PFT), hypoechogenicity and heel pad thickness (HPT). The statistical analysis was performed with software RevMan 5.2 and Stata 12.0. When I2<50%, the fixed-effects model was adopted. Otherwise the randomized-effects model was adopted. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to assess the quality of evidence.<h4>Results</h4>Five RCTs with 149 patients were identified and analyzed. Compared with palpation-guided injection, ultrasound-guided injection was superior with regard to VAS, TT, response rate, PFT and hypoechogenicity. However, there was no statistical significance between the two groups for HPT and HTI.<h4>Conclusion</h4>Ultrasound-guided injection of corticosteroid tends to be more effective than palpation-guided injection. However, it needs to be confirmed by further research.
format	article
author	Zonghuan Li Chengyan Xia Aixi Yu Baiwen Qi
author_facet	Zonghuan Li Chengyan Xia Aixi Yu Baiwen Qi
author_sort	Zonghuan Li
title	Ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis.
title_short	Ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis.
title_full	Ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis.
title_fullStr	Ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis.
title_full_unstemmed	Ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis.
title_sort	ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/1dffcb9b1f3f44aca0fad508b67468b6
work_keys_str_mv	AT zonghuanli ultrasoundversuspalpationguidedinjectionofcorticosteroidforplantarfasciitisametaanalysis AT chengyanxia ultrasoundversuspalpationguidedinjectionofcorticosteroidforplantarfasciitisametaanalysis AT aixiyu ultrasoundversuspalpationguidedinjectionofcorticosteroidforplantarfasciitisametaanalysis AT baiwenqi ultrasoundversuspalpationguidedinjectionofcorticosteroidforplantarfasciitisametaanalysis
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Ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis.

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