Download Free Medical Critical Appraisal Chronic Plantar Fasciitis PowerPoint Presentation

Critical Appraisal Chronic Plantar Fasciitis PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Critical Appraisal - Chronic Plantar Fasciitis

Tags : Critical Appraisal, Chronic Plantar Fasciitis, flexible flat feet

Published on : Sep 26, 2020 | Views : 872 | Downloads : 2

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

Critical Appraisal Aisha al ali (R2) Family Medicine residency, ZMH
Slide 2-

Case Scenario 48 years old military personnel , posting as a trainer Presented with acute on top of chronic intense right heel pain. He had a trauma while running in a training session 18 month back and his foot was not the same anymore; heel pain was a somehow manageable problem that show up every now and then; despite using a proper training shoes and insoles Pain got intense over the last week prior to presentation after a training session that involved running for a long distance At this time the only relieving factor is just rest, which is inconvenient in his line of work as well as to himself as he love exercising
Slide 3-

Case Scenario Upon physical examination the right foot revealed a normal longitudinal arch in the non-weight bearing position. The arch flattens considerably upon weight bearing activity, with over-pronation (flexible flat feet) Tenderness maximum exactly as in the picture The voluntary range of motion of the foot and ankle mortice were preserved
Slide 4-

Case Scenario Diagnosis: Chronic Plantar Fasciitis Chart Review : 18 month back the diagnosis was Acute Plantar Fasciitis, he had a 14 days course of NSAID with PT, given the non-pharmacological tools to relieve fasciitis pain So the question was: how can I help this patient? What more can I offer to relief his pain ?  searched and read
Slide 5-

PICO Patient: adults with chronic plantar fasciitis Interventions: Shock wave Therapy for plantar fasciitis Compressions: US guided corticosteroid injection Outcomes: most effective in pain control
Slide 6-

Title, Journal, Author , Date
Slide 7-

ppt slide no 7 content not found
Slide 8-

Section A:Are the results of the study valid? 1. Did the review address a clearly focused question? ‘Focused’ In terms of the population studied the intervention given the outcome considered
Slide 9-

Section A:Are the results of the study valid?
Slide 10-

Section A:Are the results of the study valid? 2. Did the authors look for the right type of papers? The best sort of studies would address the review’s question have an appropriate study design
Slide 11-

Section A:Are the results of the study valid?
Slide 12-

Is it worth continuing?
Slide 13-

Section A:Are the results of the study valid? 3. Do you think all the important, relevant studies were included? which bibliographic databases were used Unpublished as well as published studies Non-English language studies
Slide 14-

Section A:Are the results of the study valid?
Slide 15-

Section A:Are the results of the study valid? 4. Did the review’s authors do enough to assess quality of the included studies?
Slide 16-

Section A:Are the results of the study valid?
Slide 17-

Section A:Are the results of the study valid? 5. If the results of the review have been combined, was it reasonable to do so?
Slide 18-

Section A:Are the results of the study valid?
Slide 19-

Section BWhat are the results? 6. What are the overall results of the review?
Slide 20-

Section BWhat are the results? 7. How precise are the results? Look at the confidence intervals if given
Slide 21-

Section CWill the results help locally? 8. Can the results be applied to the local population?
Slide 22-

Section CWill the results help locally?
Slide 23-

Section CWill the results help locally? 9. Were all important outcomes considered?
Slide 24-

Section CWill the results help locally?
Slide 25-

Section CWill the results help locally? 10. Are the benefits worth the harms and costs?
Slide 26-

Section CWill the results help locally?
Slide 27-

“It’s one small step for man, one giant leap for mankind.” Neil Armstrong Thank you