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Critical Appraisal Chronic Plantar Fasciitis PowerPoint Presentation

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Description : Critical Appraisal - Chronic Plantar Fasciitis

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

Published on : Sep 26, 2020 | Views : 911 | Downloads : 2

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Slide 1-

Critical Appraisal Aisha al ali (R2) Family Medicine residency, ZMH
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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
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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
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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
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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
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Title, Journal, Author , Date
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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
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Section A:Are the results of the study valid?
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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
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Section A:Are the results of the study valid?
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Is it worth continuing?
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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
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Section A:Are the results of the study valid?
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Section A:Are the results of the study valid? 4. Did the review’s authors do enough to assess quality of the included studies?
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Section A:Are the results of the study valid?
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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?
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Section A:Are the results of the study valid?
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Section BWhat are the results? 6. What are the overall results of the review?
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Section BWhat are the results? 7. How precise are the results? Look at the confidence intervals if given
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Section CWill the results help locally? 8. Can the results be applied to the local population?
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Section CWill the results help locally?
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Section CWill the results help locally? 9. Were all important outcomes considered?
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Section CWill the results help locally?
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Section CWill the results help locally? 10. Are the benefits worth the harms and costs?
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Section CWill the results help locally?
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“It’s one small step for man, one giant leap for mankind.” Neil Armstrong Thank you