Rationales and treatment approaches underpinning the use of acupuncture and related techniques for plantar heel pain: a critical interpretive synthesis

Maria T. Clark, Richard J. Clark, Shane Toohey, Caroline Bradbury-Jones

    Research output: Contribution to journalArticle

    4 Citations (Scopus)

    Abstract

    BACKGROUND: Acupuncture shows promise as a treatment for plantar heel pain (PHP) or plantar fasciitis (PF), but data heterogeneity has undermined demonstration of efficacy. Recognising that acupuncture is a diverse field of practice, the aim of this study was to gain a broader, global perspective on the different approaches and rationales used in the application of acupuncture in PHP.

    METHODS: We built upon an earlier systematic review (which was limited by the necessity of a methodological focus on efficacy) using the critical interpretive synthesis (CIS) method to draw upon a wider international sample of 25 clinical sources, including case reports and case series. Multiple tracks of analysis led to an emergent synthesis.

    RESULTS: Findings are presented at three levels: primary (summarised data); secondary (patterns observed); and tertiary (emergent synthesis). Multiple treatments and rationales were documented but no single approach dominated. Notable contradictions emerged such as the application of moxibustion by some authors and ice by others. Synthesis of findings revealed a 'patchwork' of factors influencing the approaches taken.

    CONCLUSIONS: The complexity of the field of acupuncture was illustrated through the 'lens' of PHP. The 'patchwork' metaphor provides a unifying framework for a previously divergent community of practice and research. Several directions for future research were identified, such as: importance of prior duration; existence of diagnostic subgroups; and how practitioners make clinical decisions and report their findings. CIS was found to provide visibility for multiple viewpoints in developing theory and modelling the processes of 'real world' practice by acupuncturists addressing the problem of PHP.

    Original languageEnglish
    Pages (from-to)9-16
    Number of pages8
    JournalAcupuncture in medicine : journal of the British Medical Acupuncture Society
    Volume35
    Issue number1
    DOIs
    Publication statusPublished - 1 Mar 2017

    Fingerprint

    Heel
    Acupuncture
    Pain
    Plantar Fasciitis
    Moxibustion
    Metaphor
    Ice
    Therapeutics
    Lenses
    Research

    Cite this

    @article{d129f156fd1d41ca860e45904d43ab10,
    title = "Rationales and treatment approaches underpinning the use of acupuncture and related techniques for plantar heel pain: a critical interpretive synthesis",
    abstract = "BACKGROUND: Acupuncture shows promise as a treatment for plantar heel pain (PHP) or plantar fasciitis (PF), but data heterogeneity has undermined demonstration of efficacy. Recognising that acupuncture is a diverse field of practice, the aim of this study was to gain a broader, global perspective on the different approaches and rationales used in the application of acupuncture in PHP.METHODS: We built upon an earlier systematic review (which was limited by the necessity of a methodological focus on efficacy) using the critical interpretive synthesis (CIS) method to draw upon a wider international sample of 25 clinical sources, including case reports and case series. Multiple tracks of analysis led to an emergent synthesis.RESULTS: Findings are presented at three levels: primary (summarised data); secondary (patterns observed); and tertiary (emergent synthesis). Multiple treatments and rationales were documented but no single approach dominated. Notable contradictions emerged such as the application of moxibustion by some authors and ice by others. Synthesis of findings revealed a 'patchwork' of factors influencing the approaches taken.CONCLUSIONS: The complexity of the field of acupuncture was illustrated through the 'lens' of PHP. The 'patchwork' metaphor provides a unifying framework for a previously divergent community of practice and research. Several directions for future research were identified, such as: importance of prior duration; existence of diagnostic subgroups; and how practitioners make clinical decisions and report their findings. CIS was found to provide visibility for multiple viewpoints in developing theory and modelling the processes of 'real world' practice by acupuncturists addressing the problem of PHP.",
    keywords = "ACUPUNCTURE, PAIN MANAGEMENT, REHABILITATION MEDICINE",
    author = "Clark, {Maria T.} and Clark, {Richard J.} and Shane Toohey and Caroline Bradbury-Jones",
    year = "2017",
    month = "3",
    day = "1",
    doi = "10.1136/acupmed-2015-011042",
    language = "English",
    volume = "35",
    pages = "9--16",
    journal = "Acupunture in medicine",
    issn = "0964-5284",
    publisher = "BMJ Publishing Group",
    number = "1",

    }

    TY - JOUR

    T1 - Rationales and treatment approaches underpinning the use of acupuncture and related techniques for plantar heel pain

    T2 - a critical interpretive synthesis

    AU - Clark, Maria T.

    AU - Clark, Richard J.

    AU - Toohey, Shane

    AU - Bradbury-Jones, Caroline

    PY - 2017/3/1

    Y1 - 2017/3/1

    N2 - BACKGROUND: Acupuncture shows promise as a treatment for plantar heel pain (PHP) or plantar fasciitis (PF), but data heterogeneity has undermined demonstration of efficacy. Recognising that acupuncture is a diverse field of practice, the aim of this study was to gain a broader, global perspective on the different approaches and rationales used in the application of acupuncture in PHP.METHODS: We built upon an earlier systematic review (which was limited by the necessity of a methodological focus on efficacy) using the critical interpretive synthesis (CIS) method to draw upon a wider international sample of 25 clinical sources, including case reports and case series. Multiple tracks of analysis led to an emergent synthesis.RESULTS: Findings are presented at three levels: primary (summarised data); secondary (patterns observed); and tertiary (emergent synthesis). Multiple treatments and rationales were documented but no single approach dominated. Notable contradictions emerged such as the application of moxibustion by some authors and ice by others. Synthesis of findings revealed a 'patchwork' of factors influencing the approaches taken.CONCLUSIONS: The complexity of the field of acupuncture was illustrated through the 'lens' of PHP. The 'patchwork' metaphor provides a unifying framework for a previously divergent community of practice and research. Several directions for future research were identified, such as: importance of prior duration; existence of diagnostic subgroups; and how practitioners make clinical decisions and report their findings. CIS was found to provide visibility for multiple viewpoints in developing theory and modelling the processes of 'real world' practice by acupuncturists addressing the problem of PHP.

    AB - BACKGROUND: Acupuncture shows promise as a treatment for plantar heel pain (PHP) or plantar fasciitis (PF), but data heterogeneity has undermined demonstration of efficacy. Recognising that acupuncture is a diverse field of practice, the aim of this study was to gain a broader, global perspective on the different approaches and rationales used in the application of acupuncture in PHP.METHODS: We built upon an earlier systematic review (which was limited by the necessity of a methodological focus on efficacy) using the critical interpretive synthesis (CIS) method to draw upon a wider international sample of 25 clinical sources, including case reports and case series. Multiple tracks of analysis led to an emergent synthesis.RESULTS: Findings are presented at three levels: primary (summarised data); secondary (patterns observed); and tertiary (emergent synthesis). Multiple treatments and rationales were documented but no single approach dominated. Notable contradictions emerged such as the application of moxibustion by some authors and ice by others. Synthesis of findings revealed a 'patchwork' of factors influencing the approaches taken.CONCLUSIONS: The complexity of the field of acupuncture was illustrated through the 'lens' of PHP. The 'patchwork' metaphor provides a unifying framework for a previously divergent community of practice and research. Several directions for future research were identified, such as: importance of prior duration; existence of diagnostic subgroups; and how practitioners make clinical decisions and report their findings. CIS was found to provide visibility for multiple viewpoints in developing theory and modelling the processes of 'real world' practice by acupuncturists addressing the problem of PHP.

    KW - ACUPUNCTURE

    KW - PAIN MANAGEMENT

    KW - REHABILITATION MEDICINE

    UR - http://www.scopus.com/inward/record.url?scp=85014863155&partnerID=8YFLogxK

    U2 - 10.1136/acupmed-2015-011042

    DO - 10.1136/acupmed-2015-011042

    M3 - Article

    VL - 35

    SP - 9

    EP - 16

    JO - Acupunture in medicine

    JF - Acupunture in medicine

    SN - 0964-5284

    IS - 1

    ER -