Nonsurgical Management of Posterior Tibial Tendon Dysfunction With Orthoses and Resistive Exercise: A Randomized Controlled Trial

Author:

Kulig Kornelia1,Reischl Stephen F2,Pomrantz Amy B3,Burnfield Judith M4,Mais-Requejo Susan5,Thordarson David B6,Smith Ronald W7

Affiliation:

1. K Kulig, PT, PhD, is Associate Professor of Clinical Physical Therapy, Division of Biokinesiology and Physical Therapy, University of Southern California, 1540 E Alcazar St, CHP-155, Los Angeles, CA 90033 (USA)

2. SF Reischl, PT, DPT, OCS, is Adjunct Associate Professor of Clinical Physical Therapy, Division of Biokinesiology and Physical Therapy, University of Southern California

3. AB Pomrantz, PT, DPT, OCS, ATC, is Adjunct Instructor of Clinical Physical Therapy, Division of Biokinesiology and Physical Therapy, University of Southern California

4. JM Burnfield, PT, PhD, is Director, Movement Sciences Center, and Clifton Chair in Physical Therapy and Movement Science, Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospital, Lincoln, Nebraska

5. S Mais-Requejo, PT, DPT, OCS, is Adjunct Assistant Professor of Clinical Physical Therapy, Division of Biokinesiology and Physical Therapy, University of Southern California

6. DB Thordarson, MD, is Professor of Orthopedic Surgery, Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California

7. RW Smith, MD, is Orthopedic Foot and Ankle Surgeon, Long Beach Memorial Medical Center, Long Beach, California

Abstract

Background and PurposeTibialis posterior tendinopathy can lead to debilitating dysfunction. This study examined the effectiveness of orthoses and resistance exercise in the early management of tibialis posterior tendinopathy.SubjectsThirty-six adults with stage I or II tibialis posterior tendinopathy participated in this study.MethodsParticipants were randomly assigned to 1 of 3 groups to complete a 12-week program of: (1) orthoses wear and stretching (O group); (2) orthoses wear, stretching, and concentric progressive resistive exercise (OC group); or (3) orthoses wear, stretching, and eccentric progressive resistive exercise (OE group). Pre-intervention and post-intervention data (Foot Functional Index, distance traveled in the 5-Minute Walk Test, and pain immediately after the 5-Minute Walk Test) were collected.ResultsFoot Functional Index scores (total, pain, and disability) decreased in all groups after the intervention. The OE group demonstrated the most improvement in each subcategory, and the O group demonstrated the least improvement. Pain immediately after the 5-Minute Walk Test was significantly reduced across all groups after the intervention.Discussion and ConclusionPeople with early stages of tibialis posterior tendinopathy benefited from a program of orthoses wear and stretching. Eccentric and concentric progressive resistive exercises further reduced pain and improved perceptions of function.

Publisher

Oxford University Press (OUP)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

Reference40 articles.

1. Tibialis posterior tendon dysfunction;Clin Orthop,1989

2. Nonoperative management of posterior tibial tendon dysfunction;Chao;Foot Ankle Int,1996

3. Posterior tibial tendon insufficiency: its diagnosis, management, and treatment;Churchill;Am J Orthop,1998

4. Posterior tibial tendon dysfunction;Geideman;J Orthop Sports Phys Ther,2000

5. Posterior tibial tendon dysfunction. In: Ranawat CS, Positano RG, eds;Katchis,1999

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3