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The effect of a 4-week Short-foot exercise on Biomechanical and Neuromuscular Characteristics in Patients with stage 2 Posterior Tibial Tendon Dysfunctio

Not Applicable
Completed
Conditions
Diseases of the musculo-skeletal system and connective tissue
Registration Number
KCT0003037
Lead Sponsor
Yonsei University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
30
Inclusion Criteria

1) Intervention group: The inclusion criteria for a stage II PTTD classification required subjects to have 1 or more signs related to posterior tibial tendon dysfunction, including (1) palpable tenderness of the posterior tibial tendon, (2) swelling of the posterior tibial tendon sheath and (3) pain during single-limb heel raise, and 1 or more signs of flexible flatfoot deformity including excessive non-fixed rearfoot valgus deformity during weight bearing, excessive forefoot abduction, or demonstrated loss of height in the medial longitudinal arch based on the Johnson and Strom’s classification.
Flexible foot deformity were determined with navicular drop test (=10mm). The Foot Posture Index (FPI) score were measured to determine the overall pronated foot deformity (=+6). In addition, Visual analog scale (VAS) was also used to assess localized pain around tendon during palpation.
2) No intervention group: Subjects who do not have flexible foot deformity and do not have any pain in the posterior tibial tendon.

Exclusion Criteria

Subjects who have Idiopathic flatfoot, fixed foot deformity (Navicular drop test <10mm), previous foot surgery, peripheral vascular or other musculoskeletal pathology.

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
three dimensional gait anlaysis;Motor neuron pool excitability and down-modulation of tibialis anterior and peroneus longus muscle
Secondary Outcome Measures
NameTimeMethod
Ankle joint kinematics (sagittal, frontal, transverse plane) during gait;Ankle joint moment (sagittal, frontal, transverse plane) during gait;Tibials anterior muscle activition;Peroneus longus muscle activition
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