Phase 1 Study on Effectiveness of Exercise on Function, Quality of Life and Disability in Patients With Posterior Tibial Tendon Dysfunction
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 45
- 试验地点
- 2
- 主要终点
- Foot Function Index; SF-36; walking distance in 5 minutes; time walking 50-ft; pain following the functional tests
研究概览
简要总结
Posterior tibial tendon dysfunction (PTTD) is the most common cause of painful and debilitating acquired flatfoot deformity in adults. The dysfunction is often progressive and may result in attenuation of the PTT and eventually collapse of the plantar arch or even rupture of the tendon. Current therapeutic management of PTTD is multipronged and includes management with foot orthoses, stretching, and strengthening exercises. Evidence drawn from research related to the management of painful chronic Achilles tendinosis suggests that eccentric strengthening of the posterior tibialis may lead to superior results compared to concentric. The purpose of this research is to determine the effectiveness of treatment interventions used in the management of PTTD.
详细描述
All study participants receive a pair of custom made orthoses and perform daily calf-stretches. In addition to the orthoses two groups will perform tibialis posterior specific exercises; one as concentric and the second as eccentric activation. Intervention will last 12 weeks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pain (> 3 months duration)
- •Pain localized to the medial ankle and foot
- •Swelling at the medial ankle
- •Able to perform a single controlled heel lowering
排除标准
- •Bilateral posterior tibial tendon dysfunction
- •Fixed foot deformities
- •Previous foot surgery
- •Presence of any other concurrent foot pathology besides posterior tibial tendon dysfunction
- •Ability to walk only with assistive device
- •Neurological disorders
- •Cognitive dysfunction
- •Uncontrolled cardiovascular disease
- •Evidence of cord compression
- •Uncontrolled hypertension
- •Infection
- •Severe respiratory disease
- •Pregnancy
- •Current or recent history of low back pain
- •Known rheumatic joint disease
- •Peripheral vascular disease with sensory loss of the foot.
结局指标
主要结局
Foot Function Index; SF-36; walking distance in 5 minutes; time walking 50-ft; pain following the functional tests
时间窗: pre- post- 6-month post
次要结局
未报告次要终点
研究者
Kornelia Kulig
Professor
University of Southern California