Effectiveness of tibial nerve mobilization in patients with Tarsal tunnel syndrome

Phase 2

• Conditions: Musculoskeletal Diseases; Nervous System Diseases

• Registration Number: PACTR202305704715004
• Lead Sponsor: Shaymaa Salem

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-03-25
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

Individuals should be diagnosed and referred by an orthopedic surgeon, presented with unilateral tarsal tunnel syndrome, and classified as not having an indication for surgery.
- With at least 3-month history of pain within the tarsal tunnel or referred distally to the foot or proximally to the leg, with a minimum pain level of 2 on a 10 cm visual analog pain scale (VAS).
- With limited ROM of the ankle joint on the affected side.
- Patients with common symptoms of TTS as +ve Tinel’s sign and weakness of muscle innervated by branches of the tibial nerve.
- To be able to understand and follow the directions of the intervention protocols.

Exclusion Criteria

- Having comorbidities or orthopedic or postural problems that could confound the outcomes.
- Patients with diabetic neuropathy or other entrapment neuropathies.
- Having undergone surgery related to the lower extremity or lumbar spine.
- Alcohol and/ or smoking addiction.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
erve conduction study: Distal latency of the posterior tibial nerve will be evaluated before interventions and just after 4 weeks of intervention duration.;Pain intensity: will be measured using the visual analog scale before and after treatment.

Secondary Outcome Measures

Name	Time	Method
Ankle dorsiflexion ROM: will be measured using an electro-goniometer before and after the treatment duration of 4 weeks.;Dorsiflexion/ Eversion Test: Provocation test to reproduce tarsal tunnel syndrome symptoms of tenderness in the area of palpation, or pain/ numbness in the toe, ball of the foot, or heel.