BACKGROUND AND PURPOSE:Tibialis 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. SUBJECTS:Thirty-six adults withstage I or II tibialis posterior tendinopathy participated in this study. METHODS: Participants 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. RESULTS:Foot 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 CONCLUSION: People 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.
RCT Entities:
BACKGROUND AND PURPOSE:Tibialis 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. SUBJECTS: Thirty-six adults with stage I or II tibialis posterior tendinopathy participated in this study. METHODS:Participants 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. RESULTS: Foot 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 CONCLUSION:People 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.
Authors: Liang Gao; Justin S Yuan; Gregory J Heden; John A Szivek; Mihra S Taljanovic; L Daniel Latt; Russell S Witte Journal: IEEE Trans Biomed Eng Date: 2015-04 Impact factor: 4.538
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Authors: Shannon E Munteanu; Karl B Landorf; Hylton B Menz; Jill L Cook; Tania Pizzari; Lisa A Scott Journal: J Foot Ankle Res Date: 2009-10-24 Impact factor: 2.303
Authors: Lindsay Carlton; Joseph R Maccio; Joseph G Maccio; Andrew Braga; Elizabeth Tomanio; Anastasia Belikov Journal: J Man Manip Ther Date: 2018-03-29