Non-operative management of posterior tibialis tendon dysfunction: design of a randomized clinical trial [NCT00279630]

Authors

Kornelia Kulig, University of Southern CaliforniaFollow
Amy B. Pomrantz, University of Southern CaliforniaFollow
Judith M. Burnfield, Madonna Rehabilitation HospitalFollow
Stephen F. Reischl, University of Southern CaliforniaFollow
Susan Mais-Requejo, University of Southern CaliforniaFollow
David B. Thordarson, University of Southern CaliforniaFollow
Ronald W. Smith, Long Beach Memorial Medical Center, Long Beach, CAFollow

Date of this Version

2006

Citation

BMC Musculoskeletal Disorders 2006, 7:49

doi:10.1186/1471-2474-7-49

Comments

© 2006 Kulig et al; licensee BioMed Central Ltd..This is an Open Access article distributed under the terms of the Creative Commons Attribution License

Abstract

Background: Posterior tibialis tendon dysfunction (PTTD) is a common cause of foot pain and dysfunction in adults. Clinical observations strongly suggest that the condition is progressive. There are currently no controlled studies evaluating the effectiveness of exercise, orthoses, or orthoses and exercise on Stage I or IIA PTTD. Our study will explore the effectiveness of an eccentric versus concentric strengthening intervention to results obtained with the use of orthoses alone. Findings from this study will guide the development of more efficacious PTTD intervention programs and contribute to enhanced function and quality of life in persons with posterior tibialis tendon dysfunction.

Methods/design: This paper presents the rationale and design for a randomized clinical trial evaluating the effectiveness of a treatment regime for the non-operative management of Stage I or IIA PTTD.

Discussion: We have presented the rationale and design for an RCT evaluating the effectiveness of a treatment regimen for the non-operative management of Stage I or IIA PTTD. The results of this trial will be presented as soon as they are available.