Exercise and Shoe Orthoses in Treatment of Posterior Tibial Tendon Dysfunction

Completed · Phase 1

Conditions studied: Tendinopathy

In brief

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.

Key facts

Study ID

NCT00279630

Run by

University of Southern California

People needed

45

Starts

2002-06-01

Expected to finish

2014-12-01

Last updated by the study team

2014-12-03

Who can join

Age: 18 and older, up to 70. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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

You may not qualify if…

• 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.

Where it is running

• Department of Biokinesiology and Physical Therapy — Los Angeles, California, United States

Full record on ClinicalTrials.gov

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