Bracing and Strengthening for Posterior Tibial Tendon Dysfunction

Completed · Phase 2

Conditions studied: Posterior Tibial Tendon Dysfunction

In brief

Posterior tibial tendon dysfunction (PTTD) is a problem with the tendon connecting one of the lower leg muscles to the foot bone. PTTD can cause pain, swelling, and a flattened foot and may require surgery if left untreated. Normal treatment for PTTD includes physical therapy exercise. In treating similar conditions in the lower leg, exercises that are active, like strengthening, seem to have better results than exercises that are passive, like stretching. This study will determine whether adding strengthening exercises to a normal PTTD treatment that includes wearing a brace and stretching is more beneficial than just wearing a brace and stretching.

Key facts

Study ID: NCT00756457
Run by: Ithaca College
People needed: 39
Starts: 2007-07-01
Expected to finish: 2008-09-01
Last updated by the study team: 2014-07-02

Who can join

Age: 40 and older, up to 80. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Diagnosis of Stage II PTTD disorder
Flexible flat foot deformity
Palpable tenderness of posterior tibial tendon
Swelling of the posterior tibial tendon sheath
Pain during single limb heel rise
Abnormal rear foot valgus
Abnormal fore foot abduction as compared to contralateral side

You may not qualify if…

Unable to walk for more than 15 meters
Comorbidity within the foot
Loss of protective sensation of the foot, as indicated by Semmes-Weinstein monofilament test of 5.07
Inflammatory arthropathies
Score greater than 23 on Mini Mental Status exam
Arch index of less than 0.255
Inability to assume a subtalar neutral posture
PTTD in both feet

Where it is running

Ithaca College - Rochester Center — Rochester, New York, United States

Full record on ClinicalTrials.gov

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