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Open Access Highly Accessed Study protocol

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

Kornelia Kulig1*, Amy B Pomrantz2, Judith M Burnfield3, Stephen F Reischl4, Susan Mais-Requejo4, David B Thordarson5 and Ronald W Smith6

Author Affiliations

1 Associate Professor of Clinical Physical Therapy, Department of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA

2 Orthopedic Physical Therapy Resident, Department of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA

3 Director, Movement Sciences Center, Institute for Rehabilitation Sciences and Engineering, Madonna Rehabilitation Hospital, Lincoln, NE; Adjunct Assistant Professor of Clinical Physical Therapy, Department of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA

4 Adjunct Associate Professor of Clinical Physical Therapy, Department of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA

5 Professor, Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

6 Long Beach Memorial Medical Center, Long Beach, CA, USA

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BMC Musculoskeletal Disorders 2006, 7:49  doi:10.1186/1471-2474-7-49

Published: 6 June 2006

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.