EXERCISE FOR POSTERIOR TIBIAL TENDON DYSFUNCTION: A SYSTEMATIC REVIEW OF RANDOMISED CLINICAL TRIALS AND CLINICAL GUIDELINES

Review written by Tom Goom info

BACKGROUND & OBJECTIVE

Posterior Tibial Tendon Dysfunction (PTTD) can be a progressive and disabling condition and is relatively prevalent, especially in women over the age of 40. Despite this, there is a lack of evidence to guide conservative management and exercise prescription for this pathology. This study aimed to determine the treatment effects of local strengthening exercises compared to other conservative interventions for PTTD by performing a systematic review.

METHODS

Four key electronic databases were searched for full-text papers published in peer reviewed journals up to June 2018. Trials were included if they met the following criteria:

  • They investigated individuals with PTTD
  • They were randomised
  • Local strengthening was compared to other forms of management with respect to pain and/ or function
  • A diagnosis of PTTD was made based on a minimal list of diagnostic criteria and all stages of PTTD were included.

Studies and their data were analysed including study design, sample size and participant characteristics as well as methods, results and risk of bias.

RESULTS

242 titles and abstracts were screened. Of these 16 full text trials were assessed for eligibility and 3 randomised controlled trials were included within the review. These 3 trials included a total of 93 individuals with PTTD. The mean age

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