Trial record 20 of 49 for:
Open Studies | "Tendinopathy"
Exercise and Shoe Orthoses in Treatment of Posterior Tibial Tendon Dysfunction
The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2012 by University of Southern California.
Recruitment status was Recruiting
Information provided by (Responsible Party):
Kornelia Kulig, University of Southern California
First received: January 17, 2006
Last updated: June 15, 2012
Last verified: June 2012
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.
Procedure: Orthoses and Exercise
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
||Phase 1 Study on Effectiveness of Exercise on Function, Quality of Life and Disability in Patients With Posterior Tibial Tendon Dysfunction
Primary Outcome Measures:
- Foot Function Index; SF-36; walking distance in 5 minutes; time walking 50-ft; pain following the functional tests [ Time Frame: pre- post- 6-month post ] [ Designated as safety issue: No ]
| Estimated Enrollment:
| Study Start Date:
| Estimated Primary Completion Date:
||August 2012 (Final data collection date for primary outcome measure)
All study participants receive a pair of custom made orthoses and perform daily calf-stretches. In addition to the orthoses two groups will perform tibialis posterior specific exercises; one as concentric and the second as eccentric activation. Intervention will last 12 weeks.
|Ages Eligible for Study:
||18 Years to 70 Years
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
- 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
- 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
- Severe respiratory disease
- Current or recent history of low back pain
- Known rheumatic joint disease
- Peripheral vascular disease with sensory loss of the foot.
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00279630
|Department of Biokinesiology and Physical Therapy
|Los Angeles, California, United States, 90089 |
|Contact: Kornelia Kulig |
University of Southern California
||Kornelia Kulig, PhD, PT
||University of Southern California
No publications provided by University of Southern California
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
||Kornelia Kulig, Professor, University of Southern California
History of Changes
|Other Study ID Numbers:
|Study First Received:
||January 17, 2006
||June 15, 2012
||United States: Institutional Review Board
Keywords provided by University of Southern California:
Tibialis Posterior Tendinopathy
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on August 19, 2014
Posterior Tibial Tendon Dysfunction
Wounds and Injuries