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Conservative treatment of tibialis posterior tendon dysfunction-A review

Bowring, B. and CHOCKALINGAM, Nachiappan (2010) Conservative treatment of tibialis posterior tendon dysfunction-A review. Foot, 20 (1). pp. 18-26.

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Abstract or description

Background: Appropriate conservative treatment is considered essential to address symptoms associated with tibialis posterior tendon dysfunction (TPTD) and prevent its potential long-term disabling consequences. The main aim of this review, undertaken in 2007, was to evaluate the evidence from studies for the effects of conservative treatment modalities in the management of TPTD. This evidence could then be used as a basis for the development of a clinical guideline for the management of the condition. Methodology: Studies were selected according to specific criteria and evaluated for methodological quality. As preliminary literature searches had identified no randomised controlled trials at the time of the review, studies of lower hierarchy were included. Results: Five uncontrolled observational studies evaluating the outcomes of various orthotic treatments alone or in combination with other therapies were included in the review. Different study designs, methodological quality, population characteristics, interventions and outcome measures were found. Discussion: Limited and poor quality evidence was found in this review regarding the conservative treatment of TPTD. Thus a cause-effect relationship between intervention and outcome could not be established nor an optimal conservative treatment regime for the condition. Further better quality research is warranted in this area to inform practice, particularly as there is no consensus in the literature regarding treatment of this condition. © 2009 Elsevier Ltd.

Item Type: Article
Additional Information: cited By (since 1996) 1
Uncontrolled Keywords: analgesic agent; antiinflammatory agent; steroid, clinical effectiveness; clinical evaluation; clinical trial; conservative treatment; cooling; disease course; disease severity; evidence based medicine; exercise; functional assessment; human; manipulative medicine; orthopedic shoe; orthosis; orthotics; outcome assessment; pain assessment; patient education; patient satisfaction; posterior tibial tendon dysfunction; practice guideline; priority journal; quality control; review; Short Form 36; tendon surgery; ultrasound therapy; weight reduction, Humans; Posterior Tibial Tendon Dysfunction
Faculty: Previous Faculty of Health Sciences > Psychology, Sport and Exercise
Depositing User: Nachiappan CHOCKALINGAM
Date Deposited: 14 Mar 2013 22:27
Last Modified: 24 Feb 2023 13:37

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