Biomechanical effects of three types of foot orthoses on a posterior tibial tendon dysfunction population during a stair climbing task

2019 ◽  
Vol 11 (sup1) ◽  
pp. S104-S105
Author(s):  
Dominic Chicoine ◽  
Marc Bouchard ◽  
Samuel Trempe ◽  
Simon Laurendeau ◽  
Etienne L. Belzile ◽  
...  
Keyword(s):  
Stair Climbing ◽  
Posterior Tibial Tendon ◽  
Foot Orthoses ◽  
Posterior Tibial Tendon Dysfunction ◽  
Posterior Tibial

Orthotic treatment for stage I and II posterior tibial tendon dysfunction (flat foot): A systematic review

2020 ◽  
pp. 026921552096012
Author(s):  
Isabel Gómez-Jurado ◽  
José María Juárez-Jiménez ◽  
Pedro V Munuera-Martínez
Keyword(s):  
Risk Of Bias ◽  
Stage I ◽  
Cochrane Library ◽  
Posterior Tibial Tendon ◽  
Foot Orthoses ◽  
Posterior Tibial Tendon Dysfunction ◽  
Flat Foot ◽  
Posterior Tibial ◽  
Exercise Programmes ◽  
Orthotic Treatment

Objective: To investigate whether orthotic treatment is effective for the treatment of posterior tibial tendon dysfunction stages I and II (flat foot). Data Sources: Five databases (PubMed, Scopus, PEDro, SPORTDiscus and The Cochrane Library) were searched for potential RCTs from their inception until August 2020. Review Methods: Only randomised controlled trials (RCT) that included subjects diagnosed with posterior tibial dysfunction in the initial stage and treated with orthotic treatments were selected. The outcomes assessed were whatever symptom related to posterior tibial tendon dysfunction stage I and II. Included RCTs were appraised using the Cochrane collaboration risk of bias tool. Results: Four RCT articles and 186 subjects were included. 75% were at high risk of bias for blinding of participants and personnel. Three different types of conservative treatment were used in the studies: foot/ankle-foot orthoses, footwear and stretching /strengthening exercises. Foot orthoses, together with exercise programmes, seemed to improve the effect of orthotic treatment. Foot orthoses with personalised internal longitudinal arch support were more effective than flat insoles or standard treatments in reducing pain. Conclusions: The use of orthotic treatment may be effective in reducing pain in the early stages of posterior tibial tendon dysfunction. Further research is needed into individualised orthotic treatment and high-intensity monitored exercise programmes.

Nonoperative Management of Posterior Tibial Tendon Dysfunction

1996 ◽  
Vol 17 (12) ◽  
pp. 736-741 ◽  
Author(s):  
Wen Chao ◽  
Keith L. Wapner ◽  
Thomas H. Lee ◽  
Jeffrey Adams ◽  
Paul J. Hecht
Keyword(s):  
Surgical Treatment ◽  
Nonoperative Management ◽  
University Of California ◽  
Posterior Tibial Tendon ◽  
Foot Orthoses ◽  
Posterior Tibial Tendon Dysfunction ◽  
Posterior Tibial ◽  
Ankle Foot Orthoses ◽  
Shoe Inserts

Forty-nine patients with posterior tibial tendon dysfunction (4 patients had bilateral involvement) were treated with orthoses. Forty feet were treated with molded ankle-foot orthoses, and 13 feet were treated with University of California Biomechanics Laboratory shoe inserts with medial posting. A total of 37 women and 12 men were included in the study. The mean follow-up period was 20.3 months (range, 8–60 months). The average age of the patients was 66 years (range, 42–89 years). Sixty-seven percent of patients had good to excellent results, according to a functional scoring system based on pain, function, use of assistive device, distance of ambulation, and patient satisfaction. The average period of orthosis use was 14.9 months (range, 1.5–29 months), with an average length of daily orthosis wear of 12.3 hours. One patient elected to undergo surgical treatment rather than continuing with long-term orthosis use. Thirty-three percent of patients had discountinued using the orthosis at the time of follow-up evaluation. Three patients were unable to wear the orthosis because of concurrent medical conditions. Nine patients stopped wearing the orthosis after experiencing discomfort and inconvenience. Although these patients continued to exhibit signs and symptoms of posterior tibial tendon dysfunction, they were not disabled enough to consider further treatment. Four patients tolerated orthosis treatment poorly and were treated surgically. Patients with posterior tibial tendon dysfunction can be treated by aggressive nonoperative management using molded ankle-foot orthoses or University of California Biomechanics Laboratory shoe inserts with medial posting. Surgical treatment can be reserved for patients who fail to respond to an adequate trial of brace treatment. Nonoperative management using an orthosis is particularly useful for elderly patients with a sedentary lifestyle or for patients at high risk because of medical problems.

Orthoses in the treatment of rearfoot problems

1999 ◽  
Vol 89 (5) ◽  
pp. 220-233 ◽  
Author(s):  
E Sobel ◽  
SJ Levitz ◽  
MA Caselli
Keyword(s):  
Plantar Fasciitis ◽  
Posterior Tibial Tendon ◽  
Foot Orthoses ◽  
Ankle Sprains ◽  
Posterior Tibial Tendon Dysfunction ◽  
Ankle Foot Orthosis ◽  
Posterior Tibial ◽  
Ankle Brace ◽  
Depth Analysis ◽  
Recent Developments

Orthotic management is helpful in the treatment of most orthopedic conditions involving the rearfoot, including plantar fasciitis, Achilles tendon disorders, posterior tibial tendon dysfunction, flatfoot, ankle sprains, and problems associated with diabetes, arthritis, and equinus disorders. A review of the effectiveness of orthoses in the treatment of these conditions is presented here. An in-depth analysis of the orthotic management of plantar fasciitis and a critical review of foot orthoses for the pronated foot are presented. Also discussed are the rationale and effectiveness of the tension night splint in the treatment of plantar fasciitis, orthotic devices for the different stages of posterior tibial tendon dysfunction, and the various categories of orthoses for off-loading the diabetic foot. The modern ankle brace, the effectiveness of prefabricated versus prescription foot orthoses, and recent developments in the ankle-foot orthosis are also reviewed.

Biomechanical effects of three types of foot orthoses in individuals with posterior tibial tendon dysfunction

2021 ◽  
Vol 83 ◽  
pp. 237-244
Author(s):  
Dominic Chicoine ◽  
Marc Bouchard ◽  
Simon Laurendeau ◽  
Gabriel Moisan ◽  
Etienne L. Belzile ◽  
...  
Keyword(s):  
Posterior Tibial Tendon ◽  
Foot Orthoses ◽  
Posterior Tibial Tendon Dysfunction ◽  
Posterior Tibial

3D foot kinematic difference in Posterior Tibial Tendon Dysfunction stage II/III and control group

2016 ◽  
Vol 22 (2) ◽  
pp. 11
Author(s):  
S. Wuite ◽  
K. Deschamps ◽  
C. Roels ◽  
M. van de Velde ◽  
F. Staes ◽  
...  
Keyword(s):  
Stage Ii ◽  
Control Group ◽  
Posterior Tibial Tendon ◽  
Posterior Tibial Tendon Dysfunction ◽  
Posterior Tibial ◽  
And Control

Foot and ankle functions and deformities focus on posterior tibial tendon dysfunction using magnetic resonance imaging in patients with rheumatoid arthritis

2021 ◽  
Author(s):  
Takeshi Mochizuki ◽  
Yuki Nasu ◽  
Koichiro Yano ◽  
Katsunori Ikari ◽  
Ryo Hiroshima ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Pitch Angle ◽  
Posterior Tibial Tendon ◽  
Foot And Ankle ◽  
Resonance Imaging ◽  
Posterior Tibial Tendon Dysfunction ◽  
First Metatarsal ◽  
Posterior Tibial ◽  
Metatarsal Angle

ABSTRACT Objectives Posterior tibial tendon dysfunction (PTTD) affects the support of the medial longitudinal arch and stability of the hindfoot. The purpose of this study was to assess the relationships of PTTD with foot and ankle functions and foot deformities in patients with rheumatoid arthritis (RA). Methods A total of 129 patients (258 feet) who underwent magnetic plain and contrast-enhanced magnetic resonance imaging were enrolled in this study. Positive magnetic resonance imaging findings were defined as tenosynovitis and incomplete and complete rupture of the posterior tibial tendon. Foot and ankle functions were assessed using the Japanese Society for Surgery of the Foot standard rating system for the RA foot and ankle scale (JSSF-RA) and self-administered foot evaluation questionnaire. Plain radiographs were examined for the hallux valgus angle, first metatarsal and second metatarsal angle, lateral talo-first metatarsal angle, and calcaneal pitch angle. Results PTTD was associated with motion in the JSSF-RA (p = .024), activities of daily living in JSSF-RA (p = .017), and pain and pain-related factors in the self-administered foot evaluation questionnaire (p = .001). The calcaneal pitch angle was significantly lower in the feet with PTTD than in those without PTTD (median: 16.2° vs. 18.0°; p = .007). Conclusions The present study shows that PTTD was associated with foot and ankle functions and flatfoot deformity. Thus, a better understanding of PTTD in patients with RA is important for the management of foot and ankle disorders in clinical practice.

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