Nonsurgical Management of Posterior Tibial Tendon Dysfunction With Orthoses and Resistive Exercise: A Randomized Controlled Trial
Nonsurgical Management of Posterior Tibial Tendon Dysfunction With Orthoses and Resistive Exercise: A Randomized Controlled Trial
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DOI：
10.2522/ptj.20070242
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发表时间：
2009-01-01
期刊：
影响因子：
3.2
通讯作者：
Smith, Ronald W.
中科院分区：
文献类型：
--
作者：
Kulig, Kornelia;Reischl, Stephen F.;Smith, Ronald W.
背景和目的。胫骨后腱病变可导致衰弱性功能障碍。本研究探讨了矫形器和阻力运动在胫骨后腱病早期治疗中的有效性。36名患有I期或III期胫骨后腱病的成年人参加了这项研究。参与者被随机分配到3组中的1组，完成为期12周的计划：(1)矫形器磨损和拉伸（O组）；(2)矫形器磨损、拉伸、同心渐进阻力运动（OC组）；(3)矫形器磨损、拉伸和偏心渐进式阻力运动（OE组）。收集干预前和干预后的数据（足功能指数、5分钟步行测试中行走的距离和5分钟步行测试后立即的疼痛）。干预后，所有组的足功能指数评分（总分、疼痛和残疾）均下降。OE组在每个子类别中表现出最大的改善，而O组表现出最少的改善。干预后，所有组在5分钟步行测试后立即疼痛显著减少。讨论与结论。早期阶段的胫骨后腱病患者受益于矫形器的佩戴和拉伸。偏心和同心圆渐进式阻力运动进一步减少疼痛和改善知觉功能。
Background and Purpose. Tibialis posterior tendinopathy can lead to debilitating dysfunction. This study examined the effectiveness of orthoses and resistance exercise in the early management of tibialis posterior tendinopathy.Subjects. Thirty-six adults with stage I or III tibialis posterior tendinopathy participated in this study.Methods. Participants were randomly assigned to 1 of 3 groups to complete a 12-week program of: (1) orthoses wear and stretching (O group); (2) orthoses wear, stretching, and concentric progressive resistive exercise (OC group); or (3) orthoses wear, stretching, and eccentric progressive resistive exercise (OE group). Pre-intervention and post-intervention data (Foot Functional Index, distance traveled in the 5-Minute Walk Test, and pain immediately after the 5-Minute Walk Test) were collected.Results. Foot Functional Index scores (total, pain, and disability) decreased in all groups after the intervention. The OE group demonstrated the most improvement in each subcategory, and the O group demonstrated the least improvement. Pain immediately after the 5-Minute Walk Test was significantly reduced across all groups after the intervention.Discussion and Conclusion. People with early stages of tibialis posterior tendinopathy benefited from a program of orthoses wear and stretching. Eccentric and concentric progressive resistive exercises further reduced pain and improved perceptions of function.