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dc.contributor.authorRoss, MH
dc.contributor.authorSmith, M
dc.contributor.authorPlinsinga, ML
dc.contributor.authorVicenzino, B
dc.date.accessioned2021-02-23T23:33:58Z
dc.date.available2021-02-23T23:33:58Z
dc.date.issued2018
dc.identifier.issn1757-1146
dc.identifier.doi10.1186/s13047-018-0292-z
dc.identifier.urihttp://hdl.handle.net/10072/402527
dc.description.abstractBackground: Posterior tibial tendon dysfunction (PTTD) is a painful, progressive tendinopathy that reportedly predominates in middle-age, overweight women. There is no evidence based guidelines that clinicians can use to guide treatment planning, which leaves clinicians to make decisions on the basis of presenting clinical impairments and self-reported pain and disability. The purpose of this systematic review was to quantify clinical impairments, pain and disability in individuals with PTTD compared with controls. Methods: Five databases were searched for terms referring to the posterior tibial tendon and flatfoot up to and including 11 March 2018. The systematic review was registered with PROSPERO (CRD: 42016046951). Studies were eligible if they were published in the English language and contained data on clinical impairments, pain or disability compared between participants diagnosed with PTTD and pain-free individuals. Standardised mean differences (SMDs) were calculated where possible and meta-analysis was performed when homogeneity of outcomes allowed. Results: Ten eligible studies were identified and pooled in the meta-analyses. Strong effects were revealed for poor heel rise endurance (SMD -1.52, 95% CI -2.05 to - 0.99), less forefoot adduction-inversion strength (SMD -1.19, 95% CI -1.68 to - 0.71) and lower arch height (SMD -1.76, 95% CI -2.29 to - 1.23). Compared to controls, individuals with PTTD also had more self-reported stiffness (SMD 1.45, 95% CI 0.91 to 1.99), difficulties caused by foot problems (SMD 1.42, 95% CI 0.52 to 2.33) and social restrictions (SMD1.26, 95% CI 0.25 to 2.27). Conclusion: There is evidence of impaired tibialis posterior capacity and lowered arch height in individuals with PTTD compared to controls. Further to addressing the expected impairments in local tendon function and foot posture, pain, stiffness, functional limitations and social participation restrictions should be considered when managing PTTD.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofpagefrom49
dc.relation.ispartofissue1
dc.relation.ispartofjournalJournal of Foot and Ankle Research
dc.relation.ispartofvolume11
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchComplementary and Alternative Medicine
dc.subject.fieldofresearchHuman Movement and Sports Sciences
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1104
dc.subject.fieldofresearchcode1106
dc.subject.keywordsDisability
dc.subject.keywordsFoot
dc.subject.keywordsOrthoses
dc.subject.keywordsPain
dc.subject.keywordsTendinopathy
dc.titleSelf-reported social and activity restrictions accompany local impairments in posterior tibial tendon dysfunction: A systematic review
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationRoss, MH; Smith, M; Plinsinga, ML; Vicenzino, B, Self-reported social and activity restrictions accompany local impairments in posterior tibial tendon dysfunction: A systematic review, Journal of Foot and Ankle Research, 2018, 11 (1), pp. 49
dcterms.dateAccepted2018-08-21
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2021-02-23T23:22:12Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
gro.hasfulltextFull Text
gro.griffith.authorPlinsinga, Melanie


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