243357

Comparison among Three Different Rehabilitation Programs on Outcomes of Patients with Posterior Tibial Tendon Dysfunction

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

-

Abstract

Background: Posterior tibial tendon dysfunction is a chronic, progressive, disabling condition of tendon that adversely affects ankle, foot and lower limb function.Aim: Was to compare among three different rehabilitation programs on outcomes of patients with posterior tibial tendon dysfunction. Subjects and methods: Research design: Quasi-experimental design was used with a comparative study using parallel-randomized groups (three intervention groups) with absence of control group. Subjects and setting: The study included 60 patients with stage I posterior tibial tendon dysfunction attended to orthopedic department and orthopedic outpatients clinic at Assiut University Hospitals. They randomly assigned into 3 equal groups (20 for each) by using a computer based selection program; group (A) muscle strengthening exercises and cold application, group (B) muscle strengthening exercises, medial arch support insoles and contrast bath, and group (C) muscle strengthening exercises, medial arch support insoles, ankle strengthening exercises and contrast bath. Tools: Patients assessment sheet, visual analog scale, revised foot function index, short musculoskeletal functional assessment questionnaire and exercises adherence logbook. Results: Pain level, revised foot function index scores, and short musculoskeletal functional assessment questionnaire scores significantly decreased in all groups after rehabilitation (p. value < 0.01). Group (C) demonstrated most improvement in each category followed by group (B) while group (A) demonstrated least improvement. Conclusion: Muscle strengthening exercises, medial arch support insoles, ankle strengthening exercises and contrast bath considered more effective rehabilitation program in reducing pain and improving perceptions of function than other rehabilitation programs. Recommendation: Rehabilitation should be considered within the first line of managing patients with stage I posterior tibial tendon dysfunction

DOI

10.21608/tsnj.2022.243357

Authors

First Name

Rasha

Last Name

Abdelmowla

MiddleName

Ali Ahmed

Affiliation

Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt

Email

-

City

-

Orcid

-

First Name

Hanan

Last Name

Abdelmowla

MiddleName

Ali Ahmed

Affiliation

Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt

Email

-

City

-

Orcid

-

First Name

Asmaa

Last Name

Abd-Elmageed

MiddleName

Sayed

Affiliation

Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt

Email

-

City

-

Orcid

-

Volume

25

Article Issue

2

Related Issue

34744

Issue Date

2022-05-01

Receive Date

2022-03-12

Publish Date

2022-06-01

Page Start

163

Page End

176

Print ISSN

2314-5595

Online ISSN

2735-5519

Link

https://tsnj.journals.ekb.eg/article_243357.html

Detail API

https://tsnj.journals.ekb.eg/service?article_code=243357

Order

11

Type

Original Article

Type Code

1,053

Publication Type

Journal

Publication Title

Tanta Scientific Nursing Journal

Publication Link

https://tsnj.journals.ekb.eg/

MainTitle

Comparison among Three Different Rehabilitation Programs on Outcomes of Patients with Posterior Tibial Tendon Dysfunction

Details

Type

Article

Created At

22 Jan 2023