Kulig Kornelia, Pomrantz Amy B, Burnfield Judith M, Reischl Stephen F, Mais-Requejo Susan, Thordarson David B, Smith Ronald W
Department of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA.
BMC Musculoskelet Disord. 2006 Jun 6;7:49. doi: 10.1186/1471-2474-7-49.
Posterior tibialis tendon dysfunction (PTTD) is a common cause of foot pain and dysfunction in adults. Clinical observations strongly suggest that the condition is progressive. There are currently no controlled studies evaluating the effectiveness of exercise, orthoses, or orthoses and exercise on Stage I or IIA PTTD. Our study will explore the effectiveness of an eccentric versus concentric strengthening intervention to results obtained with the use of orthoses alone. Findings from this study will guide the development of more efficacious PTTD intervention programs and contribute to enhanced function and quality of life in persons with posterior tibialis tendon dysfunction.
METHODS/DESIGN: This paper presents the rationale and design for a randomized clinical trial evaluating the effectiveness of a treatment regime for the non-operative management of Stage I or IIA PTTD.
We have presented the rationale and design for an RCT evaluating the effectiveness of a treatment regimen for the non-operative management of Stage I or IIA PTTD. The results of this trial will be presented as soon as they are available.
胫后肌腱功能障碍（PTTD）是成人足部疼痛和功能障碍的常见原因。临床观察强烈表明该病症具有进展性。目前尚无对照研究评估运动、矫形器或矫形器与运动对I期或IIA期PTTD的有效性。我们的研究将探讨离心与向心强化干预与单独使用矫形器所获结果相比的有效性。本研究结果将指导更有效的PTTD干预方案的制定，并有助于改善胫后肌腱功能障碍患者的功能和生活质量。
方法/设计：本文介绍了一项随机临床试验的基本原理和设计，该试验旨在评估I期或IIA期PTTD非手术治疗方案的有效性。
我们介绍了一项RCT的基本原理和设计，该RCT旨在评估I期或IIA期PTTD非手术治疗方案的有效性。本试验结果一经获得将立即公布。
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