Comparison among Three Different Rehabilitation Programs on Outcomes of Patients with Posterior Tibial Tendon Dysfunction
Abdelmowla, R., Abdelmowla, H., Abd-Elmageed, A. (2022). Comparison among Three Different Rehabilitation Programs on Outcomes of Patients with Posterior Tibial Tendon Dysfunction. EKB Journal Management System, 25(2), 163-176. doi: 10.21608/tsnj.2022.243357
Rasha Ali Ahmed Abdelmowla; Hanan Ali Ahmed Abdelmowla; Asmaa Sayed Abd-Elmageed. "Comparison among Three Different Rehabilitation Programs on Outcomes of Patients with Posterior Tibial Tendon Dysfunction". EKB Journal Management System, 25, 2, 2022, 163-176. doi: 10.21608/tsnj.2022.243357
Abdelmowla, R., Abdelmowla, H., Abd-Elmageed, A. (2022). 'Comparison among Three Different Rehabilitation Programs on Outcomes of Patients with Posterior Tibial Tendon Dysfunction', EKB Journal Management System, 25(2), pp. 163-176. doi: 10.21608/tsnj.2022.243357
Abdelmowla, R., Abdelmowla, H., Abd-Elmageed, A. Comparison among Three Different Rehabilitation Programs on Outcomes of Patients with Posterior Tibial Tendon Dysfunction. EKB Journal Management System, 2022; 25(2): 163-176. doi: 10.21608/tsnj.2022.243357

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

Tanta Scientific Nursing Journal
Article 11, Volume 25, Issue 2, June 2022, Page 163-176  XML PDF (601.81 K)
Document Type: Original Article
DOI: 10.21608/tsnj.2022.243357
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Authors
Rasha Ali Ahmed Abdelmowla1; Hanan Ali Ahmed Abdelmowla2; Asmaa Sayed Abd-Elmageed1
1Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt
2Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt
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
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