Literature Search Enquiry



|Date completed: 16-Oct-2014 |[pic] |

|Ref: MUNRO-10102014-NAGEVU518630 | |

|Literature Search and Enquiry Service |

|Search requested by | |Search Carried out by |

|Nicola Munro | |Charlotte Boulnois |

|Advanced Specialist Orthotist | |NHSGGC Library Network |

|westmarc | |0141 211 4760 |

|southern general hospital | |charlotte.boulnois@ggc.scot.nhs.uk |

|1345 govan rd | | |

|glasgow | | |

|G51 4tF | | |

44 abstracts found

|SEARCH DETAILS |

|does orthotic intervention improve outcomes in midfoot instability Problem midfoot instability flat foot pes planus midfoot |

|hypermobility DMICS DCIMS Ehler Danlos Syndrome Arch pain plantar arch pain plantar fibromatosis Calcaneo cuboid impingement Mid |

|tarsal pain midfoot Osteoarthritis Talo navicular* Shin Splints Medial tibial stress syndrome stress fracture PTTD Tib post |

|dysfunction tibialis posterior accessory navicular lisfranc chopart NOT Age |

Databases searched:- Medline, Embase, CINAHL, Cochrane, Dynamed, PEDRO

Search Strategy

1. Joint Instability/

2. Flatfoot/

3. Ehlers-Danlos Syndrome/

4. Medial Tibial Stress Syndrome/

5. Fractures, Stress/

6. Posterior Tibial Tendon Dysfunction/

7. (midfoot adj 2 instabili$).mp

8. pes planus.mp.

9. midfoot hypermobility.mp.

10. midfoot instabil$.mp.

11. DMICS.mp. [mp=title, abstract, original title, name of substance word, subject heading word, keyword heading word, protocol supplementary concept word, rare disease supplementary concept word, unique identifier]

12. DCIMS.mp

13. (plantar adj2 arch adj2 pain).mp.

14. plantar arch pain.mp

15. plantar fibromatosis.mp.

16. (mid adj2 tarsal adj2 pain).mp.

17. midtarsal pain.mp.

18. mid tarsal pain.mp

19. (midfoot adj2 osteoarthritis).mp.

20. talo navicular$.mp

21. (medial adj2 tibial adj2 stress adj2 syndrome$).mp

22. PTTD.mp.

23. tabialis posterior.mp

24. (accessory adj2 navicular$).mp

25. lisfanc.mp.

26. chopart.mp

27. exp Foot/

28. 1 and 27

29. 2 or 3 or 4 or 5 or 6 or 8 or 9 or 10 or 12 or 15 or 17 or 19 or 20 or 21 or 22 or 24 or 26 or 28

30. exp Splints/

31. exp Braces/

32. insole.mp.

33. insert.mp

34. footbed.mp.

35. (ankle adj2 brace).mp

36. (ankle adj 2 brace adj2 orthos$).mp

37. rocker sole.mp

38. exp Shoes/

39. foot orthos$.mp.

40. support.mp

41. 27 and 40

42. 30 or 31 or 33

43. 27 and 42

44. 32 or 34 or 35 or 37 or 38 or 39 or 41 or 43

45. 29 and 44

46. exp Treatment Outcome/

47. exp "Quality of Life"/

48. (walk$ adj2 distance$).mp.

49. exp Postural Balance/

50. 46 or 47 or 48 or 49

51. 45 and 50

52. limit 51 to (english language and humans and ("adult (19 to 44 years)" or "young adult and adult (19-24 and 19-44)" or "middle age (45 to 64 years)" or "middle aged (45 plus years)" or "all aged (65 and over)" or "aged (80 and over)"))

Search results

1. ALVAREZ, R.G., et al, 2006. Stage I and II posterior tibial tendon dysfunction treated by a structured nonoperative management protocol: an orthosis and exercise program. Foot & Ankle International, 27(1), pp. 2-8.

BACKGROUND: Posterior tibial tendon dysfunction (PTTD) is a relatively common problem of middle-aged adults that usually is treated operatively. The purpose of this study was to identify strength deficits with early stage PTTD and to assess the efficacy of a focused nonoperative treatment protocol. METHODS: Forty-seven consecutive patients with stage I or II posterior tibial tendon dysfunction were treated by a structured nonoperative protocol. Criteria for inclusion were the presence of a palpable and painful posterior tibial tendon, with or without swelling and 2) movement of the tendon with passive and active nonweightbearing clinical examination. The rehabilitation protocol included the use of a short, articulated ankle foot orthosis or foot orthosis, high-repetition exercises, aggressive plantarflexion activities, and an aggressive high-repetition home exercise program that included gastrocsoleus tendon stretching. Isokinetic evaluations were done before and after therapy to compare inversion, eversion, plantarflexion, and dorsiflexion strength in the involved and uninvolved extremities. Criteria for successful rehabilitation were no more than 10% strength deficit, ability to perform 50 single-support heel rises with minimal or no pain, ability to ambulate 100 feet on the toes with minimal or no pain, and ability to tolerate 200 repetitions of the home exercises for each muscle group. RESULTS: Before therapy weakness for concentric and eccentric contractures of all muscle groups of the involved ankle was significant (p ................
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