Gait alterations in posterior tibial tendonitis: A systematic review and meta-analysis

Junsig Wang, Erin M. Mannen, Safeer F. Siddicky, Jung min Lee, L. Daniel Latt

Research output: Contribution to journalReview article

Abstract

Background: Posterior tibial tendon dysfunction (PTTD) is a common and debilitating tendinopathy that can lead to a profound decrease in gait function. While the clinical diagnosis and treatment of this disorder are well described, the pathomechanics have not been adequately characterized. The purpose of this systematic review and meta-analysis is to compare foot/ankle kinematics and kinetics in patients with PTTD with healthy controls during gait. Methods: Relevant articles were selected thought Medline (Pubmed), Scopus, CINAHL, and Web of Science. Studies focused on foot/ankle kinematics and kinetics in patients with PTTD were involved. Articles were included if they: 1) compared patients with PTTD to healthy controls, 2) utilized kinematics or kinetics as the primary outcome measure, 3) evaluated gait tasks, and 4) were written in English. Results: Eleven articles were included in this systematic review, and 8 studies were synthesized and analyzed. Our meta-analyses indicated increased dorsiflexion and abduction of the forefoot, as well as increased plantarflexion and eversion of hindfoot for patients with PTTD during stance of walking. Conclusion: Our results from the meta-analysis showed more conclusive changes in the forefoot (increased dorsiflexion and abduction) and hindfoot (increased plantarflexion and eversion) kinematics during stance of walking, which may be associated with a pathological process of PTTD. This review provides an improved understanding of gait function in patients with PTTD and preliminary knowledge for future research.

Original languageEnglish (US)
Pages (from-to)28-38
Number of pages11
JournalGait and Posture
Volume76
DOIs
StatePublished - Feb 2020

Keywords

  • Gait
  • Kinematics
  • Meta-analysis
  • Posterior tibial tendon dysfunction
  • Posterior tibial tendonitis
  • Systematic review

ASJC Scopus subject areas

  • Biophysics
  • Orthopedics and Sports Medicine
  • Rehabilitation

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