Musculoskeletal Diseases Nervous System Diseases
Conditions
Interventions
Tibial nerve gliding technique
Conventional Physiotherapy
Sponsors
Shaymaa Salem
Bassam El Nassag
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: - Individuals should be diagnosed and referred by an orthopedic surgeon, presented with unilateral tarsal tunnel syndrome, and classified as not having an indication for surgery. - With at least 3-month history of pain within the tarsal tunnel or referred distally to the foot or proximally to the leg, with a minimum pain level of 2 on a 10 cm visual analog pain scale (VAS). - With limited ROM of the ankle joint on the affected side. - Patients with common symptoms of TTS as +ve Tinel’s sign and weakness of muscle innervated by branches of the tibial nerve. - To be able to understand and follow the directions of the intervention protocols.
Exclusion criteria
Exclusion criteria: - Having comorbidities or orthopedic or postural problems that could confound the outcomes. - Patients with diabetic neuropathy or other entrapment neuropathies. - Having undergone surgery related to the lower extremity or lumbar spine. - Alcohol and/ or smoking addiction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Nerve conduction study: Distal latency of the posterior tibial nerve will be evaluated before interventions and just after 4 weeks of intervention duration.;Pain intensity: will be measured using the visual analog scale before and after treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Ankle dorsiflexion ROM: will be measured using an electro-goniometer before and after the treatment duration of 4 weeks.;Dorsiflexion/ Eversion Test: Provocation test to reproduce tarsal tunnel syndrome symptoms of tenderness in the area of palpation, or pain/ numbness in the toe, ball of the foot, or heel. | — |
Countries
Egypt
Contacts
Public ContactShaymaa Salem
Sphinx university Egypt
Outcome results
None listed