Effect of eccentric exercise program for early tibialis posterior XXXX .

@entity2295 @entity924 @entity158 @entity10395 @entity291
BACKGROUND: Morphology and vascularization of @entity158 before and after an intervention targeting the degenerated tendon were examined. Functional status and @entity158 level were also assessed. MATERIALS AND METHODS: A10-week twice daily, progressive eccentric tendon loading, @entity291 stretching program with orthoses was implemented with ten, early stage TP @entity924 subjects. TP tendons were imaged by grayscale and Doppler ultrasound at INITIAL and POST evaluations to assess the tendon's morphology and signs of @entity2295 . The @entity10395 ( @entity10395 ), Physical Activity Scale (PAS), 5-Minute Walk Test, and single heel raise (SHR) test were completed at INITIAL and POST evaluations. The Global Rating Scale (GRS) was completed at 6 months followup. One-way ANOVA was used to compare the @entity10395 at INITIAL, POST, and 6-MONTH time points. Paired t-tests were used to compare means between the remaining variables. The level of significance was p = 0.05. RESULTS: There was a significant difference in @entity10395 total, @entity158 , and disability at the three time-points. Post-hoc paired t-tests revealed that the @entity10395 scores were lower for the total score and @entity158 and disability subcategories when comparing from INITIAL to POST and INITIAL to 6-MONTH evaluations (p < 0.05 for all). The number of SHR increased significantly on the involved side from INITIAL to POST evaluation (p = 0.041). The GRS demonstrated minimum clinically important differences for improvements in symptoms at 6-MONTH. Tendon morphology and vascularization remained abnormal following the intervention. CONCLUSION: A 10-week tendon specific eccentric program resulted in improvements in symptoms and function without changes in tendon morphology or @entity2295 .
