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Table 2 Study design, PTTD diagnosis, clinical impairments and participant characteristics, which are presented as mean (SD) or count (percentage)

From: Self-reported social and activity restrictions accompany local impairments in posterior tibial tendon dysfunction: a systematic review

Study ID

Study design

Diagnosis

Selection criteria for PTTD

Clinical impairments

PTTD

Control

n

Female (%)

Age years

BMI kg/m

n

Female (%)

Age years

BMI kg/m

Chimenti 25

Cross-sectional laboratory

Stage II AAFD

1 or more signs of tendinopathy (tenderness, swelling or pain with unilateral heel raise) and 1 or more signs of flexible flatfoot deformity (excessive non-fixed hindfoot eversion, excessive first metatarsal abduction or loss of medial longitudinal arch height)

Function & strength, Foot posture, PROM

20

14 (70)

57 (11.3)

30 (5.2)

15

11 (73)

56 (5.3)

26 (4.4)

Houck 30

Cross-sectional laboratory

Unilateral stage II PTTD

1 or more signs of tendinopathy (tenderness, swelling or pain with unilateral heel raise) and 1 or more signs of flexible flatfoot deformity (excessive non-fixed hindfoot eversion, excessive first metatarsal abduction or loss of medial longitudinal arch height)

Foot posture

30

22 (73)

59.3 (10.8)

29.6 (4.8)

15

14 (93)

56.5 (7.7)

30.5 (3.6)

Houck 29

Cross-sectional laboratory

Unilateral stage II PTTD

1 or more signs of tendinopathy (tenderness, swelling or pain with unilateral heel raise) and 1 or more signs of flexible flatfoot deformity (excessive non-fixed hindfoot eversion, excessive first metatarsal abduction or loss of medial longitudinal arch height)

Function & strength, Foot posture

30

21 (70)

59.8 (11.1)

29.9 (4.8)

15

14 (93)

56.5 (7.7)

30.6 (3.6)

Houck 24

Case-control

Unilateral stage II PTTD

Signs of tendon pathology (pain and/or swelling along medial ankle) and flexible flatfoot deformity (hindfoot eversion, forefoot abduction or loss of medial longitudinal arch height)

Function & strength, Foot posture

24

18 (75)

61 (10)

30 (5)

15

13 (87)

55 (8)

28 (5)

Kulig 26

Cross-sectional laboratory

Unilateral early stage PTTD (I or II)

Pain along medial ankle, tender on palpation posterior tibial tendon, lowered medial longitudinal arch, abducted midfoot, absence of rigid foot deformity

Function & strength, Foot posture, PROM

17

17 (100)

52.1 (7.5)

29.5 (6.3)

17

17 (100)

50.7 (5.5)

26.9 (5.9)

Kulig 32

Case-control

Unilateral early stage PTTD (I or II)

Pain along medial ankle, tender on palpation posterior tibial tendon, lowered medial longitudinal arch, abducted midfoot, absence of rigid foot deformity

Function & strength, Foot posture, Balance

19

19 (100)

54.6 (6.3)

28.9 (4.5)

20

20 (100)

50.8 (5.5)

26.9 (5.9)

Neville 22

Cross-sectional

Unilateral stage II PTTD

1 or more signs of tendinopathy (tenderness, swelling or pain with unilateral heel raise) and 1 or more signs of flexible flatfoot deformity (excessive non-fixed hindfoot eversion, excessive first metatarsal abduction or loss of medial longitudinal arch height)

Function & strength, ROM, Foot posture

30

19 (63)

58.1 (10.5)

30.6 (5.4)

15

14 (93)

56.5 (7.7)

30.6 (3.6)

Neville 23

Case-control

Unilateral stage II PTTD

1 or more signs of tendinopathy (tenderness, swelling or pain with unilateral heel raise) and 1 or more signs of flexible flatfoot deformity (excessive non-fixed hindfoot eversion, excessive first metatarsal abduction or loss of medial longitudinal arch height)

Foot posture, PROM

17

14 (82)

56.1 (11.6)

33.2 (7.4)

10

7 (70)

50.2 (6.8)

31.8 (3.8)

Rabbito 28

Case-control

Stage I PTTD

Mild swelling, tenderness, pain posterior to the medial malleolus, aggravated by recreational activity

ROM, Foot posture

12

9 (75)

30.3 (7.9)

23.2 (3.4)

12

9 (75)

28.5 (8.6)

23.7 (2.8)

Tome 31

Case-control

Unilateral stage II PTTD

1 or more signs of tendinopathy (tenderness, swelling or pain with unilateral heel raise) and 1 or more signs of flexible flatfoot deformity (excessive non-fixed hindfoot eversion, excessive first metatarsal abduction or loss of medial longitudinal arch height)

Foot posture

14

12 (85)

56.8 (11.7)

33.7 (7.4)

10

7 (70)

51.2 (7.3)

31.8 (3.6)

  1. Abbreviations: AAFD adult acquired flatfoot deformity, PTTD posterior tibial tendon dysfunction, ROM range of motion, PROM patient reported outcome measure