The Effectiveness of Tibial Nerve Mobilization in Patients With Tarsal Tunnel Syndrome

Kutahya Health Sciences University

Status: Completed

Conditions: Neuropathic Pain; Nerve Compression Syndromes

Treatments: Other: Tibial Nerve Mobilization; Other: Foot-ankle range of motion exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05307354

KutahyaHSUtibialnerve

Details and patient eligibility

About

This randomized, clinical, single-blinded, controlledstudywasinitiallyplannedtoinclude 35 patients diagnosed with tarsal tunnel who applied to Kütahya Health Sciences University, Evliya Çelebi Training and Research Hospital, Physical Medicine and Rehabilitation outpatient clinic.Patients aged 20-55 years who were diagnosed with tarsal tunnel syndrome by electromyography (EMG) in the last 6 months were included in the study. The patients were randomized into two groups using the computer-assisted randomization method. Tibial nerve mobilization and foot-ankle range of motion exercises will be given to the study group, and only foot-ankle joint range of motion exercises will be given to the control group. All the patients were evaluated with the Visual Analog Scale (VAS), Foot Functional Index (FFI), Neuropathic Pain QuestionnaireN (NPQ) and Tibial Nerve ultrasonography before the intervention and at the fourth week of intervention.

Enrollment: 40 patients

Sex: All

Ages: 20 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 20-55 years who were diagnosed with tarsal tunnel syndrome by electromyography (EMG) in the last 6 months were included in the study.

Exclusion criteria

• Have a systemic inflammatory disease
• Presence of a cognitive disorder, receiving psychotherapy or any psychiatric treatment, disease affecting the central nervous system
• Being illiterate
• Having hearing, vision problems
• History of foot and ankle surgery
• Any pathology that may cause pain in the foot joint diagnosed on physical examination
• Inadequate function of any extremity that would prevent exercise
• The presence of a balance disorder or a disease that can disrupt the balance
• Diagnosis of advanced cardiac or lung disease for which exercise would be contraindicated

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Nerve Mobilization Group

Experimental group

Description:

Tibial nerve mobilization in addition to foot-ankle joint range of motion exercises

Treatment:

Other: Tibial Nerve Mobilization

Other: Foot-ankle range of motion exercises

Control group

Active Comparator group

Description:

Only joint range of motion exercises

Treatment:

Other: Foot-ankle range of motion exercises