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Correlation of Neurodynamics Response of Posterior Tibial Nerve (PTN) with Ankle Foot Mechanics in Young Adults


Affiliations
1 Sports Medicine, Dr. L. H. Hiranandani Hospital, Powai., Mumbai, India
2 P.T School and Centre, Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S.Medical college and KEM Hospital, Parel, Mumbai, India
     

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125 asymptomatic healthy volunteers between the age of 18 - 25 yrs were assessed for neurodynamic response for right & left posterior tibial nerve. 107 subjects who showed normal neurogenic response were included in the study and hip flexion angle was noted as outcome measure. Outcome measures used for assessing ankle-foot mechanics were dorsiflexion, eversion range of motion, weight bearing, and non-weight bearing angle of calcaneum and degree of flat foot assessed with feiss line. The data obtained was analyzed statistically to find out correlation between neurodynamic response of posterior tibial nerve with above mentioned outcome measures of ankle - foot using Karl-Pearson's correlation test. Neurodynamic response of posterior tibial nerve showed negative correlation with weight bearing angle of calcaneum and no correlation with dorsiflexion, eversion and non-weight bearing angle of calcaneum.

Keywords

Neurodynamics, Ankle Foot Mechanics
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  • Shacklock M. Clinical neurodynamics. Edinburgh: Elsevier, 2005.
  • Shacklock M: Neurodynamics Physiotherapy 1995; Vol. 81 (1); 9-16.
  • Butler D., Jones M. Mobilisation of the nervous system. Edinburgh: Churchill Livingstone; 1991.
  • Travell, Simons. Myofascial pain and dysfunction. Lippincott.
  • Edgar D., Jull G., Sutton S. The relationship between upper trapezius muscle length and upper quadrant neural tissue extensibility. Aust J Physiother.1994; 40: 99-103.
  • Karas M., Hoy D. Compensatory midfoot dorsiflexion in the individual with heelcord tightness: implication for orthotic device designs. J Prosthet Orthot. 2002; 14: 82-93.
  • Lau J., Daniels T., Hearn T. The effects of foot position and load on tibial nerve tension. Foot ankle int. 1998; 19(2): 73-78.
  • Magee D. Lower leg, ankle, and foot. Orthopedic Physical Assessment. 4th edition. Philadelphia: Elsevier, 2002.
  • Stephen J., Pinney, Sheldon S., Lin. Current concept review: acquired adult flatfoot deformity. Foot ankle int. 2006; 27(1): 66-75.
  • Trepman E., Kadel N., Chishoim K., Razzano L. Effect of foot and ankle position on tarsal tunnel compartment pressure. Foot ankle int. 1999; 20(11): 721-726.
  • Lau, Daniels. Current topics review Tarsal tunnel syndrome: A review of literature, Foot ankle int. 1999; 20(3): 201-209.
  • Lam, S.J. Tarsal tunnel syndrome. J. Bone Joint Surg. 1967; 49B: 87-92.
  • Jackson, D.L. Tarsal tunnel syndrome in runners. Sports Med. 1992; 13:146-149.
  • Rask,M. Medial plantar neurapraxia (Jogger’s foot). Clin. Orthop. 1978; 134:193-195.
  • Bracilovic A., Nlhal A., Houston V., Beattie A., Rosenberg Z., Trepman E. Effect of foot and ankle position on tarsal tunnel compartment volume. Foot ankle int. 2006; 27(6): 431-437.
  • Labib S., Gould J.,Rodriguez F., Lyman S. Heel pain triad: The combination of plantar fasciitis, posterior tibial tendon dysfunction and tarsal tunnel syndrome. Foot ankle int. 2002; 23(3): 212-220.
  • Hunt G. Physical therapy of foot and ankle, 2nd edition. USA: Churchill Livingstone; 1995.
  • Coppieters M. W, Alshami A.M, Babri A.S, Souvlis T, Kippers V, Hodges P. Strain and Excursion of the Sciatic, Tibial, and Plantar Nerves during a Modified Straight Leg Raising Test. J Orthopedic Research. 2006; 24: 1883–1889.
  • Herrington L, Bendix K, Cornwell C, Fieldena N, Hankey K. What is the normal response to structural differentiation within the slump and straight leg raise tests? Manual Therapy. 2008; 13: 289–294.
  • B. D. Chaurasia. Human anatomy. 4th Edition. Vol 2.CBS Publishers: 2004.
  • Kobayashi S, Shizu N, Suzuki Y, Asai T, Yoshizawa H: Changes in nerve ischolar_main motion and intraradicular blood flow during intraoperative straight leg raise testing. Spine 2003; Vol. 28 (13): 1427-1434.

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  • Correlation of Neurodynamics Response of Posterior Tibial Nerve (PTN) with Ankle Foot Mechanics in Young Adults

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Authors

Sansare Prachi Shantaram
Sports Medicine, Dr. L. H. Hiranandani Hospital, Powai., Mumbai, India
Mhatre Bhavana Suhas
P.T School and Centre, Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S.Medical college and KEM Hospital, Parel, Mumbai, India
Mehta Amita Anil
P.T School and Centre, Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S.Medical college and KEM Hospital, Parel, Mumbai, India

Abstract


125 asymptomatic healthy volunteers between the age of 18 - 25 yrs were assessed for neurodynamic response for right & left posterior tibial nerve. 107 subjects who showed normal neurogenic response were included in the study and hip flexion angle was noted as outcome measure. Outcome measures used for assessing ankle-foot mechanics were dorsiflexion, eversion range of motion, weight bearing, and non-weight bearing angle of calcaneum and degree of flat foot assessed with feiss line. The data obtained was analyzed statistically to find out correlation between neurodynamic response of posterior tibial nerve with above mentioned outcome measures of ankle - foot using Karl-Pearson's correlation test. Neurodynamic response of posterior tibial nerve showed negative correlation with weight bearing angle of calcaneum and no correlation with dorsiflexion, eversion and non-weight bearing angle of calcaneum.

Keywords


Neurodynamics, Ankle Foot Mechanics

References