Rev. Esp. Pod. 2024; 35(1): 30-35 / DOI: 10.20986/revesppod.2024.1686/2024
George Banwell, Eva Lopezosa Reca, Alfred Gatt, Gabriel Gijón Noguerón, Laura Ramos Petersen
RESUMEN
Introducción: La disfunción del tendón tibial posterior (DTTP) es una condición progresiva y discapacitante con opciones de tratamiento tanto conservadoras como quirúrgicas. El objetivo de este estudio piloto cualitativo fue identificar las diferencias en los métodos de evaluación y manejo conservador por parte de un grupo de podólogos.
Material y métodos: Los datos se recopilaron a través de entrevistas estructuradas grabadas, que incluyeron preguntas relacionadas con el tratamiento y los métodos de evaluación utilizados para la patología de la DTTP. Se realizó un análisis temático de las transcripciones para identificar los códigos y temas. Se entrevistó a seis podólogos en sus propios entornos clínicos.
Resultados: Se extrajeron 7 temas de las entrevistas después del análisis temático. Los resultados variaron entre los podólogos, algunos enfatizando más ciertos aspectos de la evaluación y el tratamiento que otros. Hubo diferencias en la metodología de tratamiento, los tipos de profesionales a los que se referían y los periodos de seguimiento. Hubo algunas similitudes con ciertos tratamientos, como el tratamiento con ortesis para el pie, sin embargo, hubo diferencias en los materiales y modifi caciones utilizados.
Conclusión: Debido a las pequeñas diferencias entre la metodología de evaluación y tratamiento, y la falta de consenso en ciertos aspectos, se debería realizar más investigación para identificar un manejo ortopédico más detallado de la DTTP y crear pautas para prevenir la variabilidad en el tratamiento.
ABSTRACT
Introduction: Posterior tibial tendon dysfunction (PTTD) is a progressive and disabling condition with both conservative and surgical treatment options. The aim of this qualitative pilot study was to identify the diff erences in the methods of assessment and conservative management by a group of podiatrists.
Material and methods: The data was collected through recorded structured interviews, including questions related to the treatment and methods of assessment used for the pathology of PTTD. A thematic analysis of the transcripts was carried out to identify the codes and themes. Six podiatrists were interviewed in their own clinical setting.
Results: Seven themes were extracted from the interviews after the thematic analysis. The results varied between the podiatrists, some putting more emphasis on certain aspects of assessment and treatment than others. There were diff erences between treatment methodology, the types of professionals referred to and follow up periods. There were some similarities with certain treatments, such as foot orthosis treatment, however diff erences in the materials and modifi cations used.
Conclusion: Due to the small diff erences between the assessment and treatment methodology, and the lack consensus on certain aspects, more research should be done to identify a more detailed orthotic management of PTTD and a guideline created to prevent variability in treatment.
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