{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:13:13Z","timestamp":1783509193708,"version":"3.55.0"},"reference-count":84,"publisher":"MDPI AG","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,1]]},"abstract":"<jats:title\/>\n                  <jats:p>Background: Posterior tibial tendon dysfunction is a disabling pathologic flatfoot disorder. Evidence supports the notion that this condition is poorly diagnosed by health-care professionals. In addition, opinion is divided as to the most appropriate assessment and diagnostic techniques used to reflect the progression or stage of the condition. Hence, this study intended to explore the views and opinions of health-care professionals who may be involved in its assessment and diagnosis.<\/jats:p>\n                  <jats:p>Methods: A two-phase sequential mixed methods design was used that combined a questionnaire survey and a focus group interview.<\/jats:p>\n                  <jats:p>Results: The questionnaire data were analyzed using the Kendall levels of concordance and the Cohen kappa statistic, and the focus group data were analyzed using thematic analysis, which led to three main themes: resource implications, scope of practice, and awareness of the condition.<\/jats:p>\n                  <jats:p>Conclusions: This study highlights what may have been suspected previously but that has never been investigated in a structured manner. One approach to the assessment and diagnosis of posterior tibial tendon dysfunction is not necessarily the best, and depending on the clinical teams, different guidance may be required to ensure that patients are receiving the most appropriate and best care.<\/jats:p>","DOI":"10.7547\/14-122","type":"journal-article","created":{"date-parts":[[2016,2,19]],"date-time":"2016-02-19T18:28:45Z","timestamp":1455906525000},"page":"27-36","source":"Crossref","is-referenced-by-count":5,"title":["Assessment and Diagnosis of Posterior Tibial Tendon Dysfunction"],"prefix":"10.3390","volume":"106","author":[{"given":"Beverley","family":"Durrant","sequence":"first","affiliation":[{"name":"Department of Podiatry, University of Brighton, Eastbourne, England."},{"name":"Faculty of Health, Staffordshire University, Stoke-on-Trent, England."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nachiappan","family":"Chockalingam","sequence":"first","affiliation":[{"name":"Faculty of Health, Staffordshire University, Stoke-on-Trent, England."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Morriss-Roberts","sequence":"first","affiliation":[{"name":"Department of Podiatry, University of Brighton, Eastbourne, England."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"ref881","article-title":"Neale's Disorders of the Foot,","author":"Frowen","year":"2010","journal-title":"Churchill Livingstone"},{"key":"ref321","doi-asserted-by":"crossref","first-page":"687","DOI":"10.2519\/jospt.2011.3427","article-title":"Women with posterior tibial tendon dysfunction have diminished ankle and hip muscle performance","volume":"41","author":"Kulig","year":"2011","journal-title":"J Orthop Sports Phys Ther"},{"key":"ref851","doi-asserted-by":"crossref","first-page":"553","DOI":"10.2519\/jospt.1993.18.4.553","article-title":"Reliability of open and closed kinetic chain subtalar joint neutral positions and navicular drop test","volume":"18","author":"Picciano","year":"1993","journal-title":"J Orthop Sports Phys Ther"},{"key":"ref611","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1111\/j.1475-6773.2011.01344.x","article-title":"Methodological reporting in qualitative, quantitative, and mixed methods health services research articles","volume":"47","author":"Wisdom","year":"2012","journal-title":"Health Serv Res"},{"key":"ref651","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"ref751","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.gaitpost.2006.06.008","article-title":"Changes in gait associated with acute stage II posterior tibial tendon dysfunction","volume":"25","author":"Ringleb","year":"2007","journal-title":"Gait Posture"},{"key":"ref251","doi-asserted-by":"crossref","first-page":"780","DOI":"10.2106\/00004623-199605000-00020","article-title":"Instructional Course Lectures, the American Academy of Orthopaedic Surgeons: adult acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendon","volume":"78","author":"Myerson","year":"1996","journal-title":"J Bone Joint Surg Am"},{"key":"ref341","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/0958-2592(95)90012-8","article-title":"Clinical hindfoot measurement: a critical review of the literature","volume":"5","author":"Menz","year":"1995","journal-title":"Foot"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"2133","DOI":"10.1177\/0363546509359492","article-title":"Tendon disorders of the foot and ankle: part 3. 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