Cuboid Syndrome: Manipulation Techniques and Optimal Patient Outcomes: A Critically Appraised Topic
Date
2-14-2024
Faculty Mentor
Christopher Clark, Kinesiology; Jennifer Burgett, Kinesiology; David Kean, Kinesiology
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Submission Type
Conference Proceeding
Location
12:00-12:10pm | Houston Cole Library, 11th Floor
Description
Context: Cuboid syndrome is defined as a minor disruption or subluxation of the structural congruity of the calcaneocuboid portion of the midtarsal joint. Manipulation of the cuboid is the initial treatment for cuboid syndrome unless contraindicated. Therefore, the purpose of this critically appraised topic is to investigate techniques and outcomes in which the cuboid is manipulated.
Methods: A computerized search was conducted in October 2023. The search terms used were “cuboid syndrome”, “manipulation”, and “patient outcomes”. Electronic databases used were SPORTDiscus and Google Scholar. Inclusion criteria included all sports, multiple study designs, articles published within the previous 40 years, and expert opinion. Exclusion criteria included non-peer-reviewed articles and articles in foreign languages. Validity of the selected studies was determined using the PRIMSA, JBI, and AMSTAR 2 scales. One author independently reviewed the studies, scored each paper, and reviewed the completed appraisals to come to a consensus on the study quality.
Results: The literature search retrieved 260 total articles and 257 were excluded based on the exclusion criteria, resulting in three studies. Cuboid syndrome is treated conservatively consisting of manipulation, rest, and physical therapy. The cuboid whip technique is best for athletes who sustain cuboid syndrome secondary to a plantarflexion and inversion ankle sprain. The cuboid squeeze technique is utilized for athletes who sustain cuboid syndrome secondary to an overuse injury. Patients responded well and reported substantial relief after manipulation. In acute cases, patients returned to athletic competition the same day of manipulation. Surgery for cuboid syndrome is rarely used in research and is typically the final option for management.
Conclusions: Diagnosing cuboid syndrome is difficult due to the complications of other injuries. A thorough history and evaluation, an understanding of the signs and symptoms, and a list of differential diagnoses will assist in diagnosing cuboid syndrome accurately. Conservative treatment for cuboid syndrome is preferred. This conservative approach consists of cuboid manipulation, therapeutic modalities, strengthening, padding, and taping. Future research should consist of prospective randomized controlled trials to examine the efficacy of manipulation techniques. In addition, cuboid syndrome occurrence in males and females should also be studied to assess which sex is more susceptible to this injury.
Keywords
student research, kinesiology
Rights
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Disciplines
Kinesiotherapy
Recommended Citation
Rape, Sean, "Cuboid Syndrome: Manipulation Techniques and Optimal Patient Outcomes: A Critically Appraised Topic" (2024). JSU Student Symposium 2024. 23.
https://digitalcommons.jsu.edu/ce_jsustudentsymp_2024/23