Effects on Plantar Support After Deep Dry Needling in Posterior Tibial Muscle

Movement Disorders Clinical Trial

Official title:

Effects on Plantar Support After Deep Dry Needling in Posterior Tibial Muscle: Baropodometric Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03756428
• Other study ID #: CEU UCH 210
• Status: Completed
• Phase: N/A
• Start date: December 1, 2018
• Est. completion date: December 11, 2018

Study information

• Verified date: December 2018
• Source: Cardenal Herrera University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aims to analyze the changes in plantar support after the technique of deep dry puncture in the posterior tibial. The data will be analyzed by a baropodometer which will record the possible changes in the footprint. The investigator will perform a pre-intervention measurement and 3 post-intervention measurements (immediately after the intervention, at 24 hours and at 72 hours)

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: December 11, 2018
• Est. primary completion date: December 5, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

• presence of myofascial trigger point in the posterior tibialis

• Accept participation in the study (signature of informed consent)

• Do not present any exclusion criteria

Exclusion Criteria:

• Do not present myofascial trigger point in the tibialis posterior.

• Suffering and / or having suffered from lower limb pathologies, deformities or orthopedic injuries that could alter the static and biomechanics.

• Not clearly identify the Myofascial trigger point in the tibialis posterior.

• Have been diagnosed with fibromyalgia, myelopathy or radiculopathy.

• Having contraindicated the technique of dry needling for suffering, for example, coagulation problems.

• Be pregnant.

• Have used analgesics 24 hours before participating in the study.

Related Conditions & MeSH terms

• Movement Disorders

Intervention

Procedure:
• Deep dry needling in tibialis posterior
The inspector, with gloves, disinfects the area to be treated with 70º alcohol. Once the alcohol is applied, the intervenor locates and takes the myofascial trigger point and places the needle with the guide tube resting on the skin of the patient. The inspector holds the guide tube between the index and middle fingers lightly touch the needle with the index finger of the other hand to insert the needle perpendicularly into the skin, directing it towards the inspector's thumb. Once the needle is inserted subcutaneously, the guide tube is removed. The controller deepens the needle to myofascial trigger point, and makes fast inputs and outputs into it. The rapid exit is made to the subcutaneous cellular tissue, outside the muscle, but not outside the skin. Next, hemostasis is performed in the area. Once this hemostasis is completed, the patient is incorporated and dressed.
• Sham technique in tibialis posterior
The patient lies on the stretcher without the trousers. The interventor, with the guide tube, simulates the technique of puncture in the right twin of the subject. The comptroller cleans the area with 70º alcohol. Once the alcohol is applied, he performs the simulated dry needling technique in a plane with his index and middle fingers with the guide tube. It is important that the subject has his head stuck in the hollow of the head of the stretcher throughout the technique to make a correct masking.

Locations

Country	Name	City	State
Spain	Universidad CEU Cardenal Herrera	Valencia	Moncada

Sponsors (1)

Lead Sponsor	Collaborator
Cardenal Herrera University

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain pressure threshold	Amount of pressure (Kg/cm2) applied at the tibialis posterior myofascial trigger point site that elicit pain for the patient will be reported	72 hours
Secondary	baropodometric measurements: footprint	The investigator will be collected maximum pressure point in the footprint (g / cm)	72 hours
Secondary	baropodometric measurements: Average footprint pressure	The investigator will be collected the average footprint pressure (g/cm)	72 hours
Secondary	baropodometric measurements: forefoot area	The investigator will be collected the forefoot area (cm)	72 hours
Secondary	baropodometric measurements:forefoot load	The investigator will be collected the forefoot load (%)	72 hours
Secondary	baropodometric measurements: forefoot pressure variation	The investigator will be collected the forefoot pressure variation (%)	72 hours
Secondary	baropodometric measurements: rearfoot support surface	The investigator will be collected the rearfoot support surface (cm)	72 hours
Secondary	baropodometric measurements: hindfoot load	The investigator will be collected the hindfoot load ( %)	72 hours
Secondary	baropodometric measurements: areas of maximum pressure between the foot lines	The investigator will be collected the areas of maximum pressure between the foot lines (g/cm)	72 hours

External Links

•   The University CEU-Cardenal Herrera is th first private university in the Valencian Community. It belongs to the Foundation San Pablo - CEU and is the leading educational organization in Spain with three Universities all over Spain