Functional Pathologies of the Musculoskeletal System in Physiotherapy Students

Low Back Pain, Postural Clinical Trial

— FUNPAMUS  

Official title:

Occurrence and Characteristics of Functional Pathologies of the Musculoskeletal System in Physiotherapy Students and the Possibility of Influencing Them

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05544188
• Other study ID #: 29072022
• Status: Recruiting
• Phase: N/A
• Start date: November 1, 2022
• Est. completion date: June 1, 2024

Study information

• Verified date: February 2024
• Source: Charles University, Czech Republic
• Contact: doc. PhDr. Kamila Rasová, PhD.
• Phone: +420604511416
• Email: kamila.rasova[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study map the occurrence of functional pathologies of the musculoskeletal system in students of the bachelor's program of physiotherapy of the Third Faculty of Medicine, Charles University, and aim on improvement of them.

Description:

The aim of this study is to map the occurrence of functional pathologies of the musculoskeletal system in students of the bachelor's program of physiotherapy of the Third Faculty of Medicine, Charles University, and to examine their postural functions. Another goal is to teach the students of the experimental group how to remove functional pathologies of the musculoskeletal system and how to change their motor behaviour and postural functions so that the development of functional disorders no longer occurs.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: June 1, 2024
• Est. primary completion date: May 30, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• Bachelor's study of physiotherapy at the Third Faculty of Medicine, Charles University
• The presence of functional pathologies of the musculoskeletal system (verification by means of Trigger Points)

Exclusion Criteria:

• Serious cardiovascular or orthopedic dysfunction
• Neurological disease
• Reduced cognitive functions complicating examination and subsequent therapy

Related Conditions & MeSH terms

• Low Back Pain
• Low Back Pain, Postural

Intervention

Diagnostic Test:
• Differential diagnostic
Physiotherapy aimed at correcting functional pathologies of the musculoskeletal system assessed by differential diagnosis (removal of trigger points, stretching of shortened muscles and mobilization of joint blockages)

Locations

Country	Name	City	State
Czechia	Department of rehabilitation, Third Faculty of Medicine	Prague

Sponsors (1)

Lead Sponsor	Collaborator
Charles University, Czech Republic

Country where clinical trial is conducted

Czechia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Changes in Trigger Points at 3 months	Local hypertonic change in muscle function arising as a manifestation of pathogenic tension, 0 no trigger point, 2 maximal tiger point (higher value, worse function)	Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months).
Secondary	Change in the Foot posture index at 3 and 15 month	Clinical examination of the foot type ranging from significantly pronated (values 6 - 12) to significantly supinated (values from -1 to -12) one according to the 6-item, higher value (both negative or positive) means worse function.	Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months), Follow up (at 15 months).
Secondary	Change in Foot morphology and flexibility at 3 and 15 month	examination by means of the full foot 3D scanner Footscan® and the software 3D scanner 7.7 while sitting and standing still. Arch high index defines two kinds of pathologies: hypermobility under 0,6, norm 0,7 - 0,8, rigidity 0,9 - 1,3	Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months), Follow up (at 15 months).
Secondary	Change in Postural stability at 3 and 15 month	evaluation of the level of postural stability using the total path of displacement of the centre of pressure of the body on the mat in mm and the maximum displacement obtained in the latero-lateral and in the anteroposterior direction in mm (lower number means better function), measurement using the RS Footscan® tensiometric plate, higher value means worse function.	Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months), Follow up (at 15 months).
Secondary	Change in the subtalar joint flexibility at 3 and 15 month	mobility of the subtalar joint during the initial phase of walking (software evaluation after walking barefoot on the Footscan® tensiometric plate). Under 5.5° means normal range of pronation and normal function. Higher values mean worse function and pathologic pronation during initial phase of gait.	Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months), Follow up (at 15 months).
Secondary	Change in the foot progression angle at 3 and 15 month	rotation of the foot during walking (software evaluation after walking barefoot on the Footscan® tensiometric plate). Normal angle 0-5.4°, in-toeing (inwards rotation) under 0°, out-toeing (outward rotation) above 5.5°.	Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months), Follow up (at 15 months).