Changes in Plantar Preassures and Ankle Range of Motion After the Technique of Neuromeningeal Mobilization

Rehabilitation Clinical Trial

Official title:

Changes in Plantar Pressures and Ankle Range of Motion After the Technique of Neuromeningeal Mobilization of the Posterior Tibial Nerve, Deep Peroneal Nerve, Medial and Lateral Dorsocutaneous Nerve

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05190224
• Other study ID #: 3010201915819
• Status: Completed
• Phase: N/A
• Start date: January 27, 2022
• Est. completion date: February 6, 2022

Study information

• Verified date: January 2022
• Source: Mayuben Private Clinic
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Neuromeningeal mobilization or neurodynamics is a movement-based technique whose purpose is to restore peri- and intraneural homeostasis (1). It is based on principle that nerves have to lengthen and shorten to maintain normal muscle tension and range of motion (1) This technique has been shown to be effective in recovering tissue mobility (2), reducing pain in low back pain (3) and neck pain (1) and pain intensity in the elderly, and increasing joint range of motion and muscle flexibility (4 )

Regarding balance, sciatic nerve sliding has been shown to immediately improve balance to one leg ( dinamic balance) after application in a comparative study before and after (4,5)

No study has been realised in for the Posterior Tibial, Deep Peroneal, Medial Dorsocutaneous and Lateral Nerves, and no study has verificated standing balance and range of motion in ankle joint

Description:

The study will consist of recording before and after applying the nerve mobilization exercise. Measurements will be made on the same day without the need to go at another time.

In this study, participants will be asked to stand on a pressure platform several times in a relaxed manner and with eyes open and closed before and after a neuromeningeal mobilization technique indicated for the treatment of pain in your feet. In addition, the mobility of the ankle will be measured with the knee flexed and stretched. The measurements or tests to be carried out are totally innocuous and do not carry any risk to your health and integrity.

Participants will have to remain barefoot for a maximum of 30 seconds, a total of 8 times on a pressure platform

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: February 6, 2022
• Est. primary completion date: February 2, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 40 Years

Eligibility

Inclusion criteria:

-Participants who arrived at the clinic presenting with pain in both heels and who were diagnosed with active or latent MTrP in bilateral flexor digitorum brevis, (2) these specific MTrPs were the only MTrPs diagnosed in limb or foot, (3) all participants had a normal body mass because obesity can affect plantar pressure distribution [28], and (4) and had an age range of 27.96 to 36.04 (95% confidence interval [CI]) because body mass could also affect plantar pressures.

Exclusion Criteria:

• (1) Diagnosis of lower limb injury, such as plantar fasciitis, tendinopathy, bursitis, ligament injuries [27], (2) a history of previous lower extremity surgery [28], (3) participants were required not to have undergone ankle stretching or any other treatment [23], (4) diabetes due to possible elevation of plantar pressure, [30], (5) deformities of the toes, such as hammer toes and hallux valgus due to their possible alteration in plantar pressure.

Related Conditions & MeSH terms

• Foot
• Postural Balance
• Rehabilitation
• Therapy

Intervention

Other:
• Neural mobilization of the deep peroneal, posterior tibial and medial medial and lateral dorsocutaneous nerves.
In lateral decubitus the patient with the help of the clinician will perform neuromeningeal mobilization of the posterior tibial dorsocutaneous lateral, intermediate and medial nerves and deep peroneal nerve too.

Locations

Country	Name	City	State
Spain	EVA MARIA Martínez	Madrid

Sponsors (1)

Lead Sponsor	Collaborator
Mayuben Private Clinic

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Variables of plantar pressures with platform before mobilization	During 30 seconds we will record the plantar pressure variables in grams per square centimeter	Through study completion, an average of 2 days
Primary	Variable footprint plantar surface with platform before	For 30 seconds we will record the area of the footprint in square centimeters.	Through study completion, an average of 2 days
Primary	Variables of plantar pressures with platform after mobilization	During 30 seconds we will record the plantar pressure variables in grams per square centimeter	Through study completion, an average of 2 days
Primary	Variable footprint plantar surface with platform after mobilization	For 30 seconds we will record the area of the footprint in square centimeters	Through study completion, an average of 2 days