Analysis of Neuromuscular Responses and the Balance After the Application of Physiotherapy Resources
1 other identifier
interventional
21
1 country
1
Brief Summary
The aim of this study was to evaluate the effect of ice and shortwave diathermy in different regions of lower limb neuromuscular response and balance.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2011
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedFirst Submitted
Initial submission to the registry
March 10, 2014
CompletedFirst Posted
Study publicly available on registry
March 17, 2014
CompletedMarch 17, 2014
March 1, 2014
1.4 years
March 10, 2014
March 13, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Analysis of neuromuscular responses after the application of physiotherapy resources
To evaluate the neuromuscular response, we used the median frequency of the electromyographic variables and root mean square
We evaluated 22 volunteers in a period of one year and 6 months
Analysis of body balance after the application of physiotherapy
To evaluate postural balance used the variables: maximum displacement of the center of pressure, speed of displacement of the center of pressure and ground reaction forces as an impulse and braking
We evaluated 22 volunteers in a period of one year and 6 months
Secondary Outcomes (1)
Pain assessment during application of ice and shortwave diathermy
We evaluated 22 volunteers in a period of one year and 6 months
Study Arms (1)
Physiotherapy resources
EXPERIMENTALThe goal of applying ice and shortwave diathermy to the calf, ankle and sole of the foot was to verify the effect of this resources at the neuromuscular response of the lower limb and postural balance
Interventions
The application of ice has been accomplished by means of a plastic bag containing 1.5 kg of crushed ice. The duration of the application was 30 minutes. The use of shortwave diathermy was performed by means of rectangular electrodes having a duration of 20 minutes.
Eligibility Criteria
You may qualify if:
- woman
- healthy
- young
- sedentary
You may not qualify if:
- sensory changes
- history of fractures in the lower limbs
- being in the menstrual period
- diabetes Mellitus
- Bone, muscle and/or neural diseases
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Rehabilitation Center HCRP, FMRP-USP
Ribeirão Preto, São Paulo, 14048-900, Brazil
Related Publications (32)
Algafly AA, George KP. The effect of cryotherapy on nerve conduction velocity, pain threshold and pain tolerance. Br J Sports Med. 2007 Jun;41(6):365-9; discussion 369. doi: 10.1136/bjsm.2006.031237. Epub 2007 Jan 15.
PMID: 17224445BACKGROUNDArsenault AB, Belanger AY, Durand MJ, De Serres SJ, Fortin L, Kemp F. Effects of TENS and topical skin anesthesia on soleus H-reflex and the concomitant influence of skin/muscle temperature. Arch Phys Med Rehabil. 1993 Jan;74(1):48-53.
PMID: 8420520BACKGROUNDBeaulieu M, Allard P, Simoneau M, Dalleau G, Hazime FA, Rivard CH. Relationship between oscillations about the vertical axis and center of pressure displacements in single and double leg upright stance. Am J Phys Med Rehabil. 2010 Oct;89(10):809-16. doi: 10.1097/PHM.0b013e3181f1b4af.
PMID: 20855981BACKGROUNDBeck TW, Housh TJ, Mielke M, Cramer JT, Weir JP, Malek MH, Johnson GO. The influence of electrode placement over the innervation zone on electromyographic amplitude and mean power frequency versus isokinetic torque relationships. J Neurosci Methods. 2007 May 15;162(1-2):72-83. doi: 10.1016/j.jneumeth.2006.12.009. Epub 2006 Dec 28.
PMID: 17275093BACKGROUNDBelaid D, Rougier P, Lamotte D, Cantaloube S, Duchamp J, Dierick F. [Clinical and posturographic comparison of patients with recent total hip arthroplasty]. Rev Chir Orthop Reparatrice Appar Mot. 2007 Apr;93(2):171-80. doi: 10.1016/s0035-1040(07)90221-4. French.
PMID: 17401291BACKGROUNDBleakley CM, O'Connor S, Tully MA, Rocke LG, Macauley DC, McDonough SM. The PRICE study (Protection Rest Ice Compression Elevation): design of a randomised controlled trial comparing standard versus cryokinetic ice applications in the management of acute ankle sprain [ISRCTN13903946]. BMC Musculoskelet Disord. 2007 Dec 19;8:125. doi: 10.1186/1471-2474-8-125.
PMID: 18093299BACKGROUNDBolgla LA, Uhl TL. Reliability of electromyographic normalization methods for evaluating the hip musculature. J Electromyogr Kinesiol. 2007 Feb;17(1):102-11. doi: 10.1016/j.jelekin.2005.11.007. Epub 2006 Jan 19.
PMID: 16423539BACKGROUNDCollins JJ, De Luca CJ. Open-loop and closed-loop control of posture: a random-walk analysis of center-of-pressure trajectories. Exp Brain Res. 1993;95(2):308-18. doi: 10.1007/BF00229788.
PMID: 8224055BACKGROUNDDeal DN, Tipton J, Rosencrance E, Curl WW, Smith TL. Ice reduces edema. A study of microvascular permeability in rats. J Bone Joint Surg Am. 2002 Sep;84(9):1573-8.
PMID: 12208913BACKGROUNDDewhurst S, Macaluso A, Gizzi L, Felici F, Farina D, De Vito G. Effects of altered muscle temperature on neuromuscular properties in young and older women. Eur J Appl Physiol. 2010 Feb;108(3):451-8. doi: 10.1007/s00421-009-1245-9. Epub 2009 Oct 15.
PMID: 19830450BACKGROUNDDewhurst S, Riches PE, De Vito G. Moderate alterations in lower limbs muscle temperature do not affect postural stability during quiet standing in both young and older women. J Electromyogr Kinesiol. 2007 Jun;17(3):292-8. doi: 10.1016/j.jelekin.2006.03.002. Epub 2006 May 15.
PMID: 16698285BACKGROUNDFarina D, Merletti R, Enoka RM. The extraction of neural strategies from the surface EMG. J Appl Physiol (1985). 2004 Apr;96(4):1486-95. doi: 10.1152/japplphysiol.01070.2003.
PMID: 15016793BACKGROUNDFaryniarz DA, Bhargava M, Lajam C, Attia ET, Hannafin JA. Quantitation of estrogen receptors and relaxin binding in human anterior cruciate ligament fibroblasts. In Vitro Cell Dev Biol Anim. 2006 Jul-Aug;42(7):176-81. doi: 10.1290/0512089.1.
PMID: 16948498BACKGROUNDGuirro RR, Forti F, Bigaton DR. Proposal for electrical insulation of the electromyographic signal acquisition module. Electromyogr Clin Neurophysiol. 2006 Nov;46(6):355-63.
PMID: 17147078BACKGROUNDJanwantanakul P. The effect of quantity of ice and size of contact area on ice pack/skin interface temperature. Physiotherapy. 2009 Jun;95(2):120-5. doi: 10.1016/j.physio.2009.01.004. Epub 2009 Mar 21.
PMID: 19627693BACKGROUNDKernozek TW, Greany JF, Anderson DR, Van Heel D, Youngdahl RL, Benesh BG, Durall CJ. The effect of immersion cryotherapy on medial-lateral postural sway variability in individuals with a lateral ankle sprain. Physiother Res Int. 2008 Jun;13(2):107-18. doi: 10.1002/pri.393.
PMID: 18229881BACKGROUNDKurca E, Drobny M. Four quantitative EMG methods and theirs individual parameter diagnostic value. Electromyogr Clin Neurophysiol. 2000 Dec;40(8):451-8.
PMID: 11155536BACKGROUNDLi S, Kukulka CG, Rogers MW, Brunt D, Bishop M. Sural nerve evoked responses in human hip and ankle muscles while standing. Neurosci Lett. 2004 Jul 1;364(2):59-62. doi: 10.1016/j.neulet.2004.01.084.
PMID: 15196677BACKGROUNDLu G, Brittain JS, Holland P, Yianni J, Green AL, Stein JF, Aziz TZ, Wang S. Removing ECG noise from surface EMG signals using adaptive filtering. Neurosci Lett. 2009 Oct 2;462(1):14-9. doi: 10.1016/j.neulet.2009.06.063. Epub 2009 Jun 25.
PMID: 19559751BACKGROUNDMelnyk M, Faist M, Claes L, Friemert B. Therapeutic cooling: no effect on hamstring reflexes and knee stability. Med Sci Sports Exerc. 2006 Jul;38(7):1329-34. doi: 10.1249/01.mss.0000227635.86285.3b.
PMID: 16826031BACKGROUNDNorcross MF, Blackburn JT, Goerger BM. Reliability and interpretation of single leg stance and maximum voluntary isometric contraction methods of electromyography normalization. J Electromyogr Kinesiol. 2010 Jun;20(3):420-5. doi: 10.1016/j.jelekin.2009.08.003. Epub 2009 Sep 9.
PMID: 19744866BACKGROUNDPiedrahita H, Oksa J, Rintamaki H, Malm C. Effect of local leg cooling on upper limb trajectories and muscle function and whole body dynamic balance. Eur J Appl Physiol. 2009 Feb;105(3):429-38. doi: 10.1007/s00421-008-0920-6. Epub 2008 Nov 12.
PMID: 19002706BACKGROUNDSeigle B, Ramdani S, Bernard PL. Dynamical structure of center of pressure fluctuations in elderly people. Gait Posture. 2009 Aug;30(2):223-6. doi: 10.1016/j.gaitpost.2009.05.005. Epub 2009 Jun 2.
PMID: 19493680BACKGROUNDVuillerme N, Sporbert C, Pinsault N. Postural adaptation to unilateral hip muscle fatigue during human bipedal standing. Gait Posture. 2009 Jul;30(1):122-5. doi: 10.1016/j.gaitpost.2009.03.004. Epub 2009 Apr 28.
PMID: 19403311BACKGROUNDRattanachaiyanont M, Kuptniratsaikul V. No additional benefit of shortwave diathermy over exercise program for knee osteoarthritis in peri-/post-menopausal women: an equivalence trial. Osteoarthritis Cartilage. 2008 Jul;16(7):823-8. doi: 10.1016/j.joca.2007.10.013. Epub 2008 Feb 21.
PMID: 18178111BACKGROUNDSaeki Y. Effect of local application of cold or heat for relief of pricking pain. Nurs Health Sci. 2002 Sep;4(3):97-105. doi: 10.1046/j.1442-2018.2002.00112.x.
PMID: 12153407BACKGROUNDRutkove SB, Kothari MJ, Shefner JM. Nerve, muscle, and neuromuscular junction electrophysiology at high temperature. Muscle Nerve. 1997 Apr;20(4):431-6. doi: 10.1002/(sici)1097-4598(199704)20:43.0.co;2-b.
PMID: 9121500BACKGROUNDKiernan MC, Cikurel K, Bostock H. Effects of temperature on the excitability properties of human motor axons. Brain. 2001 Apr;124(Pt 4):816-25. doi: 10.1093/brain/124.4.816.
PMID: 11287380BACKGROUNDDioszeghy P, Stalberg E. Changes in motor and sensory nerve conduction parameters with temperature in normal and diseased nerve. Electroencephalogr Clin Neurophysiol. 1992 Aug;85(4):229-35. doi: 10.1016/0168-5597(92)90110-w.
PMID: 1380909BACKGROUNDGarrett CL, Draper DO, Knight KL. Heat distribution in the lower leg from pulsed short-wave diathermy and ultrasound treatments. J Athl Train. 2000 Jan;35(1):50-5.
PMID: 16558608BACKGROUNDNurse MA, Nigg BM. The effect of changes in foot sensation on plantar pressure and muscle activity. Clin Biomech (Bristol). 2001 Nov;16(9):719-27. doi: 10.1016/s0268-0033(01)00090-0.
PMID: 11714548BACKGROUNDMuniz TB, Moraes R, Guirro RR. Lower limb ice application alters ground reaction force during gait initiation. Braz J Phys Ther. 2015 Mar-Apr;19(2):114-21. doi: 10.1590/bjpt-rbf.2014.0080. Epub 2015 Apr 27.
PMID: 25993625DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Thiago B Muniz, Master
University of Sao Paulo
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Master
Study Record Dates
First Submitted
March 10, 2014
First Posted
March 17, 2014
Study Start
January 1, 2011
Primary Completion
June 1, 2012
Study Completion
December 1, 2012
Last Updated
March 17, 2014
Record last verified: 2014-03