Electrotherapy and Myofascial Therapy in Padel Players

NCT03867292 | Completed

• 1 other identifier: MIOTENS
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction. The lumbar region is one of the locations with the highest incidence of injuries in the paddle players. The crossed hands myofascial technique is used to release the restrictions of the thoracolumbar fascia, improving its mobility. The electrotherapy technique of TENS consists in the application of a low frequency current for the recovery, capitalization and oxygenation of the muscle, thus improving mobility and pain. Aim. To evaluate the efficacy of an intervention by electrotherapy combined with myofascial therapy, in the lumbar region, for a mobility improvement in older paddle-tennis federated players. Study design. Randomized, multicenter, simple blind, clinical trial with follow-up period. Methods. 30 players paddle will be assigned to the two study groups: experimental (intervention through therapy myofascial and electrotherapy) and control (intervention by electrotherapy). The intervention will have a duration of 4 weeks, with 2 sessions per week, lasting 15 minutes. There will be three evaluations: pre-intervention, post-intervention and follow-up. The variable of study is the mobility of the lumbar spine in the movements of flexion and extension (assessed by the employment of tests of Schober and Fingertip-to-floor). The analysis of normality be performed with the Kolmogorov-Smirnof, and in case of homogeneity of the groups is used in parametric tests: test t-student for paired data (difference between the different assessments) and ANOVA of mean repeated (intra-and intersujeto). Expected results. Improvement of the mobility of the lumbar spine in the movements of flexion and extension.

Conditions

Low Back Pain, Mechanical

Keywords

Paddle-tennis; Myofascial release; Electrotherapy; Physiotherapy; Low back; Randomized clinical trial

Outcome Measures

Primary Outcomes (1)

• Change from baseline low back flexion after treatment and at a month

  Low back flexion will be measured with the Schober test. The subject will remain standing and the evaluator will mark an imaginary line that connects both posterior superior iliac spines (near the Venus pits). A second mark will be placed 10 cm above the first mark and, finally, we will make a third mark 5 cm below the first mark. Next, the subject will be asked to bend to the maximum, keeping the knees extended. When the maximum flexion is reached, the increase in the distance between the skin marks will be measured. The unit of measurement is the centimeter (the greater the distance, the greater the mobility in the flexion of the lumbar spine).

  Screening visit, within the first seven days after treatment and after one month follow-up visit

Secondary Outcomes (2)

• Change from baseline low back extension after treatment and at a month

  Screening visit, within the first seven days after treatment and after one month follow-up visit

• Change from baseline low back flexion after treatment and at a month

  Screening visit, within the first seven days after treatment and after one month follow-up visit

Study Arms (2)

Myofascial

EXPERIMENTAL

The subjects that include the experimental group will receive an intervention through myofascial therapy of crossed hands and electrotherapy

Other: Myofascial

Electrotherapy

ACTIVE COMPARATOR

The subjects that are included in the experimental group will receive an intervention through electrotherapy

Other: Electrotherapy

Interventions

Myofascial OTHER

The aim of the application of the crossed hands technique is to produce a deep fascial release, placing the subject in prone position, while the standing physiotherapist will contact with one hand on the spine at the level of the thoracolumbar hinge and with the other hand on the sacrum, so that the hands are crisscrossed. The crossed hands technique will be performed between 90 seconds and 5 minutes. The application of the TENS, will be performed for 10 minutes by means of a device, model Compex in the lumbar area, subjects will receive a TENS application of low frequency (less than 40Hz). The electrode - (black) in proximal position or on the most painful zone. The electrode + (red) will be placed distally.

Myofascial

Electrotherapy OTHER

The application of the TENS, will be performed for 10 minutes by means of a device, model Compex in the lumbar area, subjects will receive a TENS application of low frequency (less than 40Hz). The electrode - (black) in proximal position or on the most painful zone. The electrode + (red) will be placed distally.

Electrotherapy

Eligibility Criteria

• Age: 18 Years+
• Sex: male
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Padel players
• With federal sheet
• Male
• Over 18 years
• Currently participate in regional and / or national competitions

You may not qualify if:

• Present a medical diagnosis of musculoskeletal pathology
• Not signed the informed consent document.

Sponsors & Collaborators

• Investigación en Hemofilia y Fisioterapia: lead

Study Sites (1)

Universidad Europea de Madrid

Madrid, Comunity of Madrid, 28670, Spain

Location

MeSH Terms

Conditions

Low Back Pain

Interventions

Myofascial Release Therapy; Electric Stimulation Therapy

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Rubén Cuesta-Barriuso, PhD

  Universidad Europea de Madrid

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: NETWORK
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 6, 2019
• First Posted: March 7, 2019
• Study Start: March 10, 2019
• Primary Completion: April 15, 2019
• Study Completion: June 20, 2019
• Last Updated: January 27, 2020

Record last verified: 2020-01

Locations

ES (1)