Effect of Muscular Energy Technique on Postural Control

NCT04499170 | Withdrawn DMC

• 1 other identifier: PP07009
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

The research aims to evaluate the immediate effect of the muscle energy technique (TEM) on postural control responses in the elderly and young adults. The sample will be selected for convenience, being participants of both sexes, young and old. Evaluation of postural control through the force platform will be performed during the unipodal and semi-tandem balance tests. The main parameters of postural control will be calculated using the pressure center derivative. After the balance tests, the participants will be submitted to TEM and immediately afterwards reassessed on the force platform.

Conditions

Balance Disorders Water

Keywords

Postural Balance; Musculoskeletal Manipulations; physiotherapy

Outcome Measures

Primary Outcomes (1)

• Balance

  Balance measured by a Force platform

  Baseline

Study Arms (2)

Muscle energy technique (G1)

EXPERIMENTAL

Group Elderly (G1)

Other: Muscular Energy Technique G1

Muscle energy technique (G2)

ACTIVE COMPARATOR

Group of young people (G2)

Other: Muscular Energy Technique G2

Interventions

Muscular Energy Technique G1 OTHER

Group of older (G1) - The muscular energy technique (TEM) based on Chaitow's proposal will be applied to the postural posterior muscles of the lower limbs such as gastrocnemius, soleus, ischiostibials, gluteus medius and paravertebral. During TEM, the contraction will be maintained from 7 to 10 seconds, against the resistance imposed by the therapist. After relaxation, range of motion will be gained until your new restriction barrier. This process will be repeated for 3 times.

Also known as: "MET"

Muscle energy technique (G1)

Muscular Energy Technique G2 OTHER

Group of young people (G2) - The muscular energy technique (TEM) based on Chaitow's proposal will be applied to the postural posterior muscles of the lower limbs such as gastrocnemius, soleus, ischiostibials, gluteus medius and paravertebral. During TEM, the contraction will be maintained from 7 to 10 seconds, against the resistance imposed by the therapist. After relaxation, range of motion will be gained until your new restriction barrier. This process will be repeated for 3 times.

Also known as: ''MET''

Muscle energy technique (G2)

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Accepting to participate in a study on a voluntary basis;
• Aged between 18 and 35 years old for young adults and over 60 years old up to 85 years old for elderly people;
• Being physically independent;
• Not practicing regular physical activity as recommended by the ACSM 3 to 5 times a week with moderate and severe;
• Cognitive status\> 18 in the Mini-Mental State Examination.

You may not qualify if:

• Elderly with cognitive changes detectable by the Mini Mental State Examination (MMSE);
• A score lower than the score predicted for their level of education;
• Self-reported injuries;
• Falls in the last year;
• Musculoskeletal disorders;
• Systemic neurological-degenerative disease;
• Severe labyrinthitis and chronic diseases of the cardiovascular or respiratory system.

Sponsors & Collaborators

• Universidade Norte do Paraná: lead

Study Sites (1)

Laboratory of Functional Assessment and Human Motor Performance (LAFUP)

Londrina, Paraná, 86041-120, Brazil

Location

Related Publications (16)

• MINATTO et al. Idade, maturação sexual, variáveis antropométricas e composição corporal: influências na flexibilidade. Rev Bras Cineantropom Desempenho Hum. 2010;12(3):151-8.

  BACKGROUND

• FRYER G, FOSSUMC. Therapeutic mechanisms underlying muscle energy approaches. In: Fernandez-de-las-Penas C, Arendt-Nielsen Lars, Gerwin R D editor(s). Tension-Type and Cervicogenic Headache: Pathophysiology, Diagnosis, and Management. Sudbury, MA: Jones and Bartlett Publishers,2010.

  BACKGROUND

• Horak FB, Henry SM, Shumway-Cook A. Postural perturbations: new insights for treatment of balance disorders. Phys Ther. 1997 May;77(5):517-33. doi: 10.1093/ptj/77.5.517.

  PMID: 9149762 BACKGROUND

• CHAITOW L. Técnicas de energia muscular. São Paulo: Manole; 2001

  BACKGROUND

• Magnusson SP, Simonsen EB, Aagaard P, Dyhre-Poulsen P, McHugh MP, Kjaer M. Mechanical and physical responses to stretching with and without preisometric contraction in human skeletal muscle. Arch Phys Med Rehabil. 1996 Apr;77(4):373-8. doi: 10.1016/s0003-9993(96)90087-8.

  PMID: 8607762 BACKGROUND

• Lariviere C, Gagnon D, Loisel P. The comparison of trunk muscles EMG activation between subjects with and without chronic low back pain during flexion-extension and lateral bending tasks. J Electromyogr Kinesiol. 2000 Apr;10(2):79-91. doi: 10.1016/s1050-6411(99)00027-9.

  PMID: 10699556 BACKGROUND

• Shultz S, Averell K, Eickelman A, Sanker H, Donaldson MB. Diagnostic accuracy of self-report and subjective history in the diagnosis of low back pain with non-specific lower extremity symptoms: A systematic review. Man Ther. 2015 Feb;20(1):18-27. doi: 10.1016/j.math.2014.08.002. Epub 2014 Aug 29.

  PMID: 25231775 BACKGROUND

• Bertolucci PH, Brucki SM, Campacci SR, Juliano Y. [The Mini-Mental State Examination in a general population: impact of educational status]. Arq Neuropsiquiatr. 1994 Mar;52(1):1-7. Portuguese.

  PMID: 8002795 BACKGROUND

• Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982 Nov;36(5):936-42. doi: 10.1093/ajcn/36.5.936.

  PMID: 7137077 BACKGROUND

• Voorrips LE, Ravelli AC, Dongelmans PC, Deurenberg P, Van Staveren WA. A physical activity questionnaire for the elderly. Med Sci Sports Exerc. 1991 Aug;23(8):974-9.

  PMID: 1956274 BACKGROUND

• Province MA, Hadley EC, Hornbrook MC, Lipsitz LA, Miller JP, Mulrow CD, Ory MG, Sattin RW, Tinetti ME, Wolf SL. The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. JAMA. 1995 May 3;273(17):1341-7.

  PMID: 7715058 BACKGROUND

• Adaptação do Habitual Physical Activity Questionnaire (Baecke), versão modificada, para a população portuguesa. Maria Celeste Bastos Almeida; José Luís Pais Ribeiro.

  BACKGROUND

• Camargos FF, Dias RC, Dias JM, Freire MT. Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International Among Elderly Brazilians (FES-I-BRAZIL). Rev Bras Fisioter. 2010 May-Jun;14(3):237-43. English, Portuguese.

  PMID: 20730369 BACKGROUND

• Wells KF, Dillon EK. The sit and reach: a test of back and leg flexibility. Research Quarterly for Exercise and Sport, Washington, 1952, 23:115-118.

  BACKGROUND

• Fitness Canada. Canadian Standardized Test of Fitness (CSTF) Operations Manual. 3rd Ed. Ottawa: Fitness and Amateur Sport, Canada, 1986

  BACKGROUND

• Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.

  PMID: 1991946 BACKGROUND

MeSH Terms

Interventions

Proto-Oncogene Proteins c-met

Intervention Hierarchy (Ancestors)

Receptor Protein-Tyrosine Kinases; Protein-Tyrosine Kinases; Protein Kinases; Phosphotransferases (Alcohol Group Acceptor); Phosphotransferases; Transferases; Enzymes; Enzymes and Coenzymes; Intracellular Signaling Peptides and Proteins; Proteins; Amino Acids, Peptides, and Proteins; Receptors, Cell Surface; Membrane Proteins; Receptors, Growth Factor; Receptors, Peptide; Proto-Oncogene Proteins; Oncogene Proteins; Neoplasm Proteins

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Quasi-experimental research project to detect an immediate effect of a technique on postural balance measures.

Study Record Dates

• First Submitted: April 24, 2020
• First Posted: August 5, 2020
• Study Start: January 1, 2024
• Primary Completion: July 1, 2024
• Study Completion: December 1, 2024
• Last Updated: May 10, 2023

Record last verified: 2023-05

Locations

BR (1)