Comparative Effects of Myofascial Induction Therapy Versus Gastrocnemius Pressure Release Treatment on Trigger Point Pressure Pain Threshold in Proximal Muscles and Ankle Range of Motion.

NCT06499441 | Completed DMC

• 1 other identifier: 2911202021420C
• Study Type: interventional
• Target: 13
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to test the effect of myofascial induction and pre-pressure release of the grastrocnemius muscle on the proximal musculature: biceps femoris, flexor digitorum brevis and extensor digitorum grandus on the pain pre-pressure threshold variable and range of motion of ankle with knee bend and flexed

Conditions

Pain Threshold; Myofascial Trigger Point; Manual Therapy; Range of Motion

Keywords

Fascia; myofascial trigger point; lower limb

Outcome Measures

Primary Outcomes (10)

• 1.Threshold of pain on pressure on biceps femoris before.

  The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons

  Immediately before the intervention.

• 2.Pain threshold to pressure in the extensor digitorum longus muscle before.

  The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons

  Immediately before the intervention.

• 3.Pain threshold to pressure on flexor digitorum brevis muscle before.

  The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons

  Immediately before the intervention.

• 4.Pain threshold on biceps femoris pressure after.

  The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons

  Immediately before the intervention.

• 5.Pain threshold to pressure in the extensor digitorum longus muscle after.

  The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons

  Immediately before the intervention.

• 6.Pain threshold on pressure in the flexor digitorum brevis muscle tras.

  The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons

  Immediately before the intervention.

• 7. Ankle range of motion with knee extended before intervention

  The joint amplitude is measured in dorsiflexion of the ankle joint with the knee extended under load and is measured with an inclinometer in degrees. measured in degrees.

  Immediately before the intervention.

• 8. Ankle range of motion with knee flexed before intervention

  The joint amplitude is measured in dorsiflexion of the ankle joint with the knee flexed under load and is measured with an inclinometer in degrees. measured in degrees.

  Immediately before the intervention.

• 9. Ankle range of motion with knee extended after intervention

  The joint amplitude is measured in dorsiflexion of the ankle joint with the knee extended under load and is measured with an inclinometer in degrees. measured in degrees.

  Immediately after the intervention.

• 10. Ankle range of motion with knee flexed after intervention

  The joint amplitude is measured in dorsiflexion of the ankle joint with the knee flexed under load and is measured with an inclinometer in degrees. measured in degrees.

  Immediately after the intervention.

Study Arms (2)

Myofascial induction in the gastrocnemius muscle

EXPERIMENTAL

A 3-pass shallow leg gliding technique was applied first, followed by 5 minutes of the deep myofascial calf induction technique described by Pilat.

Other: Myofascial induction in gastrocnemius

Preassure release in gastrocnemius muscle

ACTIVE COMPARATOR

Also called ischaemic pressure. Three cycles of pressure are applied to the trigger point of the gastrocnemius muscle until the pain disappears on pressure.

Other: Preassure release

Interventions

Myofascial induction in gastrocnemius OTHER

A 3-pass shallow leg gliding technique was applied first, followed by 5 minutes of the deep myofascial calf induction technique described by Pilat.

Myofascial induction in the gastrocnemius muscle

Preassure release OTHER

Also called ischaemic pressure. Three cycles of pressure are applied to the trigger point of the gastrocnemius muscle until the pain disappears on pressure.

Preassure release in gastrocnemius muscle

Eligibility Criteria

• Age: 18 Years - 39 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Subjects from 18 to 39 years old.
• Healthy subjects with trigger point 1 of the gastrocnemius muscle in both lower limbs

You may not qualify if:

• Diagnosis of lower limb injury, including any tendinopathy, bursitis, ligamentous involvement, and/or fasciitis
• History of lower limb surgery or history of lower-extremity injury with residual symptoms (pain or feeling of sensations) within the last year.
• Participants could not have undergone ankle stretching or any other treatment.
• Diabetes due to possible alteration of arterial distal circulation.
• Foot deformity, cavus, and flat feet.
• Foot deformities, such as hammer toes and hallux valgus,
• Plantar corns and calluses.
• Lower limb dysfunction or chronic injury.

Sponsors & Collaborators

• Mayuben Private Clinic: lead

Study Sites (1)

Mayuben Clinic

San Sebastián de los Reyes, Madrid, 28702, Spain

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist responsible area

Study Record Dates

• First Submitted: July 7, 2024
• First Posted: July 12, 2024
• Study Start: July 22, 2024
• Primary Completion: July 24, 2024
• Study Completion: August 3, 2024
• Last Updated: August 6, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)