Computational Mathematical Analysis in Vastus Medialis Between a MTrP and Non Painful Point

NCT06514638 | Completed

• 1 other identifier: Vastus ultrasound MTRp
• Study Type: observational
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

With the help of ultrasound, the goal of the study is to asses the differences between MTR points and non painful points, in order to characterize the identification of MTR througought ultrasound. Being a complex process that needs to be standarized for each muscle, the study takes place in the vastus medialis.

Conditions

Trigger Point Pain, Myofascial

Keywords

ultrasound; myofascial trigger point; vastus medialis

Outcome Measures

Primary Outcomes (1)

• Echogenicity

  Information measures of correlation at 0º, 45º, 90º, 135º expressed as mean+-standard deviation

  Through study completion, an average of 3 months

Study Arms (1)

Study subjects

Helathy, 18-65 year old subjects with pain when fingerr pointed in the vastus medialis, without serious diseases.

Other: Ultrasound imaging

Interventions

Ultrasound imaging OTHER

Images of the vastus medialis were taken with the subject being lateral decubitus.

Study subjects

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Students in the university were the main collection of subjects because of the proximity, but also other people recruited around the city.

You may qualify if:

• year old.
• Presence of pain on palpation along the course of the muscle fibers of the vastus medialis of the quadriceps.
• Painful point and/or localized tense band with or without radiation of pain to the knee area or adductor region.

You may not qualify if:

• Serious diseases (neurological, psychiatric, systemic diseases, obesity).
• Knee or hip surgeries.
• Muscle tears in a state of recovery in the vastus medialis of the quadriceps.
• Inability to position yourself in a lateral decubitus position.

Sponsors & Collaborators

• Samuel Fernández Carnero: lead

Study Sites (1)

Nursing and Physiotherapy Faculty Study Officials

Alcalá de Henares, Madrid, 28871, Spain

Location

Related Publications (8)

• Sikdar S, Shah JP, Gebreab T, Yen RH, Gilliams E, Danoff J, Gerber LH. Novel applications of ultrasound technology to visualize and characterize myofascial trigger points and surrounding soft tissue. Arch Phys Med Rehabil. 2009 Nov;90(11):1829-38. doi: 10.1016/j.apmr.2009.04.015.

  PMID: 19887205 BACKGROUND

• Hsieh CY, Hong CZ, Adams AH, Platt KJ, Danielson CD, Hoehler FK, Tobis JS. Interexaminer reliability of the palpation of trigger points in the trunk and lower limb muscles. Arch Phys Med Rehabil. 2000 Mar;81(3):258-64. doi: 10.1016/s0003-9993(00)90068-6.

  PMID: 10724067 BACKGROUND

• Rathbone ATL, Grosman-Rimon L, Kumbhare DA. Interrater Agreement of Manual Palpation for Identification of Myofascial Trigger Points: A Systematic Review and Meta-Analysis. Clin J Pain. 2017 Aug;33(8):715-729. doi: 10.1097/AJP.0000000000000459.

  PMID: 28098584 BACKGROUND

• Martinez-Paya JJ, Rios-Diaz J, Del Bano-Aledo ME, Tembl-Ferrairo JI, Vazquez-Costa JF, Medina-Mirapeix F. Quantitative Muscle Ultrasonography Using Textural Analysis in Amyotrophic Lateral Sclerosis. Ultrason Imaging. 2017 Nov;39(6):357-368. doi: 10.1177/0161734617711370. Epub 2017 May 28.

  PMID: 28553752 BACKGROUND

• Kumbhare DA, Elzibak AH, Noseworthy MD. Assessment of Myofascial Trigger Points Using Ultrasound. Am J Phys Med Rehabil. 2016 Jan;95(1):72-80. doi: 10.1097/PHM.0000000000000376.

  PMID: 26334421 BACKGROUND

• Nadeau MJ, Desrochers A, Lamontagne M, Lariviere C, Gagnon DH. Quantitative ultrasound imaging of Achilles tendon integrity in symptomatic and asymptomatic individuals: reliability and minimal detectable change. J Foot Ankle Res. 2016 Aug 17;9:30. doi: 10.1186/s13047-016-0164-3. eCollection 2016.

  PMID: 27540416 BACKGROUND

• Stock MS, Thompson BJ. Echo intensity as an indicator of skeletal muscle quality: applications, methodology, and future directions. Eur J Appl Physiol. 2021 Feb;121(2):369-380. doi: 10.1007/s00421-020-04556-6. Epub 2020 Nov 21.

  PMID: 33221942 BACKGROUND

• Schindelin J, Arganda-Carreras I, Frise E, Kaynig V, Longair M, Pietzsch T, Preibisch S, Rueden C, Saalfeld S, Schmid B, Tinevez JY, White DJ, Hartenstein V, Eliceiri K, Tomancak P, Cardona A. Fiji: an open-source platform for biological-image analysis. Nat Methods. 2012 Jun 28;9(7):676-82. doi: 10.1038/nmeth.2019.

  PMID: 22743772 BACKGROUND

Related Links

• 1\. Borg-Stein, J., \& Iaccarino, M. A. (2014). Myofascial pain syndrome treatments. Physical medicine and rehabilitation clinics of North America

MeSH Terms

Conditions

Myofascial Pain Syndromes

Interventions

High-Energy Shock Waves

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Ultrasonic Waves; Sound; Radiation, Nonionizing; Radiation; Physical Phenomena

Study Officials

• Carlos Tercero Mendoza, BSc

  University of Alcala

  PRINCIPAL INVESTIGATOR

• David Hernández Sánchez, BSc

  University of Alcala

  PRINCIPAL INVESTIGATOR

• Daniel Roldán Peña, BSc

  University of Alcala

  PRINCIPAL INVESTIGATOR

• Noe López Castellanos, BSc

  University of Alcala

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Physical Therapy PhD

Study Record Dates

• First Submitted: July 11, 2024
• First Posted: July 23, 2024
• Study Start: November 13, 2023
• Primary Completion: April 25, 2024
• Study Completion: June 23, 2024
• Last Updated: July 23, 2024

Record last verified: 2024-07

Locations

ES (1)