Effects on Plantar Support After Deep Dry Needling in Posterior Tibial Muscle

Effects on Plantar Support After Deep Dry Needling in Posterior Tibial Muscle: Baropodometric Study

This study aims to analyze the changes in plantar support after the technique of deep dry puncture in the posterior tibial. The data will be analyzed by a baropodometer which will record the possible changes in the footprint. The investigator will perform a pre-intervention measurement and 3 post-intervention measurements (immediately after the intervention, at 24 hours and at 72 hours)

Study Overview

• Status: Completed
• Conditions: Movement Disorders
• Intervention / Treatment: Procedure: Deep dry needling in tibialis posterior; Procedure: Sham technique in tibialis posterior

• Study Type: Interventional
• Enrollment (Actual): 80
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Moncada
    • Valencia, Moncada, Spain, 46113
      • Universidad CEU Cardenal Herrera

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 50 years (Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• presence of myofascial trigger point in the posterior tibialis
• Accept participation in the study (signature of informed consent)
• Do not present any exclusion criteria

Exclusion Criteria:

• Do not present myofascial trigger point in the tibialis posterior.
• Suffering and / or having suffered from lower limb pathologies, deformities or orthopedic injuries that could alter the static and biomechanics.
• Not clearly identify the Myofascial trigger point in the tibialis posterior.
• Have been diagnosed with fibromyalgia, myelopathy or radiculopathy.
• Having contraindicated the technique of dry needling for suffering, for example, coagulation problems.
• Be pregnant.
• Have used analgesics 24 hours before participating in the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Deep dry needling in tibialis posterior; Deep dry needling will be applied in the tibialis posterior myofascial trigger point	Procedure: Deep dry needling in tibialis posterior; The inspector, with gloves, disinfects the area to be treated with 70º alcohol. Once the alcohol is applied, the intervenor locates and takes the myofascial trigger point and places the needle with the guide tube resting on the skin of the patient. The inspector holds the guide tube between the index and middle fingers lightly touch the needle with the index finger of the other hand to insert the needle perpendicularly into the skin, directing it towards the inspector's thumb. Once the needle is inserted subcutaneously, the guide tube is removed. The controller deepens the needle to myofascial trigger point, and makes fast inputs and outputs into it. The rapid exit is made to the subcutaneous cellular tissue, outside the muscle, but not outside the skin. Next, hemostasis is performed in the area. Once this hemostasis is completed, the patient is incorporated and dressed.
Placebo Comparator: Sham technique in tibialis posterior; Placebo tibialis dry needling	Procedure: Sham technique in tibialis posterior; The patient lies on the stretcher without the trousers. The interventor, with the guide tube, simulates the technique of puncture in the right twin of the subject. The comptroller cleans the area with 70º alcohol. Once the alcohol is applied, he performs the simulated dry needling technique in a plane with his index and middle fingers with the guide tube. It is important that the subject has his head stuck in the hollow of the head of the stretcher throughout the technique to make a correct masking.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain pressure threshold	Amount of pressure (Kg/cm2) applied at the tibialis posterior myofascial trigger point site that elicit pain for the patient will be reported	72 hours

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
baropodometric measurements: footprint	The investigator will be collected maximum pressure point in the footprint (g / cm)	72 hours
baropodometric measurements: Average footprint pressure	The investigator will be collected the average footprint pressure (g/cm)	72 hours
baropodometric measurements: forefoot area	The investigator will be collected the forefoot area (cm)	72 hours
baropodometric measurements:forefoot load	The investigator will be collected the forefoot load (%)	72 hours
baropodometric measurements: forefoot pressure variation	The investigator will be collected the forefoot pressure variation (%)	72 hours
baropodometric measurements: rearfoot support surface	The investigator will be collected the rearfoot support surface (cm)	72 hours
baropodometric measurements: hindfoot load	The investigator will be collected the hindfoot load ( %)	72 hours
baropodometric measurements: areas of maximum pressure between the foot lines	The investigator will be collected the areas of maximum pressure between the foot lines (g/cm)	72 hours

Collaborators and Investigators

• Sponsor: Cardenal Herrera University

Publications and helpful links

Helpful Links

• The University CEU-Cardenal Herrera is th first private university in the Valencian Community. It belongs to the Foundation San Pablo - CEU and is the leading educational organization in Spain with three Universities all over Spain

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2018
• Primary Completion (Actual): December 5, 2018
• Study Completion (Actual): December 11, 2018

Study Registration Dates

• First Submitted: November 21, 2018
• First Submitted That Met QC Criteria: November 26, 2018
• First Posted (Actual): November 28, 2018

Study Record Updates

• Last Update Posted (Actual): December 13, 2018
• Last Update Submitted That Met QC Criteria: December 12, 2018
• Last Verified: December 1, 2018

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Central Nervous System Diseases; Nervous System Diseases; Movement Disorders
• Other Study ID Numbers: CEU UCH 210

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No