Stabilometric and Baropodometric Evaluation After Osteopathic Scaphoid Tug Manipulation

Stabilometric and Baropodometric Evaluation of Osteopathic Scaphoid Tug Manipulation

This is a clinical, longitudinal, prospective and randomised study in which the subject will be assessed by stabilometric and baropodometric techniques on two occasions (before being subjected to the scaphoid tug manipulation for the experimental group or placebo technique in the case of the control group).

Study Overview

• Status: Completed
• Conditions: Manipulation; Osteopathic
• Intervention / Treatment: Procedure: Experimental: Osteopathic manipulation TUG for scaphoid bone; Procedure: Sham group: Sham osteopathic manipulation TUG for scaphoid bone

• Study Type: Interventional
• Enrollment (Actual): 36
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Alicante
    • Elche, Alicante, Spain, 03204
      • Sergio Montero Navarro

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Subjects with right scaphoid external rotation dysfunction

Exclusion Criteria:

• Suffering from disorders that alter balance (tension headaches, vertigo, migraines...).
• Deformities, orthopaedic injuries or sequelae in the limbs or spine that may alter postural statics (valgus-varus, lower limb operations, lower limb dysmetries, scoliosis, etc.).

• Pathologies or sequelae related to the postural sensors or disorders in the same:

  • Uncorrected visual defects.
  • Vestibular disorders.
  • Uncorrected stomatological disorders.
  • Sensory alterations in the foot sensor (Hypoaesthesia, Morton's neuroma, tarsal canal syndrome, etc.).
  • Cutaneous alterations that influence the foot pick-up (papillomas, plantar warts, ingrown toenails, etc.).
  • Ingestion of medication that alters the perception of stability.
• Having any contraindication to the scaphoid tug technique.
• Having carried out intense physical activity immediately prior to the study.
• Having received osteopathic treatment in the last month.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Experimental: Osteopathic manipulation TUG for scaphoid bone	Procedure: Experimental: Osteopathic manipulation TUG for scaphoid bone; The sequence of execution of the scaphoid TUG technique shall be applied as follows. Patient in the supine position. The inner hand of the intervener makes contact with the pisiform through the hypothenar eminence and ulnar border of the hand over the scaphoid tubercle, the outer hand reinforces the contact. The thumbs are directed to the sole of the patient's foot. The parameters are sought by bringing the sole of the foot into eversion, thus bringing the scaphoid into internal rotation (the direction of correction). In order to reduce the slack, the operator drops his body weight backwards while increasing the internal rotation parameter of the scaphoid. The manipulation is performed by associating a rapid traction movement with an increase of the correction parameter towards the internal rotation of the scaphoid.
SHAM_COMPARATOR: Sham group: Sham osteopathic manipulation TUG for scaphoid bone	Procedure: Sham group: Sham osteopathic manipulation TUG for scaphoid bone; The intervention will be performed in the same way as the intervention group, without actually performing the TUG manipulation on the scaphoid bone, only placing it in tension.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
stabilometric measurements: oscillation about the X-axis	(mm)	five minutes post-intervention
stabilometric measurements: oscillation about the Y-axis	(mm)	five minutes post-intervention
stabilometric measurements: area of the ellipse	(cm2)	five minutes post-intervention
static baropodometric measurements: scan Foot bearing area	(cm2)	five minutes post-intervention
static baropodometric measurements: scan percentage of body load supported by each foot		five minutes post-intervention
static baropodometric measurements: scan point of maximum plantar pressure	(kg/cm2)	five minutes post-intervention

Collaborators and Investigators

• Sponsor: Cardenal Herrera University

Publications and helpful links

General Publications

• Latash ML, Krishnamoorthy V, Scholz JP, Zatsiorsky VM. Postural synergies and their development. Neural Plast. 2005;12(2-3):119-30; discussion 263-72. doi: 10.1155/NP.2005.119.
• Zhang Y, Kiemel T, Jeka J. The influence of sensory information on two-component coordination during quiet stance. Gait Posture. 2007 Jul;26(2):263-71. doi: 10.1016/j.gaitpost.2006.09.007. Epub 2006 Oct 13.
• Myklebust JB, Prieto T, Myklebust B. Evaluation of nonlinear dynamics in postural steadiness time series. Ann Biomed Eng. 1995 Nov-Dec;23(6):711-9. doi: 10.1007/BF02584470.
• Hessert MJ, Vyas M, Leach J, Hu K, Lipsitz LA, Novak V. Foot pressure distribution during walking in young and old adults. BMC Geriatr. 2005 May 19;5:8. doi: 10.1186/1471-2318-5-8.
• Van Buskirk RL. Nociceptive reflexes and the somatic dysfunction: a model. J Am Osteopath Assoc. 1990 Sep;90(9):792-4, 797-809.

Helpful Links

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

Study record dates

Study Major Dates

• Study Start (ACTUAL): October 18, 2022
• Primary Completion (ACTUAL): October 18, 2022
• Study Completion (ACTUAL): February 7, 2023

Study Registration Dates

• First Submitted: October 10, 2022
• First Submitted That Met QC Criteria: October 13, 2022
• First Posted (ACTUAL): October 18, 2022

Study Record Updates

• Last Update Posted (ACTUAL): February 8, 2023
• Last Update Submitted That Met QC Criteria: February 7, 2023
• Last Verified: February 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: CEEI22/322

Drug and device information, study documents

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