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.

Comparative Effects of Myofascial Induction Therapy Versus Gastrocnemius Pressure Release Treatment on Trigger Point Pressure Pain Threshold of the Biceps Femoris, Flexor Digitorum Brevis and Great Extensor Digitorum Muscles and Ankle ROM: Crossover Trial Study.

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

Study Overview

• Status: Completed
• Conditions: Range of Motion; Manual Therapy; Pain Threshold; Myofascial Trigger Point
• Intervention / Treatment: Other: Myofascial induction in gastrocnemius; Other: Preassure release

• Study Type: Interventional
• Enrollment (Actual): 13
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Madrid
    • San Sebastián De Los Reyes, Madrid, Spain, 28702
      • Mayuben Clinic

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

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

Exclusion Criteria:

• 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.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Myofascial induction in the gastrocnemius muscle; 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; A 3-pass shallow leg gliding technique was applied first, followed by 5 minutes of the deep myofascial calf induction technique described by Pilat.
Active Comparator: Preassure release in gastrocnemius muscle; 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; Also called ischaemic pressure. Three cycles of pressure are applied to the trigger point of the gastrocnemius muscle until the pain disappears on pressure.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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.

Collaborators and Investigators

• Sponsor: Mayuben Private Clinic

Study record dates

Study Major Dates

• Study Start (Actual): July 22, 2024
• Primary Completion (Actual): July 24, 2024
• Study Completion (Actual): August 3, 2024

Study Registration Dates

• First Submitted: July 7, 2024
• First Submitted That Met QC Criteria: July 11, 2024
• First Posted (Actual): July 12, 2024

Study Record Updates

• Last Update Posted (Actual): August 6, 2024
• Last Update Submitted That Met QC Criteria: August 3, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Keywords: lower limb; Fascia; myofascial trigger point
• Other Study ID Numbers: 2911202021420C

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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