Self-myofascial Release With Foam Roller in Patients With Hemophilic Ankle Arthropathy
Prospective and Multicenter Study to Assess the Safety and Effectiveness of a Physiotherapy Treatment Through Self-myofascial Release With Foam Roller in Patients With Hemophilic Ankle Arthropathy. A Randomized Clinical Trial.
Introduction: Hemophilic ankle arthropathy is manifested by degenerative functional alterations (deficit of muscle strength, mobility and proprioception) (intra-articular alterations) and chronic pain. Myofascial release techniques are used to treat soft tissue adhesions, relieve pain and reduce tissue sensitivity.
Design. A randomized clinical trial. Aimed: To evaluate the safety and effectiveness of a protocol by self-myofascial release with Foam Roller applied in patients with hemophilic ankle arthropathy.
Patients: 70 patients with ankle arthropathy will be recruited for inclusion in the study. Patients will be recruited in 5 centers, from different regions of Spain.
Intervention: Each session will last approximately 15 minutes, with five physiotherapy sessions per week for a period of 3 months. Patients will be evaluated at baseline, after the intervention, and after a follow-up period of 3 months. The treatment program includes 11 exercises that must be administered bilaterally. A mobile application will be developed where each patient will be able to observe the exercises to be carried out.
Measuring instruments and study variables: digital goniometer (ankle range of motion); visual analog scale and pressure algometer (joint pain); Haemophilia Joint Health Score (joint status); dynamometer assess (muscle strength); 6-Minute Walking test (functionality of lower limbs); Mobile device (Activity record); Finger-floor test (muscle flexibility). At the same time, the study will allow to determine joint bleeding caused by applied physiotherapy treatment.
Expected results: To demonstrate the safety of this Physiotherapy technique in patients with hemophilia. Likewise, an improvement in ankle pain, functionality and joint motion is expected.
연구 개요
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Comunity Of Madrid
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Madrid, Comunity Of Madrid, 스페인, 28670
- Universidad Europea de Madrid
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Patients diagnosed with hemophilia A and B disease.
- Over 18 years.
- Diagnosed with hemophilic arthropathy of the ankle (by clinical assessment with the Hemophilia Joint Health Score).
- On prophylactic or on demand treatment with FVIII / FIX concentrates.
Exclusion Criteria:
- Patients without ambulation ability.
- Patients with inhibitors (antibodies to FVIII or FIX).
- Patients with neurological or cognitive alterations that impede the comprehension of the questionnaires and physical tests.
- Not signed the informed consent document.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: 자가 근막 이완
각 세션은 약 15분 동안 진행되며 3개월 동안 5회의 물리 치료 세션이 진행됩니다.
혈우병성 발목 관절병증 환자에게 적용되는 폼 롤러 및 솔리드 볼 마사지를 사용하는 하지의 자가 근막 이완 프로토콜에는 양쪽으로 시행해야 하는 11가지 운동이 포함됩니다.
각 환자가 수행할 운동을 관찰할 수 있는 모바일 애플리케이션이 개발될 것입니다.
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The Self-Myofascial release protocol for the lower limbs using a Foam Roller will include: Self-Myofascial release of the plantar region using and Solid Ball Massage; release of the myofascial components of the back of the leg using a Foam Roller; release of the myofascial components of the anterior part of the leg using a Foam Roller; release of myofascial components of the hamstring region using a Foam Roller; release of the myofascial components of the adductor muscles using a Solid Ball Massage in a sitting position; release of the myofascial components of the abductor muscles using a Foam Roller in lateral decubitus; and release of the myofascial components of the pelvitrochanteric muscles using a Foam Roller in a sitting position.
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간섭 없음: Control
Patients included in the control group will not receive any physiotherapy intervention.
They will continue with their routine prior to the beginning of the study.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Change from baseline ankle joint pain after treatment and at 3 months
기간: Screening visit, within the first seven days after treatment and after three months follow-up visit
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Visual analogic scale (VAS).
This scale will be used to evaluate the perception of joint pain, where ankle joint pain ranges from 0 to 10 points (no pain to maximum perceived pain).
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Screening visit, within the first seven days after treatment and after three months follow-up visit
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Change from baseline ankle joint pain after treatment and at 3 months
기간: Screening visit, within the first seven days after treatment and after three months follow-up visit
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Pressure algometer.
Measuring instrument used to evaluate pressure joint pain.
The instrument shall consist of a measuring device attached to a hard rubber tip 1.1 cm in diameter.
Its sphere shall be calibrated in kg/cm2 with divisions of 0.1 kg/cm2.
The pressure algometry methodology applied was based mainly on the study by Hogeweg.
Before taking the measurements, patients will be instructed to say "yes" as soon as pressure exerted by the algometer becomes slightly unpleasant.
The pressure algometer shall be kept perpendicular to the surface of the skin with the right hand, stabilizing the axis of the instrument using the thumb and index finger of the left hand.
The pressure shall be increased at a uniform rate of approximately 1 kg/cm2 per second.
As soon as the subject, according to the instructions, says "yes", the pressure will be stopped and the score will be noted.
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Screening visit, within the first seven days after treatment and after three months follow-up visit
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Change from baseline lower limb functionality after treatment and at 3 months
기간: Screening visit, within the first seven days after treatment and after three months follow-up visit
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Hemophilia Joint Health Score (HJHS).
This measuring instrument will be used to evaluate the joint condition of knees, ankles, and elbows.
It includes 8 items (inflammation and its duration, pain, atrophy and muscle strength, crepitus, and reduced flexion and extension) ranging from 0 to 20 points per joint (the higher the score, the greater the joint deterioration).
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Screening visit, within the first seven days after treatment and after three months follow-up visit
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Change from baseline range of motion of ankle after treatment and at 3 months
기간: Screening visit, within the first seven days after treatment and after three months follow-up visit
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Digital Goniometry Ankle ROM shall be measured using a digital goniometer.
The assessment can be made with the patient standing.
This measuring instrument allows more accurate measurements than those obtained with a universal plastic goniometer.
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Screening visit, within the first seven days after treatment and after three months follow-up visit
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Change from baseline muscle strength after treatment and at 3 months
기간: Screening visit, within the first seven days after treatment and after three months follow-up visit
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Dynamometry.
The maximum isometric strength of the flexor and extensor muscles of the main joints affected in hemophilia (knees and ankles) will be evaluated on both limbs with a manual dynamometer using a mark test.
For this test, the rater needs to keep the dynamometer stationary while the patient exerts maximum force against it.
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Screening visit, within the first seven days after treatment and after three months follow-up visit
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Change from baseline muscle flexibility after treatment and at 3 months
기간: Screening visit, within the first seven days after treatment and after three months follow-up visit
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Fingertip-to-Floor Test.
This test is used to assess the degree of flexibility of the posterior muscles of the lower limbs.
This value is calculated as the distance between the fingertip and the floor when maximum hip flexion with knee extension is performed.
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Screening visit, within the first seven days after treatment and after three months follow-up visit
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공동 작업자 및 조사자
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
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추가 정보
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