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.

Not Applicable

Completed

• Conditions: Myofascial Trigger Point; Manual Therapy; Range of Motion; Pain Threshold
• Interventions: Other: Myofascial induction in gastrocnemius; Other: Preassure release

• Registration Number: NCT06499441
• Lead Sponsor: Mayuben Private Clinic

Brief Summary

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

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-07-07
• Study First Submitted QC: 2024-07-11
• Study First Posted: 2024-07-12
• Study Start: 2024-07-22
• Primary Completion: 2024-07-24
• Status Verified: 2024-08
• Study Completion: 2024-08-03
• Last Update Submitted: 2024-08-03
• Last Update Posted: 2024-08-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 13

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 & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Myofascial induction in the gastrocnemius muscle	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.
Preassure release in gastrocnemius muscle	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.

Primary Outcome Measures

Name	Time	Method
3.Pain threshold to pressure on flexor digitorum brevis muscle before.	Immediately before the intervention.	The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons
6.Pain threshold on pressure in the flexor digitorum brevis muscle tras.	Immediately before the intervention.	The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons
10. Ankle range of motion with knee flexed after intervention	Immediately after the 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.
2.Pain threshold to pressure in the extensor digitorum longus muscle before.	Immediately before the intervention.	The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons
1.Threshold of pain on pressure on biceps femoris before.	Immediately before the intervention.	The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons
4.Pain threshold on biceps femoris pressure after.	Immediately before the intervention.	The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons
7. Ankle range of motion with knee extended before intervention	Immediately before the 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.
5.Pain threshold to pressure in the extensor digitorum longus muscle after.	Immediately before the intervention.	The pressure at which the patient starts to feel pain with pressure is measured 3 times with an algometer. It is measured in newtons
8. Ankle range of motion with knee flexed before intervention	Immediately before the 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.
9. Ankle range of motion with knee extended after intervention	Immediately after the 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.

Trial Locations

Locations (1)

Mayuben Clinic; 🇪🇸 San Sebastián De Los Reyes, Madrid, Spain