Functional Pathologies of the Musculoskeletal System in Physiotherapy Students
- Conditions
- Low Back Pain, Postural
- Interventions
- Diagnostic Test: Differential diagnostic
- Registration Number
- NCT05544188
- Lead Sponsor
- Charles University, Czech Republic
- Brief Summary
This study map the occurrence of functional pathologies of the musculoskeletal system in students of the bachelor's program of physiotherapy of the Third Faculty of Medicine, Charles University, and aim on improvement of them.
- Detailed Description
The aim of this study is to map the occurrence of functional pathologies of the musculoskeletal system in students of the bachelor's program of physiotherapy of the Third Faculty of Medicine, Charles University, and to examine their postural functions. Another goal is to teach the students of the experimental group how to remove functional pathologies of the musculoskeletal system and how to change their motor behaviour and postural functions so that the development of functional disorders no longer occurs.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 60
- Bachelor's study of physiotherapy at the Third Faculty of Medicine, Charles University
- The presence of functional pathologies of the musculoskeletal system (verification by means of Trigger Points)
- Serious cardiovascular or orthopedic dysfunction
- Neurological disease
- Reduced cognitive functions complicating examination and subsequent therapy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description individual outpatient physiotherapy Differential diagnostic individual outpatient physiotherapy (7 times in two and a half months, approx. 90 minutes) aimed at correcting functional pathologies of the musculoskeletal system assessed by differential diagnosis (removal of trigger points, stretching of shortened muscles and mobilization of joint blockages) and changing of motor program that led to the occurrence of the functional disorder by means of Motor Programmes Activating Therapy Without changing the current habits Differential diagnostic It will not change the existing habits. At the same time, however, these are physiotherapy students who will participate in the classes. Their motor behaviour can thus be influenced in a natural way.
- Primary Outcome Measures
Name Time Method Changes in Trigger Points at 3 months Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months). Local hypertonic change in muscle function arising as a manifestation of pathogenic tension, 0 no trigger point, 2 maximal tiger point (higher value, worse function)
- Secondary Outcome Measures
Name Time Method Change in the Foot posture index at 3 and 15 month Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months), Follow up (at 15 months). Clinical examination of the foot type ranging from significantly pronated (values 6 - 12) to significantly supinated (values from -1 to -12) one according to the 6-item, higher value (both negative or positive) means worse function.
Change in the subtalar joint flexibility at 3 and 15 month Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months), Follow up (at 15 months). mobility of the subtalar joint during the initial phase of walking (software evaluation after walking barefoot on the Footscan® tensiometric plate). Under 5.5° means normal range of pronation and normal function. Higher values mean worse function and pathologic pronation during initial phase of gait.
Change in Foot morphology and flexibility at 3 and 15 month Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months), Follow up (at 15 months). examination by means of the full foot 3D scanner Footscan® and the software 3D scanner 7.7 while sitting and standing still. Arch high index defines two kinds of pathologies: hypermobility under 0,6, norm 0,7 - 0,8, rigidity 0,9 - 1,3
Change in Postural stability at 3 and 15 month Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months), Follow up (at 15 months). evaluation of the level of postural stability using the total path of displacement of the centre of pressure of the body on the mat in mm and the maximum displacement obtained in the latero-lateral and in the anteroposterior direction in mm (lower number means better function), measurement using the RS Footscan® tensiometric plate, higher value means worse function.
Change in the foot progression angle at 3 and 15 month Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months), Follow up (at 15 months). rotation of the foot during walking (software evaluation after walking barefoot on the Footscan® tensiometric plate). Normal angle 0-5.4°, in-toeing (inwards rotation) under 0°, out-toeing (outward rotation) above 5.5°.
Trial Locations
- Locations (1)
Department of rehabilitation, Third Faculty of Medicine
🇨🇿Prague, Czechia