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临床试验/NCT03596216
NCT03596216已完成不适用

One-Shot Percutaneous Electrical Nerve Stimulation vs. Transcutaneous Electrical Nerve Stimulation for Performance Flexor Hallucis Longus Muscle in Professional Dancers

University of Seville1 个研究点 分布在 1 个国家目标入组 51 人开始时间: 2018年7月24日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
51
试验地点
1
主要终点
Change in range of motion of first MTF joint

研究概览

简要总结

Tendinopathy of the flexor hallucis longus (FHL), colloquially referred to as "dancer's tendinitis," is a common condition in dancers and attributed to high demand on this muscle in positions of extreme ankle plantarflexion and metatarsophalangeal (MTP) flexion and extension. Tradicional conservative treatment includes rest from pain-inducing activities including pointe work and jumping, physical therapy a focusing on movilization of the joints of the first ray and subtalar joint, and antiinflamatory medications. Unfortunately, dancer frecuently do not follow recommendations to rest due to the competitive nature of the field. Those who do not respond to conservative treatment undergo more serious interventions including steroid injections or surgery, each with additional risks and recovery time. To develop experimental protocols aimed at prevention and nonsurgical interventions are needed. Therefore, the aim of this study was To investigate the effects of one shot of low-frequency percutaneous electrical nerve stimulation (PENS) vs. one shot of transcutaneous electrical nerve stimulation (TENS) in performance of the Flexor Hallucis Longus muscle in young dancers.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 30 Years(Adult)
性别
Female
接受健康志愿者
是

入选标准

  • •Female dancers
  • •Training at least twenty-five hours per week
  • •Pointe training at least five hours per week.

排除标准

  • •They had sustained an injury to their stance limb in the past year preventing dancing for at least 1 day
  • •Personal Psychological Apprehension Scale (PPAS) score >37.5
  • •Commonly accepted contraindications to invasive phsyiotherapist technique
  • •Any contraindications to needling per se.
  • •Commonly accepted contraindications to electrotherapy
  • •Epilepsy.

研究组 & 干预措施

Percutaneous Electrial Stimulation (PES group).

Experimental

This intervention consisted in the application of an asymmetric biphasic rectangular current. The subject lay prone with her feet outside the table. The FHL muscle was located at 50% of the distance between the fibular head and inferior border of the lateral malleolus on the posterior aspect of the fibular by ultrasound machine (cross-section) (Logiq, GE Healthcare, USA) and then, a needle (0.30mm x 0.40mm) was inserted, perpendicular to the surface of the skin, until the muscle belly. Prior to inserting a neddle, the underlying skin was cleaned with isopropyl alcohol. The intensity of the current was necessary to cause an exacerbated muscle contraction, during 1.5 min acording to the Valera and Minaya protocol´s.

This intervention was performed once in each participant, on one leg only (stance limb), It's only once, it was not a treatment

干预措施: PENS (Other)

Transcutaneous Electrial Stimulation (TENS group)

Experimental

This intervention consisted in the application of an asymmetric biphasic rectangular current. The subject lay prone with her feet outside the table. The FHL muscle was located at 50% of the distance between the fibular head and inferior border of the lateral malleolus on the posterior aspect of the fibular by ultrasound machine (cross-section) (Logiq, GE Healthcare, USA),and then, one self-adhesive electrode was placed on the back of the leg and the other on the sole of the foot. The intensity of the current was necessary to cause an exacerbated muscle contraction, during 1.5 min.

This intervention was performed once in each participant, on one leg only (stance limb), It's only once, it was not a treatment

干预措施: TENS (Other)

结局指标

主要结局

Change in range of motion of first MTF joint

时间窗: 1 day

Assessed using goniometer.

Change in balance

时间窗: 1 day

Assessed by a single leg balance test

Change in muscular endurence,

时间窗: 1 day

Assessed by endurance test (heel raise repetitions).

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Blanca de la Cruz Torres

Doctor

University of Seville

研究点 (1)

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