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Completed

NCT Number: NCT05190224

Changes in Plantar Preassures and Ankle Range of Motion After the Technique of Neuromeningeal Mobilization

Neuromeningeal mobilization or neurodynamics is a movement-based technique whose purpose is to restore peri- and intraneural homeostasis (1). It is based on principle that nerves have to lengthen and shorten to maintain normal muscle tension and range of motion (1) This technique has been shown to be effective in recovering tissue mobility (2), reducing pain in low back pain (3) and neck pain (1) and pain intensity in the elderly, and increasing joint range of motion and muscle flexibility (4 )

Regarding balance, sciatic nerve sliding has been shown to immediately improve balance to one leg ( dinamic balance) after application in a comparative study before and after (4,5)

No study has been realised in for the Posterior Tibial, Deep Peroneal, Medial Dorsocutaneous and Lateral Nerves, and no study has verificated standing balance and range of motion in ankle joint

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Key information

Conditions

Postural Balance Foot Rehabilitation Therapy

Age range

18 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

EVA MARIA Martínez

Madrid, 28701, Spain

About this study

The study will consist of recording before and after applying the nerve mobilization exercise. Measurements will be made on the same day without the need to go at another time.

In this study, participants will be asked to stand on a pressure platform several times in a relaxed manner and with eyes open and closed before and after a neuromeningeal mobilization technique indicated for the treatment of pain in your feet. In addition, the mobility of the ankle will be measured with the knee flexed and stretched. The measurements or tests to be carried out are totally innocuous and do not carry any risk to your health and integrity.

Participants will have to remain barefoot for a maximum of 30 seconds, a total of 8 times on a pressure platform

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

-Participants who arrived at the clinic presenting with pain in both heels and who were diagnosed with active or latent MTrP in bilateral flexor digitorum brevis, (2) these specific MTrPs were the only MTrPs diagnosed in limb or foot, (3) all participants had a normal body mass because obesity can affect plantar pressure distribution [28], and (4) and had an age range of 27.96 to 36.04 (95% confidence interval [CI]) because body mass could also affect plantar pressures.

Exclusion criteria

  • (1) Diagnosis of lower limb injury, such as plantar fasciitis, tendinopathy, bursitis, ligament injuries [27], (2) a history of previous lower extremity surgery [28], (3) participants were required not to have undergone ankle stretching or any other treatment [23], (4) diabetes due to possible elevation of plantar pressure, [30], (5) deformities of the toes, such as hammer toes and hallux valgus due to their possible alteration in plantar pressure.

Treatment and study plan

Neural mobilization of the deep peroneal, posterior tibial and medial medial and lateral dorsocutaneous nerves.

Other

In lateral decubitus the patient with the help of the clinician will perform neuromeningeal mobilization of the posterior tibial dorsocutaneous lateral, intermediate and medial nerves and deep peroneal nerve too.

Primary outcomes

  1. Variables of plantar pressures with platform before mobilization

    Time frame: Through study completion, an average of 2 days

    During 30 seconds we will record the plantar pressure variables in grams per square centimeter

  2. Variable footprint plantar surface with platform before

    Time frame: Through study completion, an average of 2 days

    For 30 seconds we will record the area of the footprint in square centimeters.

  3. Variables of plantar pressures with platform after mobilization

    Time frame: Through study completion, an average of 2 days

    During 30 seconds we will record the plantar pressure variables in grams per square centimeter

  4. Variable footprint plantar surface with platform after mobilization

    Time frame: Through study completion, an average of 2 days

    For 30 seconds we will record the area of the footprint in square centimeters

Sponsors and collaborators

Lead sponsor

Mayuben Private Clinic

Other

Registry information

Official study title

Changes in Plantar Pressures and Ankle Range of Motion After the Technique of Neuromeningeal Mobilization of the Posterior Tibial Nerve, Deep Peroneal Nerve, Medial and Lateral Dorsocutaneous Nerve

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Jan 13, 2022
Registry last updated
Feb 8, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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