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This study aims to analyze the changes in plantar support after the technique of deep dry puncture in the posterior tibial. The data will be analyzed by a baropodometer which will record the possible changes in the footprint. The investigator will perform a pre-intervention measurement and 3 post-intervention measurements (immediately after the intervention, at 24 hours and at 72 hours)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Deep dry needling in tibialis posterior | Experimental | Deep dry needling will be applied in the tibialis posterior myofascial trigger point |
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| Sham technique in tibialis posterior | Placebo Comparator | Placebo tibialis dry needling |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Deep dry needling in tibialis posterior | Procedure | The inspector, with gloves, disinfects the area to be treated with 70ยบ alcohol. Once the alcohol is applied, the intervenor locates and takes the myofascial trigger point and places the needle with the guide tube resting on the skin of the patient. The inspector holds the guide tube between the index and middle fingers lightly touch the needle with the index finger of the other hand to insert the needle perpendicularly into the skin, directing it towards the inspector's thumb. Once the needle is inserted subcutaneously, the guide tube is removed. The controller deepens the needle to myofascial trigger point, and makes fast inputs and outputs into it. The rapid exit is made to the subcutaneous cellular tissue, outside the muscle, but not outside the skin. Next, hemostasis is performed in the area. Once this hemostasis is completed, the patient is incorporated and dressed. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain pressure threshold | Amount of pressure (Kg/cm2) applied at the tibialis posterior myofascial trigger point site that elicit pain for the patient will be reported | 72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| baropodometric measurements: footprint | The investigator will be collected maximum pressure point in the footprint (g / cm) | 72 hours |
| baropodometric measurements: Average footprint pressure | The investigator will be collected the average footprint pressure (g/cm) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidad CEU Cardenal Herrera | Valencia | Moncada | 46113 | Spain |
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| Label | URL |
|---|---|
| The University CEU-Cardenal Herrera is th first private university in the Valencian Community. It belongs to the Foundation San Pablo - CEU and is the leading educational organization in Spain with three Universities all over Spain | View source |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP_ICF | Yes | Yes | Yes | Study Protocol, Statistical Analysis Plan, and Informed Consent Form | Mar 18, 2013 | Nov 22, 2018 | Prot_SAP_ICF_000.pdf |
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| ID | Term |
|---|---|
| D009069 | Movement Disorders |
| ID | Term |
|---|---|
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Sham technique in tibialis posterior | Procedure | The patient lies on the stretcher without the trousers. The interventor, with the guide tube, simulates the technique of puncture in the right twin of the subject. The comptroller cleans the area with 70ยบ alcohol. Once the alcohol is applied, he performs the simulated dry needling technique in a plane with his index and middle fingers with the guide tube. It is important that the subject has his head stuck in the hollow of the head of the stretcher throughout the technique to make a correct masking. |
|
| 72 hours |
| baropodometric measurements: forefoot area | The investigator will be collected the forefoot area (cm) | 72 hours |
| baropodometric measurements:forefoot load | The investigator will be collected the forefoot load (%) | 72 hours |
| baropodometric measurements: forefoot pressure variation | The investigator will be collected the forefoot pressure variation (%) | 72 hours |
| baropodometric measurements: rearfoot support surface | The investigator will be collected the rearfoot support surface (cm) | 72 hours |
| baropodometric measurements: hindfoot load | The investigator will be collected the hindfoot load ( %) | 72 hours |
| baropodometric measurements: areas of maximum pressure between the foot lines | The investigator will be collected the areas of maximum pressure between the foot lines (g/cm) | 72 hours |